Kathleen M. Nokes|Mallory O. Johnson|Allison R. Webel|Carol Dawson Rose|J. Craig Phillips|Kathleen M. Sullivan|Lynda Tyer?Viola|Marta Rivero?Méndez|Patrice K. Nicholas|Jeanne Kemppainen|Elizabeth Sefcik|Wei?Ti Chen|John Brion|Lucille Sanzero Eller|Kenn M. Kirksey|Dean Wantland|Carmen J. Portillo|Inge B. Corless|Joachim Voss|Scholastika Iipinge|Mark Spellmann|William L. Holzemer
Focus on Increasing Treatment Self?Efficacy to Improve Human Immunodeficiency Virus Treatment Adherence
Hunter College|Bellevue Hospital Center|University of California, San Francisco|Case Western Reserve University|University of California, San Francisco|University of Ottawa|University of Hawai?i at M?noa|MGH Institute of Health Professions|University of Puerto Rico System|MGH Institute of Health Professions|Brigham and Women's Hospital|University of North Carolina Wilmington|Texas A&M University – Corpus Christi|Yale University|Duke University|Rutgers, The State University of New Jersey|Harris Health System|Lyndon Baines Johnson Hospital|Rutgers, The State University of New Jersey|Unity Health System|University of California, San Francisco|MGH Institute of Health Professions|Neurobehavioral Systems|University of Washington|University of Namibia|New York University|Rutgers, The State University of New Jersey
abstract purpose human immunodeficiency virus hiv treatment selfefficacy confidence held individual ability follow treatment recommendations including specific hiv care initiating adhering antiretroviral therapy art purpose study explore potential mediating role treatment adherence selfefficacy relationships social cognitive theory constructs self reported art adherence design crosssectional descriptive study conducted 2009 2011 included 1414 participants lived united states puerto rico taking antiretroviral medications methods social cognitive constructs tested specifically behaviors three adherence measures consisting one item adherence 3day 30day along adherence rating scale cognitive personal factors center epidemiology studies depression scale assess depressive symptoms 12item short form health survey sf12 assess physical functioning one item physical condition one item comorbidity environmental influences social capital scale one item social support treatment selfefficacy hiv adherence selfefficacy scale analysis included descriptive statistics regression results average participant 47 years old male racial ethnic minority education high school less barely adequate totally inadequate income work health insurance living hivacquired immunodeficiency syndrome 15 years model provided support adherence selfefficacy robust predictor art adherence behavior serving partial mediating role environmental influences cognitive personal factors conclusions although factors depressive symptoms lack social capital impact adherence art nurses focus increasing treatment selfefficacy diverse interactional strategies using principles adult learning strategies improve health literacy clinical relevance adherence art reduces viral load thereby decreasing morbidity mortality risk transmission uninfected persons nurses need use variety strategies increase treatment selfefficacy