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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
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Acceptance-based behavior therapy to promote HIV medication adherence.

Ethan Moitra1, James D Herbert, Evan M Forman

  • 1Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. ethan_moitra@brown.edu

AIDS Care
|July 8, 2011
PubMed
Summary

Acceptance-Based Behavior Therapy (ABBT) shows promise for improving highly active antiretroviral therapy (HAART) adherence in adults with HIV. This approach addresses barriers like denial and stigma, potentially enhancing treatment outcomes for diverse populations.

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Area of Science:

  • Public Health
  • Clinical Psychology
  • Infectious Diseases

Background:

  • Many adults with HIV in the USA struggle with adherence to highly active antiretroviral therapy (HAART).
  • Traditional interventions show some success, but specific barriers like denial and stigma persist.
  • Acceptance-based behavior therapy (ABBT) offers a novel approach to address these unique challenges.

Purpose of the Study:

  • To explore the rationale for using psychological and behavioral acceptance strategies in HIV-positive populations.
  • To outline an ABBT intervention designed to improve HAART adherence.
  • To assess the preliminary feasibility and acceptability of ABBT in a target population.

Main Methods:

  • The study describes the theoretical underpinnings of ABBT for HAART adherence.
  • An ABBT intervention protocol was developed.
  • Preliminary qualitative data on treatment feasibility and acceptability were collected.

Main Results:

  • ABBT is proposed as a method to overcome avoidance-based barriers to HAART adherence.
  • The intervention is tailored for urban, minority, low socioeconomic status primary care patients with HIV.
  • Initial observations suggest the treatment is feasible and acceptable.

Conclusions:

  • ABBT presents a potentially effective strategy for enhancing HAART adherence in underserved HIV-positive populations.
  • Addressing psychological barriers like denial and stigma is crucial for treatment success.
  • Further research is warranted to confirm the efficacy of ABBT in improving health outcomes.