The Role of Self-Efficacy in HIV Treatment Adherence: Validation of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES)
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Adherence to HIV treatment, including adherence to antiretroviral (ART) medication regimens, is paramount in the management of HIV. Self-efficacy for treatment adherence has been identified as an important correlate of medication adherence in the treatment of HIV and other medical conditions. This paper describes the validation of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES) with two samples of HIV+ adults on ART. Factor analyses support subscales measuring Adherence Integration (eigenvalue=6.12) and Adherence Perseverance (eigenvalue=1.16), accounting for 61% of the variance in scale items. The HIV-ASES demonstrates robust internal consistency (rhos>.90) and 3-month (rs>.70) and 15-month (rs>.40) test-retest reliability. Concurrent validity analyses revealed relationships with psychosocial measures, ART adherence, clinical status, and healthcare utilization. Findings support the use of the HIV-ASES and provide guidance for further investigation of adherence self-efficacy in the context of treatment for HIV and other diseases.
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Confidence in one's ability to pursue goals affects how well people adhere to medication across many long-term illnesses.
“Self-efficacy or confidence in one’s ability to successfully engage in goal-directed behavior has been shown to influence medication adherence across many chronic illnesses.”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [21]
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- Authors
- Johnson, M. O., Neilands, T. B., Dilworth, S. E., Morin, S. F., Remien, R. H., & Chesney, M. A.
- Affiliations
- University of California, San Francisco (US)
- New York State Psychiatric Institute (US)
- National Institutes of Health (US)
- Corresponding author
- Johnson, Mallory O.
- ORCID
- Venue
- Journal of Behavioral Medicine
- Published
- 2007-06-23
- Volume
- 30
- Issue
- 5
- Pages
- 359-370
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC2423379
- OpenAlex
- W2075519239
- Cited by
- 352
- References
- 65
- Citations by year
- 2026: 20 · 2025: 24 · 2024: 35 · 2023: 21 · 2022: 30 · 2021: 32 · 2020: 19 · 2019: 26 · 2018: 24 · 2017: 17 · 2016: 20 · 2015: 16 · 2014: 13 · 2013: 18 · 2012: 11
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH068208, U10MH057615, U10MH057636, U10MH057616, U10 MH 57615, U10-MH57616, U10MH057631, U10- MH57631, U10-MH57636, P30MH043520)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
- Keywords
- HIV treatment adherence, self-efficacy, antiretroviral therapy, scale validation, psychometric properties, psychosocial factors, health care utilization, HIV-infected adults
- MeSH terms
- Adaptation, Psychological, Adult, Combined Modality Therapy, Female, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Sexual Behavior, HIV Infections, Cognitive Behavioral Therapy, Self Efficacy, Risk Reduction Behavior, Anti-Retroviral Agents
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