Historique
Périodique
Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status
Auteur(s) :
BARCLAY, T. R. ;
HINKIN, C. H. ;
CASTELLON, S. A. ;
MASON, K. I. ;
REINHARD M. J. ;
MARION, S. D. ;
LEVINE, A. J. ;
DURVASULA R. S.
Année
2007
Page(s) :
40-49
Langue(s) :
Anglais
Domaine :
Hors addiction / No addiction
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
VIH
;
OBSERVANCE DU TRAITEMENT
;
COGNITION
;
AGE
;
ADULTE
Thésaurus géographique
ETATS-UNIS
Note générale :
Health Psychology, 2007, 26, (1), 40-49
Résumé :
ENGLISH :
Objective: Although most agree that poor adherence to antiretrovirals is a common problem, relatively few factors have been shown to consistently predict treatment failure. In this study, a theoretical framework encompassing demographic characteristics, health beliefs/attitudes, treatment self-efficacy, and neurocognitive status was examined in relationship to highly active antiretroviral therapy adherence. Design: Prospective, cross-sectional observational design. Main Outcome Measures: Neuropsychological test performance, health beliefs and attitudes, and medication adherence tracked over a 1-month period using electronic monitoring technology (Medication Event Monitoring System caps). Results: The rate of poor adherence was twice as high among younger participants than with older participants (68% and 33%, respectively). Results of binary logistic regression revealed that low self-efficacy and lack of perceived treatment utility predicted poor adherence among younger individuals, whereas decreased levels of neurocognitive functioning remained the sole predictor of poor adherence among older participants. Conclusion: These data support components of the health beliefs model in predicting medication adherence among younger HIV-positive individuals. However, risk of adherence failure in those ages 50 years and older appears most related to neurocognitive status. (Author' s abstract)
Affiliation :
Etats-Unis. United States.
Cote :
A03323