Cognitive-behavioural theories and adherence: Application and relevance in antiretroviral therapy

Adefolalu, Adegoke O.

doi:10.4102/sajhivmed.v19i1.762

Cited by 35 publications

(30 citation statements)

References 30 publications

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“…Therefore, behavior analysis is more efficient with the use of behavior change theories [7]. These theories play a key role in the design and implementation of health education programs [11]. The theory of planned behavior (TPB) is one of the theories of behavior change, which says that the intention is the main determinant of behavior, and the intention of an individual is the perception of which a person has a particular behavior.…”

Section: Introductionmentioning

confidence: 99%

The effect of educational program based on the theory of planned behavior on HIV prevention skills

Ashrafi¹,

Kasmaei²,

Mehrabian³

et al. 2020

HIV & AIDS Review

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Introduction: The prevalence of acquired immune deficiency syndrome (AIDS) is dramatically expanding in the world and the only way to deal with it is through health education. This study sought to determine the effect of educational intervention based on the theory of planned behavior (TPB) on AIDS preventive behaviors in nursing and midwifery students. Material and methods: This was a quasi-experimental study conducted in 2016, and included 104 nursing and midwifery students from Guilan University of Medical Sciences. A questionnaire consisted of sections with demographic characteristics, awareness, behaviors, and constructs of the theory of planned behavior, and was provided to every participant. The questionnaire content validity rate was 0.8, content validity index was equal to 0.82, and Cronbach's a coefficient test was 0.9. After collecting data in both groups, educational intervention was conducted within the framework of the theory of planned behavior in the intervention group. Data was collected before the intervention and three months later and was analyzed with SPSS statistics version 21. Results: There was no significant difference between the two groups in terms of demographic variables (p > 0.05). Additionally, no significant differences were noted between the intervention and control groups before the educational intervention in terms of awareness, attitude, subjective norms, perceived behavioral control, behavioral intention, and preventive behaviors (p > 0.05). However, after the implementation of educational program, these variables significantly increased in the intervention group (p < 0.05). Conclusions: The TPB was effective in teaching students in the field of AIDS prevention skills. Therefore, it is recommended to use the theory of planned behavior for human immunodeficiency virus prevention behaviors.

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Section: Introductionmentioning

confidence: 99%

The effect of educational program based on the theory of planned behavior on HIV prevention skills

Ashrafi¹,

Kasmaei²,

Mehrabian³

et al. 2020

HIV & AIDS Review

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“…20 This theory has proven successful in improving adherence in other chronic conditions, such as HIV, by empowering HIV-positive patients and promoting the need for establishing supportive relationships to encourage adherence. 24 St Clair Russell et al operationalized the social cognitive theory by successfully identifying and improving key mediators, including self-efficacy, perceived social support, and hemodialysis social support, using the peer-to-peer mentoring program. 20 By pairing a poorly adherent hemodialysis patient with an already-adherent hemodialysis patient, the intervention was designed to achieve an improvement in hemodialysis adherence.…”

Section: Discussionmentioning

confidence: 99%

<p>Interventions Incorporating Therapeutic Alliance to Improve Hemodialysis Treatment Adherence in Black Patients with End-Stage Kidney Disease (ESKD) in the United States: A Systematic Review</p>

