title: Applying the information-motivation-behavioral skills model in medication adherence among Thai youth living with HIV: a qualitative study.
abstract: With disproportionately higher rates of HIV/AIDS among youth and increasing access to antiretroviral therapy (ART) in Thailand, there is a growing urgency in understanding the challenges to medication adherence confronting this population and in developing theory-based interventions to address these challenges. One potentially relevant model, the information-motivation-behavioral skills (IMB) model of adherence, was developed in Western settings characterized by a more individualistic culture in contrast to the more collectivistic culture of Thailand. We explored the application and adaptability of IMB on ART adherence among HIV-positive Thai youth through the analysis of qualitative data from a pilot motivational interviewing study. Twenty-two interview sessions from 10 HIV-positive Thai youth (17-24 years) were analyzed; 6 youth were on ART. Data support the utility of IMB as a potential framework for understanding ART adherence in this population. However, data indicate a consideration to expand the motivation construct of IMB to incorporate youths' perceived familial and social responsibilities and the need to adhere to medications for short- and long-term well-being of self, family, and society in a context of Buddhist values. These modifications to IMB could be relevant in other cultural settings with more collectivistic worldviews.
authors.affiliation: Division of Infectious Diseases, the Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA. crongkav@dmc.org
authors.forename: Chokechai
authors.initials: C
authors.lastname: Rongkavilit
authors.forename: Sylvie
authors.initials: S
authors.lastname: Naar-King
authors.forename: Linda M
authors.initials: LM
authors.lastname: Kaljee
authors.forename: Apirudee
authors.initials: A
authors.lastname: Panthong
authors.forename: Juline A
authors.initials: JA
authors.lastname: Koken
authors.forename: Torsak
authors.initials: T
authors.lastname: Bunupuradah
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000293:Adolescent; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001521:Behavior Therapy; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008960:Models, Psychological; D009042:Motivation; D010349:Patient Compliance; D036301:Qualitative Research; D013785:Thailand; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents