Received social support, self-efficacy, and finding benefits in disease as predictors of physical functioning and adherence to antiretroviral therapy

Patient Educ Couns. 2007 Apr;66(1):37-42. doi: 10.1016/j.pec.2006.10.002. Epub 2006 Nov 9.

Abstract

Objective: The study investigated whether received social support, self-efficacy, and finding benefits in disease are related to physical functioning and adherence to antiretroviral medication among men and women infected with HIV.

Methods: Data were collected among 104 patients of three HIV clinics in India. The measures included general self-efficacy scale, Berlin social support scales, questionnaire on taking antiretroviral medication, and SF-20 (physical functioning).

Results: The results of path analysis and mediation analysis revealed that finding benefits and self-efficacy were directly related to both adherence and physical functioning. Additionally, finding benefits mediated the relation between patients' self-efficacy and adherence as well as physical functioning. Although received support was unrelated to adherence directly, effects of received support on adherence were mediated by self-efficacy.

Conclusions: Besides personal and social resources, benefit finding was related to better adherence to antiretroviral medication.

Practice implications: Identifying patients receiving low social support, with weak general self-efficacy and finding no benefits in being diagnosed with HIV may help to elicit those people who are at risk for poorer adherence and physical functioning.

MeSH terms

  • Activities of Daily Living / psychology*
  • Adult
  • Analysis of Variance
  • Antiretroviral Therapy, Highly Active / psychology
  • Female
  • HIV Infections* / drug therapy
  • HIV Infections* / psychology
  • Health Knowledge, Attitudes, Practice
  • Health Status
  • Humans
  • India
  • Interpersonal Relations
  • Male
  • Models, Psychological
  • Morale
  • Needs Assessment
  • Nursing Assessment
  • Patient Compliance / psychology*
  • Persuasive Communication
  • Professional-Patient Relations
  • Quality of Life / psychology
  • Regression Analysis
  • Risk Factors
  • Self Efficacy*
  • Social Support*
  • Surveys and Questionnaires