Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2006 Jan;25(1):74-81.
doi: 10.1037/0278-6133.25.1.74.

A longitudinal evaluation of a social support model of medication adherence among HIV-positive men and women on antiretroviral therapy

Jane M Simoni  1 , Pamela A Frick, Bu Huang
Affiliations

A longitudinal evaluation of a social support model of medication adherence among HIV-positive men and women on antiretroviral therapy

Jane M Simoni et al. Health Psychol. 2006 Jan.

Abstract

Nonadherence in the management of chronic illness is a pervasive clinical challenge. Although researchers have identified multiple correlates of adherence, the field remains relatively atheoretical. The authors propose a cognitive-affective model of medication adherence based on social support theory and research. Structural equation modeling of longitudinal survey data from 136 mainly African American and Puerto Rican men and women with HIV/AIDS provided preliminary support for a modified model. Specifically, baseline data indicated social support was associated with less negative affect and greater spirituality, which, in turn, were associated with self-efficacy to adhere. Self-efficacy to adhere at baseline predicted self-reported adherence at 3 months, which predicted chart-extracted viral load at 6 months. The findings have relevance for theory building, intervention development, and clinical practice.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Final model of social support and adherence among 136 HIV-positive individuals. HAART = highly active antiretroviral therapy; SE# = Self-Efficacy item number. * p < .05. ** p < .01. *** p < .001.
See this image and copyright information in PMC

References

    1. Albrecht TL, Adelman MB. Communicating social support. Newbury Park, CA: Sage; 1987.
    1. Arnsten JH, Demas PA, Farzadegan H, Grant RW, Gourevitch MN, Chang CJ, et al. Antiretroviral therapy adherence and viral suppression in HIV-infected drug users: Comparison of self-report and electronic monitoring. Clinical Infectious Disease. 2001;33:1417–1423. - PMC - PubMed
    1. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1997;84:191–215. - PubMed
    1. Bandura A, Jeffery RW, Gajdos E. Generalizing change through participant modeling with self-directed mastery. Behavior Research and Therapy. 1975;13:141–152. - PubMed
    1. Bangsberg DR, Hecht FM, Charlebois ED, Zolopa AR, Holodniy M, Sheiner L, et al. Adherence to protease inhibitors, HIV-1 viral load and development of drug resistance in an indigent population. AIDS. 2000;14:357–366. - PubMed

Publication types

Substances