229071 Adherence Motivational Factors of HIV Highly Active Antiretroviral Therapy among African Americans living in New York City

Wednesday, November 10, 2010

Ormand Clarke, MPH, PhD (ABD) , School of Health and Human Services., Walden University, South Minneapolis, MN
Purpose: The study assessed whether motivation is a significant predictive factor of Highly Active Antiretroviral Therapy (HAART) treatment as postulated by the Information–Motivation–Behavioral skills (IMB) model of HAART adherence in a cross sectional sample of 329 HIV-positive African American residents of New York City. Objectives: Adherence deficits prevent African Americans from optimizing HAART related benefits at rates parallel to their racial/ethnic counterparts. Concordance between HAART related information, behavior skills, demographic factors, and adherence rates were evaluated. The results are critical to enhancing adherence strategies among African Americans. Methods: Regression analyses were conducted at a statistical significance threshold of p < .05: 1. Cronbach's Alpha determined internal consistency reliability. Research questions examined interrelationships between IMB skills constructs and specific demographic characteristics. Dependent variable was percent adherence to HAART. Primary predictor variable was HAART Motivation (Hypothesis 1). Secondary predictor variables were HAART Information and HAART Behavior (Hypothesis 2). Exploratory covariates included age, marital status, and education (Hypothesis 3). The overall multiple regression model accounted for 61% of the variance in adherence (R2 = .61). This predictive model was statistically significant, F (8,320) = 62.0, p < .00001. Result: Information and behavioral skills were significant, positive predictors of adherence, while Motivation was a significant negative, not positive predictor of adherence. Demographic characteristics had varying predictive values to HAART adherence. Conclusion: Theory based interventions to enhance African Americans adherence levels will likely be most effective with a greater focus on providing information and enhanced medication taking skills,than focus on mere motivation.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
The study assesses the role of Motivation, in African Americans level of adherence to HIV-antiretroviral therapy.

Keywords: Health Disparities, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author in the capacity as the principal investigator of the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.