Motivation as a Mechanism for Daily Experiences' Effects on HIV Medication Adherence

Paul F. Cook, Sarah J. Schmiege, Lucy Bradley-Springer, Whitney Starr, Jane M Carrington

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73% of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.

Original languageEnglish (US)
JournalJournal of the Association of Nurses in AIDS Care
DOIs
StateAccepted/In press - 2017
Externally publishedYes

Fingerprint

Medication Adherence
Motivation
HIV
Multilevel Analysis
Social Support

Keywords

  • Adherence
  • Antiretroviral therapy
  • Ecological momentary assessment
  • HIV
  • Motivation

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

Motivation as a Mechanism for Daily Experiences' Effects on HIV Medication Adherence. / Cook, Paul F.; Schmiege, Sarah J.; Bradley-Springer, Lucy; Starr, Whitney; Carrington, Jane M.

In: Journal of the Association of Nurses in AIDS Care, 2017.

Research output: Contribution to journalArticle

@article{144535d1fe6648a6b4316e58ada332c1,
title = "Motivation as a Mechanism for Daily Experiences' Effects on HIV Medication Adherence",
abstract = "Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73{\%} of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.",
keywords = "Adherence, Antiretroviral therapy, Ecological momentary assessment, HIV, Motivation",
author = "Cook, {Paul F.} and Schmiege, {Sarah J.} and Lucy Bradley-Springer and Whitney Starr and Carrington, {Jane M}",
year = "2017",
doi = "10.1016/j.jana.2017.09.003",
language = "English (US)",
journal = "Journal of the Association of Nurses in AIDS Care",
issn = "1055-3290",
publisher = "Elsevier USA",

}

TY - JOUR

T1 - Motivation as a Mechanism for Daily Experiences' Effects on HIV Medication Adherence

AU - Cook, Paul F.

AU - Schmiege, Sarah J.

AU - Bradley-Springer, Lucy

AU - Starr, Whitney

AU - Carrington, Jane M

PY - 2017

Y1 - 2017

N2 - Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73% of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.

AB - Medication adherence is a challenge for people living with HIV (PLWH), who may experience a gap between their intentions and everyday behaviors. We measured PLWH's (n = 87) daily experiences and tested a model to explain the intention-behavior gap. Participants completed baseline questionnaires, then used a smartphone-based survey and an electronic pill bottle to provide daily data for the next 10 weeks. These PLWH, with generally well-controlled HIV, were nevertheless adherent on only 73% of study days. Multilevel analyses were used to test predicted relationships between variables (n = 58). Four of five theory-based daily measures predicted motivation for antiretroviral therapy (betas = 0.06-0.10), and motivation, in turn, predicted adherence. Consistent with our theory, control beliefs, mood, and social support had indirect effects on adherence. However, stress and coping did not. Daily experiences affect adherence, even in PLWH with well-controlled HIV. Providers should ask about everyday changes in motivation.

KW - Adherence

KW - Antiretroviral therapy

KW - Ecological momentary assessment

KW - HIV

KW - Motivation

UR - http://www.scopus.com/inward/record.url?scp=85030033121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030033121&partnerID=8YFLogxK

U2 - 10.1016/j.jana.2017.09.003

DO - 10.1016/j.jana.2017.09.003

M3 - Article

C2 - 28967490

AN - SCOPUS:85030033121

JO - Journal of the Association of Nurses in AIDS Care

JF - Journal of the Association of Nurses in AIDS Care

SN - 1055-3290

ER -