A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?

A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?
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对健康行为理论的综述:这些对开发干预措施的有用是如何促进结核病和艾滋病毒/艾滋病的长期药物依从性?

DOI:
10.1186/1471-2458-7-104
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发表时间:
2007-06-11
期刊:
影响因子:
4.5
通讯作者:
Volmink, Jimmy
Volmink, Jimmy
中科院分区:
医学2区
文献类型:
--
作者:
Munro, Salla;Lewin, Simon;Swart, Tanya;Volmink, Jimmy

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坚持不佳治疗仍然是控制结核病和艾滋病毒/艾滋病等许多传染病的障碍,这些疾病大大加重了全球疾病负担。然而,在为解决这一问题而制定的许多干预措施中,很少明确借鉴健康行为理论。这些理论有助于设计更有效的干预措施,以促进治疗的坚持,并改善对这些干预措施在不同健康问题和环境中的可转移性的评估。本文回顾了适用于长期治疗依从性的行为改变理论;评估了其预测行为改变有效性的证据;并研究了这些研究结果对制定策略以改善结核病和艾滋病毒/艾滋病药物治疗依从性的影响。我们在许多电子数据库中搜索行为改变的理论。研究了11种理论。几乎没有经验证据表明这些理论在促进依从性方面的有效性。然而,有几种模式有可能既提高对依从行为的理解,又有助于设计更有效的干预措施,以促进结核病和艾滋病毒/艾滋病药物的依从性。迫切需要进一步的研究和分析,以确定哪些模型可能最好地提高长期治疗方案的依从性。
Suboptimal treatment adherence remains a barrier to the control of many infectious diseases, including tuberculosis and HIV/AIDS, which contribute significantly to the global disease burden. However, few of the many interventions developed to address this issue explicitly draw on theories of health behaviour. Such theories could contribute to the design of more effective interventions to promote treatment adherence and to improving assessments of the transferability of these interventions across different health issues and settings. This paper reviews behaviour change theories applicable to long-term treatment adherence; assesses the evidence for their effectiveness in predicting behaviour change; and examines the implications of these findings for developing strategies to improve TB and HIV/AIDS medication adherence. We searched a number of electronic databases for theories of behaviour change. Eleven theories were examined. Little empirical evidence was located on the effectiveness of these theories in promoting adherence. However, several models have the potential to both improve understanding of adherence behaviours and contribute to the design of more effective interventions to promote adherence to TB and HIV/AIDS medication. Further research and analysis is needed urgently to determine which models might best improve adherence to long-term treatment regimens.
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