HIV treatment adherence in women living with HIV/AIDS: research based on the Information-Motivation-Behavioral Skills model of health behavior.
HIV treatment adherence in women living with HIV/AIDS: research based on the Information-Motivation-Behavioral Skills model of health behavior.
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DOI：
10.1016/s1055-3290(06)60217-3
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发表时间：
2001-07-01
期刊：
影响因子：
--
通讯作者：
Buckles, J
中科院分区：
文献类型：
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作者：
Kalichman, S C;Rompa, D;Buckles, J
要实现这些潜在有效治疗的最大益处，必须密切并始终如一地坚持抗艾滋病毒药物治疗方案。作者在112名女性的便利样本中检查了与HIV治疗依从性相关的认知和行为因素，其中72人在研究时正在接受HIV治疗。妇女完成了秘密调查和访谈，以评估艾滋病毒相关的健康状况、治疗方案和源自健康促进行为的信息-动机-行为技能模型的认知行为特征。结果显示，在过去一周内至少错过一次艾滋病毒药物治疗的女性报告说，她们保持坚持的意图(动机)较低，坚持自我效能(技能)较低。结构方程模型显示，激励因素和技能培养因素显著预测了错过的药物剂量数量。然而，与治疗相关的信息并不能预测治疗依从性。此外，在过去一周没有服药的女性更有可能使用过设备和策略来提醒她们服药剂量，但目前并不更有可能使用此类策略。加强治疗依从性动机和建立依从性技能的干预措施可能有助于提高接受抗艾滋病毒治疗的妇女的艾滋病毒治疗依从性。
Close and consistent adherence to anti-HIV medication regimens is necessary to achieve the maximum benefit of these potentially effective treatments. The authors examined cognitive and behavioral factors associated with HIV treatment adherence in a convenience sample of 112 women, 72 of whom were currently taking HIV treatments at the time of the study. Women completed confidential surveys and interviews to assess HIV-related health status, treatment regimens, and cognitive behavioral characteristics derived from the Information-Motivation-Behavioral Skills model of health promotion behaviors. Results showed that women who had missed at least one dose of their HIV medications in the past week reported lower intentions (motivation) to remain adherent and lower adherence self-efficacy (skills). Structural equation modeling showed that motivational and skills-building factors significantly predicted the number of medication doses missed. However, treatment-related information did not predict treatment adherence. In addition, women who had missed a dose of medication in the past week were more likely to have ever used devices and strategies to remind them of doses, but were no more likely to currently use such strategies. Interventions that enhance treatment adherence motivation and build adherence skills may help improve HIV treatment adherence in women receiving anti-HIV therapies.