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Title

Medication adherence in people dually treated for HIV infection and mental health conditions: test of the medications beliefs framework.

Authors

Kalichman, Seth; Pellowski, Jennifer; Kegler, Christopher; Cherry, Chauncey; Kalichman, Moira

Abstract

Beliefs about medication necessity and concerns predict treatment adherence in people with a wide-array of medical conditions, including HIV infection. However, medication beliefs have not been examined in people dually treated with psychotropic medications and antiretroviral therapy. In the current study, we used a prospective design to investigate the factors associated with adherence to psychotropic medications and antiretrovirals among 123 dually treated persons living with HIV. We used unannounced phone-based pill counts to monitor adherence to psychiatric and antiretroviral medications over a 6-week period. Hierarchical regression models included demographic, health and psychosocial characteristics as predictors of adherence followed by medication necessity and concerns beliefs. Results showed that medication necessity beliefs predicted both antiretroviral and psychiatric medication adherence over and above established predictors of adherence. Medication concerns also predicted psychotropic adherence, but not antiretroviral adherence. These models accounted for 31 and 22 % of the variance in antiretroviral and psychotropic adherence, respectively. Findings suggest that the necessity-concerns medication beliefs framework has utility in understanding adherence to multiple medications and addressing these beliefs should be integrated into adherence interventions.

Subjects

GEORGIA; MENTAL illness drug therapy; ANTIRETROVIRAL agents; PSYCHIATRIC drugs; AUTOMATIC data collection systems; CHI-squared test; DRUGS; HEALTH attitudes; HIV infections; HIV-positive persons; INTERVIEWING; PATIENT compliance; REGRESSION analysis; RESEARCH funding; STATISTICAL sampling; T-test (Statistics); DESCRIPTIVE statistics

Publication

Journal of Behavioral Medicine, 2015, Vol 38, Issue 4, p632

ISSN

0160-7715

Publication type

Academic Journal

DOI

10.1007/s10865-015-9633-6

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