Self-efficacy, effort and control expectancy in the antirretroviral treatment adherence in methadone maintenance patients / Autoeficacia, esfuerzo y expectativas de control en la adhesión al tratamiento antirretroviral en pacientes VIH+ (...)
DOI:
https://doi.org/10.21134/haaj.v8i1.68Keywords:
Adhesión, TARGA, autoeficacia, esfuerzo, expectativas de control, drogodependientes, programa de mantenimiento con metadona. / Keywords, Adherence, HAART, self-efficacy, effort, control expectancy, drug addict, methadone maintenance program.Abstract
La adhesión al tratamiento antirretroviral es un factor a considerar en el control del VIH/SIDA. El presente estudio longitudinal tiene como objetivo la exploración de la relación existente entre la adhesión al régimen de tratamiento VIH/SIDA y las variables autoeficacia, esfuerzo y expectativas de control en una muestra de población drogodependiente en programa de metadona. A través de un cuestionario y con un intervalo anual se estudió la evolución de 100 pacientes VIH+. Los participantes se clasificaron en cuatro grupos: adherentes, no adherentes, los que abandonan o inician el tratamiento, según intervalos temporales en los que se recogió la información (día, semana, mes anterior). Se analizaron las relaciones que presentaban con las variables estudiadas encontrándose diferencias en las mismas entre los cuatro grupos. La autoeficacia, el esfuerzo y las expectativas de control se asociaron al inicio, al mantenimiento, a la no adhesión y al abandono del régimen de tratamiento.
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Abstract
The adherence to treatment regimens to Highly Active Antiretroviral Therapies (HAART) is the problem for the success of the viral infection. In this longitudinal study was to explore the relationship of IDUs between adherence to HAART by self-efficacy, effort and control expectancy a sample of 100 HIV+ patients on a methadone maintenance program in Madrid (Spain). They were elicited using a structured, interviewer-administered questionnaire and they were followed for one year. We have split up the sample with the rigourous adhesion criteria (>85% pill intake) and we were been a analysed the relation the adherence to HAART over time with these variables. We describe the following 4 research team: the patients was continued, was refused, was started and the patients was the treatment failure. The results considering that detected significant relations between these variables and the adherence to HAART in the start, continuation, refuse and to medical treatment failure.
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