An information-motivation-behavioral skills model of adherence to antiretroviral therapy.
Top Cited Papers
- 1 July 2006
- journal article
- Published by American Psychological Association (APA) in Health Psychology
- Vol. 25 (4) , 462-473
- https://doi.org/10.1037/0278-6133.25.4.462
Abstract
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.Keywords
Funding Information
- National Institute of Mental Health (1 R01 MH59473, 1 R01 MH066684)
- National Institutes of Health (1 F31 MH069079-01)
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