ArticleRevista de saude publica2017
Psychological model of ART adherence behaviors in persons living with HIV/AIDS in Mexico: a structural equation analysis.
Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 17 citations in OpenAlex.
- Exploring HIV status as a mediator in the relationship of psychological distress with socio-demographic and health related factors in South Africa: findings from the 2012 nationally representative population-based household survey.AIDS research and therapy · 2023Article
- Adherence predictor variables in AIDS patients: an empirical study using the data mining-based RFM model.AIDS research and therapy · 2021Article
- Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia.HIV/AIDS (Auckland, N.Z.) · 2021Article
- Review
- Validation study of a scale for assessing three personality functional dimensions among Venezuelan HIV-positive patients.Psychology research and behavior management · 2018Article
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
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Abstract
objectiveThe objective of this study has been to test the ability of variables of a psychological model to predict antiretroviral therapy medication adherence behavior.
methodsWe have conducted a cross-sectional study among 172 persons living with HIV/AIDS (PLWHA), who completed four self-administered assessments: 1) the Psychological Variables and Adherence Behaviors Questionnaire, 2) the Stress-Related Situation Scale to assess the variable of Personality, 3) The Zung Depression Scale, and 4) the Duke-UNC Functional Social Support Questionnaire. Structural equation modeling was used to construct a model to predict medication adherence behaviors.
resultsOut of all the participants, 141 (82%) have been considered 100% adherent to antiretroviral therapy. Structural equation modeling has confirmed the direct effect that personality (decision-making and tolerance of frustration) has on motives to behave, or act accordingly, which was in turn directly related to medication adherence behaviors. In addition, these behaviors have had a direct and significant effect on viral load, as well as an indirect effect on CD4 cell count. The final model demonstrates the congruence between theory and data (x2/df. = 1.480, goodness of fit index = 0.97, adjusted goodness of fit index = 0.94, comparative fit index = 0.98, root mean square error of approximation = 0.05), accounting for 55.7% of the variance.
conclusionsThe results of this study support our theoretical model as a conceptual framework for the prediction of medication adherence behaviors in persons living with HIV/AIDS. Implications for designing, implementing, and evaluating intervention programs based on the model are to be discussed.
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