. Mohammad Ali Morowatisharifabad1; . Ehsan Movahed; . Jamileh Farokhzadian; . Rohollah Nikooie; . Mohsen Askarishahi; . Reza Bidaki; . Mahdieh Hosseinzadeh
Volume 9, Issue 10 , October 2019, , Pages 1-8
Abstract
BACKGROUND: HIV‑infected patients with poor antiretroviral therapy (ART) adherence are proneto depression, and depression can exacerbate the disease condition. This study was conducted ...
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BACKGROUND: HIV‑infected patients with poor antiretroviral therapy (ART) adherence are proneto depression, and depression can exacerbate the disease condition. This study was conducted todetermine ART Adherence based on Information, Motivation, and Behavioral Skills (IMB) Model andits association with depression among HIV‑positive patients.MATERIALS AND METHODS: This descriptive–correlational study was carried out on people overthe age of 18 years with HIV/AIDS, who referred to the Behavioral Diseases Counseling Center inKerman City, Iran, in 2017. In this regard, 119 patients were selected using the table of randomnumbers. To collect the data, we used the Beck’s depressioninventory‑II and the IMB researchermade questionnaire to evaluate the ART adherence.RESULTS: The results of the study reveal that a significant association was observed between thetotal adherence and all constructs of the IMB model (P < 0.001). Risk perception and self‑efficacy hadthe highest mean scores regarding the ART adherence. The prevalence of depression was 71.5%among patients. Information, personal motivation, and total adherence had a significant associationwith depression.CONCLUSIONS: IMB model was an appropriate and practical strategy with regard to the ARTadherence among people living with HIV who are prone to depression and drug consumption is crucialfor them to achieve the 90‑90‑90 target. This article created a questionnaire to assist policy‑makersand health professionals designing interventions to improve adherence and health outcomes of ART.