title: Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach.
abstract: OBJECTIVE
  Poor treatment adherence is a major problem among individuals with chronic illness. Research indicates that adherence is worsened when accompanied by depressive symptoms. In this preliminary study, we aimed to describe how a patient-centered approach could be employed to aid patients with depressive symptoms in following their treatment regimens.
  
  
  METHODS
  The sample consisted of 14 patients undergoing antiretroviral therapy (ART) for HIV who reported clinically-significant depressive symptoms. Participant ratings of 23 treatment-related statements were examined using two assessment and analytic techniques. Interviews were conducted with participants to determine their views of information based on the technique.
  
  
  RESULTS
  Results indicate that while participants with optimal adherence focused on views of treatment associated with side effects to a greater extent than participants with poor adherence, they tended to relate these side effects to sources of intrinsic motivation.
  
  
  CONCLUSIONS
  The study provides examples of how practitioners could employ the assessment techniques outlined to better understand how patients think about treatment and aid them in effectively framing their health-related goals.
authors.affiliation: Illinois Institute of Technology. ehousto1@iit.edu.
authors.forename: Eric
authors.initials: E
authors.lastname: Houston
authors.forename: Alexander K
authors.initials: AK
authors.lastname: Tatum
authors.forename: Arryn
authors.initials: A
authors.lastname: Guy
authors.forename: Cassandra
authors.initials: C
authors.lastname: Mikrut
authors.forename: Wren
authors.initials: W
authors.lastname: Yoder
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000523:psychology*; D001294:Attitude to Health; D002908:Chronic Disease; D003866:Depressive Disorder / Q000150:complications* / Q000523:psychology; D005260:Female; D006040:Goals; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D009042:Motivation; D018802:Patient-Centered Care / Q000379:methods*; D016903:Drug Monitoring