Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status.

Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Research Abstract Details 

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Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Abstract Text:

Terry R Barclay,Charles H Hinkin,Steven A Castellon,Karen I Mason,Matthew J Reinhard,Sarah D Marion,Andrew J Levine,Ramani S Durvasula,

OBJECTIVE: Although most agree that poor adherence to antiretrovirals is a common problem, relatively few factors have been shown to consistently predict treatment failure. In this study, a theoretical framework encompassing demographic characteristics, health beliefs/attitudes, treatment self-efficacy, and neurocognitive status was examined in relationship to highly active antiretroviral therapy adherence. DESIGN: Prospective, cross-sectional observational design. MAIN OUTCOME MEASURES: Neuropsychological test performance, health beliefs and attitudes, and medication adherence tracked over a 1-month period using electronic monitoring technology (Medication Event Monitoring System caps). RESULTS: The rate of poor adherence was twice as high among younger participants than with older participants (68% and 33%, respectively). Results of binary logistic regression revealed that low self-efficacy and lack of perceived treatment utility predicted poor adherence among younger individuals, whereas decreased levels of neurocognitive functioning remained the sole predictor of poor adherence among older participants. CONCLUSION: These data support components of the health beliefs model in predicting medication adherence among younger HIV-positive individuals. However, risk of adherence failure in those ages 50 years and older appears most related to neurocognitive status.

Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Publishing Authors By Initials

TR Barclay,CH Hinkin,SA Castellon,KI Mason,MJ Reinhard,SD Marion,AJ Levine,RS Durvasula,

For similar behavior and behavior mechanisms: behavior: health behavior: treatment refusal research abstracts see: behavior and behavior mechanisms: behavior: health behavior: treatment refusal research

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Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Health psychology : official journal of the Divisi

VOLUME: 26

Page Numbers: 40-9

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ISSN: 0278-6133

DAY: 3

MONTH: Jan

YEAR: 2007

Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Information

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LANGUAGE: eng

NlmUniqueID: 8211523

Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Keywords Mesh Terms:

KEYWORDS: Treatment Refusal

MESH TERMS: psychology

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Grant and Affiliation Information for Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status.

AFFILIATION: Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA 90095, USA. tbarclay@mednet.ucla.edu

Country: United States

AGENCY: United States NIMH

GRANT: T32 MH19535

ACRONYM: MH

MEDLINETA: Health Psychol

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