title: Efficacy of a group medication adherence intervention among HIV positive women: the SMART/EST Women's Project.
abstract: This intervention sought to improve overall quality of life and health behavior in women living with human immunodeficiency virus (HIV). We contrasted the effect of a group cognitive behavioral stress management expressive supportive therapy (CBSM+) intervention plus a healthier lifestyles (HL) component with an individual educational/informational format plus HL on HIV-medication adherence. Women, n = 237, predominantly African-American and Latina, living with HIV were recruited from Miami, New York and New Jersey and randomized to group or individual conditions (ten weekly sessions) plus group or individual HL, i.e., four conditions. Women reported relatively high levels of adherence at baseline. Participants in any of the group conditions increased self-reported adherence and emotion-focused coping skills in comparison with individual participation. This study suggests that group interventions may be an important adjunct in increasing medication adherence for HIV positive women.
authors.affiliation: Department of Psychology, Barry University, 11300 NE 2nd Avenue, Miami Shores, FL 33161-6695, USA. dljones@mail.barry.edu
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Jones
authors.forename: Shvawn
authors.initials: S
authors.lastname: McPherson-Baker
authors.forename: David
authors.initials: D
authors.lastname: Lydston
authors.forename: Joanne
authors.initials: J
authors.lastname: Camille
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Brondolo
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Tobin
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Weiss
mesh_terms: D000223:Adaptation, Psychological; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006679:HIV Seropositivity / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D011615:Psychotherapy, Group; D013315:Stress, Psychological / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States; D016387:Women's Health
chemical_list: D019380:Anti-HIV Agents