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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
nursing
Focus on Increasing Treatment Self-Efficacy to Improve Human Immunodeficiency Virus Treatment Adherence
Journal of Nursing Scholarship, Volume 44, No. 4, Year 2012
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Description
Purpose: Human immunodeficiency virus (HIV) treatment self-efficacy is the confidence held by an individual in her or his ability to follow treatment recommendations, including specific HIV care such as initiating and adhering to antiretroviral therapy (ART). The purpose of this study was to explore the potential mediating role of treatment adherence self-efficacy in the relationships between Social Cognitive Theory constructs and self- reported ART adherence. Design: Cross-sectional and descriptive. The study was conducted between 2009 and 2011 and included 1,414 participants who lived in the United States or Puerto Rico and were taking antiretroviral medications. Methods: Social cognitive constructs were tested specifically: behaviors (three adherence measures each consisting of one item about adherence at 3-day and 30-day along with the adherence rating scale), cognitive or personal factors (the Center for Epidemiology Studies Depression Scale to assess for depressive symptoms, the 12-Item Short Form Health Survey (SF-12) to assess physical functioning, one item about physical condition, one item about comorbidity), environmental influences (the Social Capital Scale, one item about social support), and treatment self-efficacy (HIV Adherence Self-Efficacy Scale). Analysis included descriptive statistics and regression. Results: The average participant was 47 years old, male, and a racial or ethnic minority, had an education of high school or less, had barely adequate or totally inadequate income, did not work, had health insurance, and was living with HIV/acquired immunodeficiency syndrome for 15 years. The model provided support for adherence self-efficacy as a robust predictor of ART adherence behavior, serving a partial mediating role between environmental influences and cognitive or personal factors. Conclusions: Although other factors such as depressive symptoms and lack of social capital impact adherence to ART, nurses can focus on increasing treatment self-efficacy through diverse interactional strategies using principles of adult learning and strategies to improve health literacy. Clinical Relevance: Adherence to ART reduces the viral load thereby decreasing morbidity and mortality and risk of transmission to uninfected persons. Nurses need to use a variety of strategies to increase treatment self-efficacy. © 2012 Sigma Theta Tau International.
Authors & Co-Authors
Nokes, Kathleen M.
United States, New York
Hunter College
Johnson, Mallory O.
United States, San Francisco
Ucsf School of Medicine
Webel, Allison R.
United States, Cleveland
Case Western Reserve University
Dawson-Rose, Carol S.
United States, New York
Hunter College
Phillips, J. Craig
Canada, Ottawa
University of Ottawa
Sullivan, Kathleen M.
United States, Honolulu
University of Hawaiʻi at Mānoa
Tyer-Viola, Lynda A.
United States, Boston
Mgh Institute of Health Professions
Rivero-Méndez, Marta M.
Puerto Rico, San Juan
Universidad de Puerto Rico
Nicholas, Patrice Kenneally
United States, Boston
Brigham and Women's Hospital
Kemppainen, Jeanne K.
United States, Wilmington
University of North Carolina Wilmington
Sefcik, Elizabeth F.
United States, Corpus Christi
Texas a and M University - Corpus Christi
Chen, Weiti
United States, New Haven
Yale University
Brion, John M.
United States, Durham
Duke University
Eller, Lucille Sanzero
United States, Newark
Rutgers School of Nursing
Kirksey, Kenn M.
United States, Houston
Lyndon B. Johnson General Hospital
Wantland, Dean J.
United States, Newark
Rutgers School of Nursing
Portillo, Carmen J.
United States, San Francisco
University of California, San Francisco
Corless, Inge B.
United States, Boston
Mgh Institute of Health Professions
Voss, Joachim G.
United States, Seattle
University of Washington
Iipinge, Scholastika Ndatinda
Namibia, Windhoek
University of Namibia
Spellmann, Mark E.
United States, New York
New York University
Holzemer, William L.
United States, Newark
Rutgers School of Nursing
Statistics
Citations: 67
Authors: 22
Affiliations: 18
Identifiers
Doi:
10.1111/j.1547-5069.2012.01476.x
ISSN:
15276546
e-ISSN:
15475069
Research Areas
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Male