Health Psychol. 2006 Jul;25(4):462-73.

An information-motivation-behavioral skills model of adherence to antiretroviral therapy.

Fisher JD, Fisher WA, Amico KR, Harman JJ.

Source

Department of Psychology and Center for Health/HIV Intervention and Prevention, University of Connecticut, Storrs, CT 06269-1020, USA. jeffrey.fisher@uconn.edu

Abstract

HIV-positive persons who do not maintain consistently high levels of adherence to often complex and toxic highly active antiretroviral therapy (HAART) regimens may experience therapeutic failure and deterioration of health status and may develop multidrug-resistant HIV that can be transmitted to uninfected others. The current analysis conceptualizes social and psychological determinants of adherence to HAART among HIV-positive individuals. The authors propose an information-motivation-behavioral skills (IMB) model of HAART adherence that assumes that adherence-related information, motivation, and behavioral skills are fundamental determinants of adherence to HAART. According to the model, adherence-related information and motivation work through adherence-related behavioral skills to affect adherence to HAART. Empirical support for the IMB model of adherence is presented, and its application in adherence-promotion intervention efforts is discussed.

PMID:: 16846321; [PubMed - indexed for MEDLINE]

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Research Support, N.I.H., Extramural

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Anti-Retroviral Agents

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Related citations in PubMed

Review The information-motivation-behavioral skills model of antiretroviral adherence and its applications. [Curr HIV/AIDS Rep. 2008]
Review The information-motivation-behavioral skills model of antiretroviral adherence and its applications.
Fisher JD, Amico KR, Fisher WA, Harman JJ. Curr HIV/AIDS Rep. 2008 Nov; 5(4):193-203.
Adherence to antiretroviral therapy: an empirical test of the information-motivation-behavioral skills model. [Health Psychol. 2006]
Adherence to antiretroviral therapy: an empirical test of the information-motivation-behavioral skills model.
Starace F, Massa A, Amico KR, Fisher JD. Health Psychol. 2006 Mar; 25(2):153-62.
An empirical test of the information, motivation and behavioral skills model of antiretroviral therapy adherence. [AIDS Care. 2005]
An empirical test of the information, motivation and behavioral skills model of antiretroviral therapy adherence.
Amico KR, Toro-Alfonso J, Fisher JD. AIDS Care. 2005 Aug; 17(6):661-73.
HIV treatment adherence in women living with HIV/AIDS: research based on the Information-Motivation-Behavioral Skills model of health behavior. [J Assoc Nurses AIDS Care. 2001]
HIV treatment adherence in women living with HIV/AIDS: research based on the Information-Motivation-Behavioral Skills model of health behavior.
Kalichman SC, Rompa D, DiFonzo K, Simpson D, Austin J, Luke W, Kyomugisha F, Buckles J. J Assoc Nurses AIDS Care. 2001 Jul-Aug; 12(4):58-67.
Review Adherence to antiretroviral therapy: an update of current concepts. [Curr HIV/AIDS Rep. 2004]
Review Adherence to antiretroviral therapy: an update of current concepts.
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Cited by 19 PubMed Central articles

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Fisher JD, Smith LR, Lenz EM. J Acquir Immune Defic Syndr. 2010 Dec; 55 Suppl 2:S106-15.
Applying the information-motivation-behavioral skills model in medication adherence among Thai youth living with HIV: a qualitative study. [AIDS Patient Care STDS. 2010]
Applying the information-motivation-behavioral skills model in medication adherence among Thai youth living with HIV: a qualitative study.
Rongkavilit C, Naar-King S, Kaljee LM, Panthong A, Koken JA, Bunupuradah T, Parsons JT. AIDS Patient Care STDS. 2010 Dec; 24(12):787-94. Epub 2010 Nov 22.
Knowledge and adherence to antiretroviral therapy among adult people living with HIV/AIDS treated in the health care centers of the association "Espoir Vie Togo" in Togo, West Africa. [BMC Clin Pharmacol. 2010]
Knowledge and adherence to antiretroviral therapy among adult people living with HIV/AIDS treated in the health care centers of the association "Espoir Vie Togo" in Togo, West Africa.
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