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Japanese

Exploring the Maintenance Factors Promoting Adherence with HIV Therapy: What Makes a Patient Adhere to a Medication Regimen? Yoji Inoue 1 , Aikichi Iwamoto 2 , Ken Kuwahara 3 , Kenichi Kojima 4 , Mari Nomura 5 , Narumi Hori 5 , Michiko Murakami 6 , Yasuyuki Yamamoto 7 1University of Tokyo 2Institute of Medical Science, University of Tokyo 3Department of Pharmacy, Osaka National Hospital 4Ogikubo Hospital 5Japan Association of Nurses in AIDS Care 6University of Tokyo 7Tokyo Medical University pp.315-326
Published Date 2002/8/15
DOI https://doi.org/10.11477/mf.1681900683
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 The authors formed a two-part project; quantitative analysis part and qualitative analysis part. The first part consisted of a survey to compare a high adherence group with a low adherence group (N=26). The second part used interviews with a subsample of the high adherence group (N=16). Quantitative analysis showed that outcome expectancies. self-efficacy and intention for taking medicine were higher for the high adherence group than for the low adherence group. The maintenance factor scores of the group as a whole tended to be higher when their mental health was high, perceived support was larger and the treatment intention was higher. Conversely, their risk factor scores were high when they did not feel healthy, and when their self-efficacy, confidence and outcome expectancy were low. These results suggest that the maintenance factors are not merely the same as the condition of “not having the risk factors”. Qualitative analysis showed that a social support network was meant to be ‘be there for them’ type of support. They self-coordinated well with the social network resources non-cognitively. cognitively, or strategically, based on the information they had acquired through multiple channels. This suggests the necessity of providing comprehensive resources that patients can use, and providing supports to improve the ability of patients to manage them. Recognizing the existence of others and having social relationships gave interviewees the chance to compare themselves with others, which in turn led them to think about the meaning of their own lives affirmatively. As a result, they reached the conclusion of “I should rigidly adhere to take my medicine”.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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