Understanding how adherence goals promote adherence behaviours

A repeated measure observational study with HIV seropositive patients

Gareth Jones, Kim Hawkins, Rebecca Mullin, T. Nepusz, Declan P. Naughton, Paschal Sheeran, Andrea Petráczi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: The extent to which patients follow treatments as prescribed is pivotal to treatment success. An exceptionally high level (> 95%) of HIV medication adherence is required to suppress viral replication and protect the immune system and a similarly high level (> 80%) of adherence has also been suggested in order to benefit from prescribed exercise programmes. However, in clinical practice, adherence to both often falls below the desirable level. This project aims to investigate a wide range of psychological and personality factors that may lead to adherence/non-adherence to medical treatment and exercise programmes. Methods. HIV positive patients who are referred to the physiotherapist-led 10-week exercise programme as part of the standard care are continuously recruited. Data on social cognitive variables (attitude, intention, subjective norms, self-efficacy, and outcome beliefs) about the goal and specific behaviours, selected personality factors, perceived quality of life, physical activity, self-reported adherence and physical assessment are collected at baseline, at the end of the exercise programme and again 3months later. The project incorporates objective measures of both exercise (attendance log and improvement in physical measures such as improved fitness level, weight loss, improved circumferential anthropometric measures) and medication adherence (verified by non-invasive hair analysis). Discussion. The novelty of this project comes from two key aspects, complemented with objective information on exercise and medication adherence. The project assesses beliefs about both the underlying goal such as following prescribed treatment; and about the specific behaviours such as undertaking the exercise or taking the medication, using both implicit and explicit assessments of patients beliefs and attitudes. We predict that i) the way people think about the underlying goal of their treatments explains medication and exercise behaviours over and above the effects of the behaviour-specific thinking and ii) the relationship between adherence to exercise and to medical treatment is stronger among those with more favourable views about the goal. Results from this study should identify the key contributing factors to inform subsequent adherence research and afford a more streamlined assessment matrix. The project also aims to inform patient care practices. UK Clinical Research Network registration number. UKCRN 7842.

Original languageEnglish
Article number587
JournalBMC Public Health
Volume12
Issue number1
DOIs
Publication statusPublished - 2012

Fingerprint

Observational Studies
HIV
Exercise
Medication Adherence
Personality
Therapeutics
Physical Therapists
Self Efficacy
Standard of Care
Research
Hair
Weight Loss
Immune System
Patient Care
Quality of Life
Psychology

Keywords

  • Adherence
  • Hair analysis
  • Health related exercise
  • HIV
  • Implicit association test
  • Social cognition

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Understanding how adherence goals promote adherence behaviours : A repeated measure observational study with HIV seropositive patients. / Jones, Gareth; Hawkins, Kim; Mullin, Rebecca; Nepusz, T.; Naughton, Declan P.; Sheeran, Paschal; Petráczi, Andrea.

In: BMC Public Health, Vol. 12, No. 1, 587, 2012.

Research output: Contribution to journalArticle

Jones, Gareth ; Hawkins, Kim ; Mullin, Rebecca ; Nepusz, T. ; Naughton, Declan P. ; Sheeran, Paschal ; Petráczi, Andrea. / Understanding how adherence goals promote adherence behaviours : A repeated measure observational study with HIV seropositive patients. In: BMC Public Health. 2012 ; Vol. 12, No. 1.
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