Acceptance-based behavior therapy to promote HIV medication adherence
Abstract
A significant number of adults with HIV in the USA do not maintain adherence to highly active antiretroviral therapy (HAART) at adequate levels. Although traditional cognitive behavioral interventions have shown promise in promoting HAART adherence, acceptance-based behavior therapy (ABBT) may be particularly useful in this population. ABBT has the potential to overcome common avoidance-based barriers associated with poor adherence, including denial of various illness-related factors and avoidance of stigmatization. We describe the rationale for promoting psychological and behavioral acceptance in HIV-positive populations; outline an ABBT to promote HAART adherence targeting primary care patients from urban, minority, low socioeconomic backgrounds; and report preliminary qualitative observations of treatment feasibility and acceptability.
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Evidence on ACT for improving adherence to medication is limited to case series among people with diabetes and HIV.
“with evidence limited to case series among people with diabetes and HIV [29, 37, 38].”
Although ACT has been proposed as a means to enhance adherence to treatments, and case series have emerged in recent years, there have been few comprehensive assessments of the approach.
“Although ACT has been proposed as a means to enhance adherence to treatments, and case series have emerged in recent years, there have been few comprehensive assessments of the approach [29, 37, 38].”
The ACTION intervention advances knowledge of ACT as it is among the first programmes to be tested within an RCT to focus on medication decision-making and quality of life.
“The ACTION intervention advances our knowledge of ACT as it is among the first programmes to be tested within an RCT to focus on medication decision-making and quality of life.”
There are no definitive trials of ACT for improving adherence to medication.
“There are no definitive trials of ACT for improving adherence to medication”
Greater acceptance of thoughts and feelings is associated with improved HIV-related self care.
“and improved HIV-related self care (Moitra, Herbert, & Forman, 2011)”
From The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study (2018) · cites this paper as Moitra, Herbert, & Forman, 2011
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- Authors
- Moitra, E., Herbert, J. D., & Forman, E. M.
- Affiliations
- Brown University (US)
- Drexel University (US)
- Corresponding author
- Moitra, Ethan
- Venue
- AIDS Care
- Publisher
- Informa UK Limited
- Published
- 2011-06-16
- Volume
- 23
- Issue
- 12
- Pages
- 1660-1667
- ISSN
- 0954-0121 (ISSN-L)
- 1360-0451
- OpenAlex
- W2087886088
- Cited by
- 51
- References
- 35
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 7 · 2018: 6 · 2017: 4 · 2016: 5 · 2015: 6 · 2014: 6 · 2013: 1 · 2012: 1
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- AIDS Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- HIV treatment adherence, highly active antiretroviral therapy, psychological acceptance, avoidance, denial, stigma, primary care patients, minority groups, low socioeconomic status, treatment feasibility, treatment acceptability
- MeSH terms
- Adaptation, Psychological, Attitude to Health, Behavior Therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Pilot Projects, Primary Health Care, Urban Health, Philadelphia, HIV Infections, Treatment Outcome, Antiretroviral Therapy, Highly Active, Qualitative Research, Medication Adherence
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