Cognitive and behavioural correlates of non-adherence to HIV anti-retroviral therapy: theoretical and practical insight for clinical psychology and health psychology

Kim Begley; Mary Louise McLaws; Michael W. Ross; Julian Gold

doi:10.1080/13284200802069043

Cognitive and behavioural correlates of non-adherence to HIV anti-retroviral therapy: theoretical and practical insight for clinical psychology and health psychology

Kim Begley^*, Mary Louise McLaws, Michael W. Ross, Julian Gold

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

This cross-sectional study identified variables associated with protease inhibitor (PI) non-adherence in 179 patients taking anti-retroviral therapy. Univariate analyses identified 11 variables associated with PI non-adherence. Multiple logistic regression modelling identified three predictors of PI non-adherence: low adherence self-efficacy and seriousness of non-adherence and HIV (p <.001), perceived absence of HIV associated illness (p <.01), and use of more than one type of recreational drug (p =.001). The model correctly classified 83.9% of the sample, offers psychologists insight into psychological barriers to treatment adherence to guide interventions for improving adherence, and supports a modified version of the reformulated health belief model.

Original language	English
Pages (from-to)	9-17
Number of pages	9
Journal	Clinical Psychologist
Volume	12
Issue number	1
DOIs	https://doi.org/10.1080/13284200802069043
Publication status	Published - 2008
Externally published	Yes

Keywords

Clinical/health psychology
health belief model
HIV
medication adherence
protease inhibitors

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abstract = "This cross-sectional study identified variables associated with protease inhibitor (PI) non-adherence in 179 patients taking anti-retroviral therapy. Univariate analyses identified 11 variables associated with PI non-adherence. Multiple logistic regression modelling identified three predictors of PI non-adherence: low adherence self-efficacy and seriousness of non-adherence and HIV (p <.001), perceived absence of HIV associated illness (p <.01), and use of more than one type of recreational drug (p =.001). The model correctly classified 83.9% of the sample, offers psychologists insight into psychological barriers to treatment adherence to guide interventions for improving adherence, and supports a modified version of the reformulated health belief model.",

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AU - Gold, Julian

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AB - This cross-sectional study identified variables associated with protease inhibitor (PI) non-adherence in 179 patients taking anti-retroviral therapy. Univariate analyses identified 11 variables associated with PI non-adherence. Multiple logistic regression modelling identified three predictors of PI non-adherence: low adherence self-efficacy and seriousness of non-adherence and HIV (p <.001), perceived absence of HIV associated illness (p <.01), and use of more than one type of recreational drug (p =.001). The model correctly classified 83.9% of the sample, offers psychologists insight into psychological barriers to treatment adherence to guide interventions for improving adherence, and supports a modified version of the reformulated health belief model.

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Cognitive and behavioural correlates of non-adherence to HIV anti-retroviral therapy: theoretical and practical insight for clinical psychology and health psychology

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Keywords

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