An Information-Motivation-Behavioral Skills Model of Adherence to Antiretroviral Therapy

HIV-positive persons who do not maintain consistently high levels of adherence to often complex and toxic highly active antiretroviral therapy (HAART) regimens may experience therapeutic failure and deterioration of health status and may develop multidrug-resistant HIV that can be transmitted to uni...

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Veröffentlicht in:Health psychology 2006-07, Vol.25 (4), p.462-473
Hauptverfasser: Fisher, Jeffrey D, Fisher, William A, Amico, K. Rivet, Harman, Jennifer J
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container_end_page 473
container_issue 4
container_start_page 462
container_title Health psychology
container_volume 25
creator Fisher, Jeffrey D
Fisher, William A
Amico, K. Rivet
Harman, Jennifer J
description HIV-positive persons who do not maintain consistently high levels of adherence to often complex and toxic highly active antiretroviral therapy (HAART) regimens may experience therapeutic failure and deterioration of health status and may develop multidrug-resistant HIV that can be transmitted to uninfected others. The current analysis conceptualizes social and psychological determinants of adherence to HAART among HIV-positive individuals. The authors propose an information-motivation-behavioral skills (IMB) model of HAART adherence that assumes that adherence-related information, motivation, and behavioral skills are fundamental determinants of adherence to HAART. According to the model, adherence-related information and motivation work through adherence-related behavioral skills to affect adherence to HAART. Empirical support for the IMB model of adherence is presented, and its application in adherence-promotion intervention efforts is discussed.
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subjects Anti-Retroviral Agents - therapeutic use
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiretroviral Drugs
Antiretroviral therapy
Antiviral agents
Antiviral Drugs
Behavioural analysis
Biological and medical sciences
Drug Therapy
Empirical Research
Fundamental and applied biological sciences. Psychology
Health Behavior
HIV
HIV Infections - drug therapy
Human
Humans
Illness and personality
Information
Information Dissemination
Medical sciences
Motivation
Patient Compliance - statistics & numerical data
Personality, behavior and health
Pharmacology. Drug treatments
Psychology
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Treatment Compliance
title An Information-Motivation-Behavioral Skills Model of Adherence to Antiretroviral Therapy
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