title: A longitudinal evaluation of a social support model of medication adherence among HIV-positive men and women on antiretroviral therapy.
abstract: Nonadherence in the management of chronic illness is a pervasive clinical challenge. Although researchers have identified multiple correlates of adherence, the field remains relatively atheoretical. The authors propose a cognitive-affective model of medication adherence based on social support theory and research. Structural equation modeling of longitudinal survey data from 136 mainly African American and Puerto Rican men and women with HIV/AIDS provided preliminary support for a modified model. Specifically, baseline data indicated social support was associated with less negative affect and greater spirituality, which, in turn, were associated with self-efficacy to adhere. Self-efficacy to adhere at baseline predicted self-reported adherence at 3 months, which predicted chart-extracted viral load at 6 months. The findings have relevance for theory building, intervention development, and clinical practice.
authors.affiliation: Department of Psychology, University of Washington, Box 351525, Seattle, WA 98195-1525, USA. jsimoni@u.washington.edu
authors.forename: Jane M
authors.initials: JM
authors.lastname: Simoni
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Frick
authors.forename: Bu
authors.initials: B
authors.lastname: Huang
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D005260:Female; D006679:HIV Seropositivity / Q000188:drug therapy*; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D009519:New York City; D010349:Patient Compliance; D020377:Self Efficacy; D012944:Social Support
chemical_list: D044966:Anti-Retroviral Agents