TY - JOUR
T1 - Motivation as a Mechanism for Daily Experiences’ Effects on HIV Medication Adherence
AU - Cook, Paul F.
AU - Schmiege, Sarah J.
AU - Bradley-Springer, Lucy
AU - Starr, Whitney
AU - Carrington, Jane M.
N1 - Funding Information:
This research was supported by National Institutes of Health (NIH)/National Institute of Nursing Research grant #R21 NR012918 (PI: Paul F. Cook, PhD), with additional infrastructure support from the NIH/National Center for Research Resources Colorado CTSI, grant # UL1 RR025780 (PI: Ron Sokol, MD). Paul F. Cook disclosed consulting fees from Academic Impressions, Inc. and the University of Wyoming. The other authors report no financial interests or potential conflicts of interest. As with all JANAC feature manuscripts, this paper was reviewed by three impartial reviewers in a double-blind review process. One of JANAC’s associate editors handled the paper, and the Editor-in-Chief, Lucy Bradley-Springer, had no access to the paper in her role as an editor or reviewer and did not serve as the corresponding author.
Publisher Copyright:
© 2017 Association of Nurses in AIDS Care
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73% of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.
AB - Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73% of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.
KW - HIV
KW - adherence
KW - antiretroviral therapy
KW - ecological momentary assessment
KW - motivation
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U2 - 10.1016/j.jana.2017.09.003
DO - 10.1016/j.jana.2017.09.003
M3 - Article
C2 - 28967490
AN - SCOPUS:85030033121
SN - 1055-3290
VL - 29
SP - 383
EP - 393
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 3
ER -