An information-motivation-behavioral skills model of adherence to antiretroviral therapy

被引：500
作者：
Fisher, Jeffrey D.
Fisher, William A.
Amico, K. Rivet
Harman, Jennifer J.
机构：
[1] Univ Connecticut, Dept Psychol, Storrs, CT 06269 USA
[2] Univ Connecticut, Ctr HIV Intervent & Prevent, Storrs, CT 06269 USA
[3] Univ Western Ontario, Dept Psychol, London, ON N6A 3K7, Canada
[4] Univ Western Ontario, Dept Obstet & Gynaecol, London, ON N6A 3K7, Canada
来源：
HEALTH PSYCHOLOGY | 2006年 / 25卷 / 04期
关键词：
HIV; adherence; highly active antiretroviral therapy (HAART); antiretroviral therapy (ART); information-motivation-behavioral skills (IMB) model;
D O I：
10.1037/0278-6133.25.4.462
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
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.
引用
收藏
页码：462 / 473
页数：12
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