Blumrosen¹,

Desta²,

Cavanaugh³

et al. 2020

PPA

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Background: In the US, Blacks with end-stage kidney disease (ESKD) have a four-fold higher prevalence rate of hemodialysis treatment and higher subsequent rates of hemodialysis treatment nonadherence and hospitalization compared to their White peers. Nonadherence to prescribed dialysis therapy is an underestimated life-threatening behavior, because of its association with increased morbidity and mortality. Few studies have specified and systematically evaluated targeted methods of increasing hemodialysis treatment adherence among Black hemodialysis patients with added focus on therapeutic alliance, a rewarding patient-centered relationship between patients and providers, based on common goals and objectives. This review seeks to evaluate the state of the science to determine the salience of a therapeutic alliance for the development of effective interventions positively impacting hemodialysis treatment adherence among Black patients. Methods: Medline (via PubMed), Embase (OvidSP), Cumulative Index of Nursing and Allied Health Literature (CINAHL; EBSCOhost), and PsycInfo (ProQuest) databases were used to search for abstracts with the keywords "dialysis", "therapeutic alliance", and "treatment adherence and compliance", including all underlying index terms and alternative variations of terms, in order to cover the entire scope of the field. Only randomized clinical trials and pre/postintervention studies published in the previous 10 years (2009-2019) and including a proportion of Black patients >25% were included for review. Results: Only three intervention studies met these criteria, for a total aggregated sample of 130-mean age 58.1 years and 53% female. None of these studies was composed exclusively of Black patients (range 62%-91.3%), nor did they present data specifically for Blacks. Despite the lack of robust data informing strategies to improve hemodialysis adherence among Blacks with ESRD, a limited number of intervention studies have reported positive effects on hemodialysis attendance. Discussion/Conclusion: Further research is warranted to fill this significant gap in our understanding of theoretically based, therapeutic alliance-enhanced, and culturally tailored hemodialysis treatment-adherence interventions among Blacks.

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“…An example of a cognition that inhibits reporting a teammate is ''My friend wants to keep playing, and he will be mad,'' which can be replaced by ''I am protecting him and he will be better when he comes back.'' Consistent with the TRA-TPB, authors 32 of a review of cognitive-behavioral theories and adherence to health-related behaviors found that changing the knowledge about a health condition alone was insufficient for altering behavior but changing cognitions associated with a specific health behavior was a key factor in improving healthy behaviors.…”

Section: Program Model and Rationalementioning

confidence: 93%

Development of a Peer Education Program to Improve Concussion Knowledge and Reporting in Collegiate Athletes

Ernst

Kneavel

2020

Journal of Athletic Training

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Context A novel peer concussion-education program (PCEP) was developed to enhance concussion knowledge and reporting among collegiate student-athletes. Objective To describe the PCEP and its development and implementation. Design Program development consisting of a literature review, focus group, and pilot implementation. Setting Athletics department at a college participating at the National Collegiate Athletic Association Division II-sanctioned competition level. Patients or Other Participants Fifteen student-athletes from the women's soccer and men's lacrosse teams participated in the focus group. Four peer concussion educators (PCEs) were debriefed after the pilot implementation of the PCEP with the women's soccer and men's lacrosse teams. Data Collection and Analysis Focus-group data were analyzed qualitatively. The PCEs were debriefed, and responses were organized into recommendation types. Results The literature review contributed information that supported the development of the PCEP's conceptual model. Focus-group results provided information used to train the PCEs and refine the PCEP's education modules. The pilot implementation and PCE debriefing supplied information used to further revise the education modules, PCE training, and PCEP implementation procedure. Conclusions The PCEP was developed based on the Theory of Reasoned Action and Planned Behavior and uses a peer-mediated, cognitive-behavioral, and interdisciplinary model to enhance concussion knowledge of and reporting by collegiate student-athletes. After a focus-group discussion and pilot implementation, we revised the PCEP and its education modules and developed an online manual to facilitate broad dissemination.

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Cognitive-behavioural theories and adherence: Application and relevance in antiretroviral therapy

Cited by 35 publications

References 30 publications

The effect of educational program based on the theory of planned behavior on HIV prevention skills

The effect of educational program based on the theory of planned behavior on HIV prevention skills

<p>Interventions Incorporating Therapeutic Alliance to Improve Hemodialysis Treatment Adherence in Black Patients with End-Stage Kidney Disease (ESKD) in the United States: A Systematic Review</p>

Development of a Peer Education Program to Improve Concussion Knowledge and Reporting in Collegiate Athletes

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