The efficacy of Structural Ecosystems Therapy for HIV medication adherence with African American women.
A systemic family therapy intervention, Structural Ecosystems Therapy (SET; Mitrani, Szapocznik, & Robinson-Batista, 2000; Szapocznik et al., 2004), has been shown to promote adaptation to living with HIV by reducing psychological distress and family hassles. This investigation examines the effect of SET on HIV medication adherence relative to a person-centered condition and a community control condition. Medication adherence was assessed on 156 trial participants. Results of a 2-part model showed that SET was significantly more likely to move women to high levels of adherence (defined as at least 95% adherence) than a person-centered therapy. Family hassles were also significantly reduced by SET, though the effect of SET on medication adherence did not appear related to this change in family hassles.
Feaster
Daniel J
DJ
Center for Family Studies, Department of Epidemiology and Public Health, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33136, USA. dfeaster@miami.edu
Brincks
Ahnalee M
AM
Mitrani
Victoria B
VB
Prado
Guillermo
G
Schwartz
Seth J
SJ
Szapocznik
Jose
J
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000998:Antiviral Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology*; D006801:Humans; D007398:Interpersonal Relations; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011582:Psychological Theory; D011795:Surveys and Questionnaires
D000998:Antiviral Agents