The Information-Motivation-Behavioral Skills Model of ART Adherence in a Deep South HIV plus Clinic Sample
The Information-Motivation-Behavioral Skills Model of ART Adherence in a Deep South HIV plus Clinic Sample
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DOI：
10.1007/s10461-007-9311-y
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发表时间：
2009-02-01
影响因子：
4.4
通讯作者：
Fisher, William A.
中科院分区：
文献类型：
--
作者：
Amico, K. Rivet;Barta, William;Fisher, William A.
高度坚持抗逆转录病毒疗法对艾滋病毒管理至关重要，但许多艾滋病毒感染者没有达到这些水平。关于ART依从性的相关性有大量的文献，并且ART依从性的基于理论的多变量模型正在出现。目前的研究评估的坚持行为的决定因素假设的信息-动机-行为技能模型的抗逆转录病毒治疗坚持在密西西比的149例艾滋病毒阳性患者的样本。结构方程模型表明，艺术相关的信息与个人和社会的动机，这两个子领域的动机是不相关的。在这个深南样本中，更好地了解，社会支持，以及感知更少的依从性负面后果与服用药物的更强行为技能独立相关，这反过来又与自我报告的依从性相关。ART依从性的IMB模型似乎很好地表征了该样本依从性的复杂性。
High levels of adherence to antiretroviral therapy (ART) are critical to the management of HIV, yet many people living with HIV do not achieve these levels. There is a substantial body of literature regarding correlates of adherence to ART, and theory-based multivariate models of ART adherence are emerging. The current study assessed the determinants of adherence behavior postulated by the Information-Motivation-Behavioral Skills model of ART adherence in a sample of 149 HIV-positive patients in Mississippi. Structural equation modeling indicated that ART-related information correlated with personal and social motivation, and the two sub-areas of motivation were not intercorrelated. In this Deep South sample, being better informed, socially supported, and perceiving fewer negative consequences of adherence were independently related to stronger behavioral skills for taking medications, which in turn associated with self-reported adherence. The IMB model of ART adherence appeared to well characterize the complexities of adherence for this sample.