ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2012
Focus on increasing treatment self-efficacy to improve human immunodeficiency virus treatment adherence.
Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- A commitment contract to achieve virologic suppression in poorly adherent patients with HIV/AIDS.AIDS (London, England) · 2017Trial
- Antiretroviral Therapy Adherence and Clinic Attendance Over Time Among People in Argentina Living with HIV and Lost to Care.International journal of behavioral medicine · 2026Article
- Insights into medication adherence among HIV-positive patients: the integrated change model.AIDS research and therapy · 2025Article
- The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study.BMC public health · 2025Article
- Socio-cognitive facilitators of ART-adherence among predominantly black sexual and gender minoritized persons living with HIV in Atlanta, Georgia: a latent profile analysis.Journal of behavioral medicine · 2024Article
- Bridging the adherence gap in internet interventions: A randomized controlled trial study protocol investigating context-specific self-efficacy.Internet interventions · 2024Article
- Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda.PLOS global public health · 2024Article
- Perceived social support and depression among people living with HIV in China: roles of stigma and adherence self-efficacy.BMC psychiatry · 2023Article
- Working status and seasonal meteorological conditions predict physical activity levels in people living with HIV.AIDS care · 2022Article
- Adolescent support club attendance and self-efficacy associated with HIV treatment outcomes in Tanzania.PLOS global public health · 2022Article
- Evaluation of the Sociodemographic, Behavioral and Clinical Influences on Complete Antiretroviral Therapy Adherence Among HIV-Infected Adults Receiving Medical Care in Houston, Texas.HIV/AIDS (Auckland, N.Z.) · 2021Article
- The role of family factors in antiretroviral therapy (ART) adherence self-efficacy among HIV-infected adolescents in southern Uganda.BMC public health · 2020Article
- Participation in community groups increases the likelihood of PrEP awareness: New Orleans NHBS-MSM Cycle, 2014.PloS one · 2019Article
- Digital Gaming to Improve Adherence Among Adolescents and Young Adults Living With HIV: Mixed-Methods Study to Test Feasibility and Acceptability.JMIR serious games · 2018Article
- Review
- Social capital and HIV/AIDS in the United States: Knowledge, gaps, and future directions.SSM - population health · 2018Article
- Experiences of HIV-positive postpartum women and health workers involved with community-based antiretroviral therapy adherence clubs in Cape Town, South Africa.BMC public health · 2018Article
- Substance use, anxiety, and self-management efficacy in HIV-positive individuals: A mediation analysis.Journal of substance use · 2018Article
- Engagement with health care providers as a mediator between social capital and quality of life among a sample of people living with HIV in the United States: Path-analysis.SSM - population health · 2017Article
Corrections and comments
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Authors and funding
22 authors.
Funding
Abstract
purposeHuman immunodeficiency virus (HIV) treatment self-efficacy is the confidence held by an individual in her or his ability to follow treatment recommendations, including specific HIV care such as initiating and adhering to antiretroviral therapy (ART). The purpose of this study was to explore the potential mediating role of treatment adherence self-efficacy in the relationships between Social Cognitive Theory constructs and self- reported ART adherence.
designCross-sectional and descriptive. The study was conducted between 2009 and 2011 and included 1,414 participants who lived in the United States or Puerto Rico and were taking antiretroviral medications.
methodsSocial cognitive constructs were tested specifically: behaviors (three adherence measures each consisting of one item about adherence at 3-day and 30-day along with the adherence rating scale), cognitive or personal factors (the Center for Epidemiology Studies Depression Scale to assess for depressive symptoms, the 12-Item Short Form Health Survey (SF-12) to assess physical functioning, one item about physical condition, one item about comorbidity), environmental influences (the Social Capital Scale, one item about social support), and treatment self-efficacy (HIV Adherence Self-Efficacy Scale). Analysis included descriptive statistics and regression.
resultsThe average participant was 47 years old, male, and a racial or ethnic minority, had an education of high school or less, had barely adequate or totally inadequate income, did not work, had health insurance, and was living with HIV/acquired immunodeficiency syndrome for 15 years. The model provided support for adherence self-efficacy as a robust predictor of ART adherence behavior, serving a partial mediating role between environmental influences and cognitive or personal factors.
conclusionsAlthough other factors such as depressive symptoms and lack of social capital impact adherence to ART, nurses can focus on increasing treatment self-efficacy through diverse interactional strategies using principles of adult learning and strategies to improve health literacy. CLINICAL RELEVANCE: Adherence to ART reduces the viral load thereby decreasing morbidity and mortality and risk of transmission to uninfected persons. Nurses need to use a variety of strategies to increase treatment self-efficacy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.