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Changing HIV treatment expectancies: a pilot study.

M O Johnson1, K E Gamarel, C Dawson Rose

  • 1University of California, San Francisco, Center for AIDS Prevention Studies, 50 Beale Street, San Francisco, CA 94105, USA. mallor.Johnson@ucsf.edu.

AIDS Care
|July 13, 2006
PubMed
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This study found that a single intervention session improved adherence self-efficacy and positive side effect expectations in individuals starting antiretroviral therapy (ART). This supports addressing HIV treatment beliefs before initiating ART.

Area of Science:

  • Nursing
  • Infectious Diseases
  • Public Health

Background:

  • Beliefs about HIV treatment efficacy, adherence self-efficacy, and side effect management are linked to antiretroviral therapy (ART) adherence.
  • The impact of pre-ART initiation expectancies on treatment outcomes remains unclear.

Purpose of the Study:

  • To assess the feasibility, satisfaction, and preliminary effects of an intervention targeting HIV treatment expectancies.
  • To explore the role of pre-ART expectancies in readiness for treatment.

Main Methods:

  • A pilot study randomized 26 ART-naïve participants contemplating ART initiation to a single-session intervention or standard care.
  • The intervention involved exploring expectancies, educating on ART, and guided problem-solving for adherence and side effect management.

Related Experiment Videos

Main Results:

  • The pilot intervention was feasible and highly satisfactory.
  • Intervention participants showed significant increases in adherence self-efficacy and positive side effect expectancies compared to controls (p<.05).

Conclusions:

  • Addressing HIV treatment expectancies pre-ART initiation is feasible and beneficial.
  • This intervention shows promise for enhancing treatment readiness and adherence in individuals starting ART, with implications for nursing practice.