The role of motivation in predicting antiretroviral therapy adherence in China. (December 2018)

• Record Type: Journal Article
• Authors: Vian, Taryn; Bachman DeSilva, Mary; Cabral, Howard J; Williams, Geoffrey C; Gifford, Allen L; Zhong, Li; Xie, Wubin; Gill, Christopher J; Sabin, Lora L
• Is Part Of: Journal of health psychology. Volume 23:Number 14(2018)
• Page Start: 1895
• Page End: 1904
• Publication Date: 2018-12
• Subjects: adherence -- health behavior -- HIV-infection -- intervention -- social support; Clinical health psychology -- Periodicals; 613.019
• DOI: 10.1177/1359105316672922
• Languages: English
• ISSNs: 1359-1053

Abstract

Patient motivation is important in managing medication regimens such as antiretroviral treatment for HIV/AIDS. We tested whether self-determination theory could predict adherence behavior among 115 HIV-positive patients in the China Adherence through Technology Study, a randomized controlled trial of an intervention using text reminders and supportive counseling to increase adherence. Being in the treatment group had a significant effect on improving adherence; however, we did not find evidence that self-determination theory predicts adherence in this population of HIV-positive patients. Autonomous motivation was strongly associated with perceived competence; among low adherers, external regulation was negatively correlated with adherence.