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

Bibliographic Data

ID23317153
AuthorsJane M Simoni (0000-0002-8711-1576, University of Washington), Pamela A Frick, Pamela Frick (University of Washington), Bu Huang (University of Washington)
Year2006
Volume25
Issue1
Pages74-81
Publication date2006-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Psychology (JOURNAL)
Journal identifiersISSN: 0278-6133 • E-ISSN: 1930-7810
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/0278-6133.25.1.74
PMID16448300
OpenAlexW1974545728
LanguageEN
Citations received72
References cited75

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.

Affect (linguistics) · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV) · Intervention (counseling) · Longitudinal study · Psychiatry · Psychotherapist · Social cognitive theory · Social support · Structural equation modeling · Clinical Psychology · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medication Adherence and Compliance · Medicine · Psychology · Gerontology

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Unique citing works72
Citations per year3,6
Citation span2006 - 2026 (21)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 67
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