The Information–Motivation–Behavioral Skills Model of ART Adherence in a Deep South HIV+ Clinic Sample

Amico, K. Rivet; Barta, William D.; Konkle‐Parker, Deborah; Fisher, Jeffrey D.; Cornman, Deborah H.; Shuper, Paul A.; Fisher, William A.

doi:10.1007/s10461-007-9311-y

Cited by 104 publications

(90 citation statements)

References 27 publications

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“…IMB factors are amenable to change. [29][30][31] We have proposed several behavioral change strategies (e.g., motivational interviewing, CBT, and psychoeducation) that have potential to increase IMB components and decrease negative psychological presentations. It has previously been shown that motivational interviewing and CBT skills can successfully reduce alcohol use and improve HIV medication adherence; 50 however, no studies have assessed the efficacy of an IMB intervention that is aimed at medication adherence and methamphetamine use among an exclusively HIVpositive GBM sample.…”

Section: Discussionmentioning

confidence: 99%

“…28,30 Information refers to behavior-related information and heuristics, motivation refers to personal and social motivation, and behavioral skills, such as self-efficacy, are those that are essential to performing a specific health behavior. 31 The IMB model contends that behavior change can be achieved by increasing someone's knowledge about a particular topic (i.e., sex risk or drug use), fostering motivation to change, and developing skills needed to change behavior. 29 There is some evidence to suggest that pretreatment levels of motivation moderate response to intervention 32,33 ; however, this research has generally treated the construct of motivation in a manner that is conceptually distinct from the IMB framework.…”

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confidence: 99%

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Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men

Starks

Millar

Lassiter

et al. 2017

AIDS Patient Care and STDs

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Although rates of crystal methamphetamine use in the United States have fallen from their peak in the mid2000s, use remains a major public health concern, which disproportionately affects gay and bisexual men (GBM). It poses a particular challenge for HIV-positive men, for whom it has been linked to medication adherence problems as well as compromised immune function. Although the information, motivation, and behavioral skills (IMB) model has been widely used to conceptualize health behavior, little is known about GBM's initial levels of information, motivation, and behavioral self-efficacy to improve HIV medication adherence and to reduce crystal methamphetamine use at the outset of treatment. The present study identified profiles of IMB factors related to HIV medication adherence and crystal methamphetamine use in a sample of 210 HIV-positive GBM who consented to participate in an intervention study. Results indicated three distinct patterns of IMB factors. The largest group was ready to change both adherence and methamphetamine use (n = 104). This group also had depression scores that were significantly lower than other groups. A second group appeared ready to change medication adherence, but was ambivalent about changing methamphetamine use (n = 60). This group reported significantly more symptoms of methamphetamine dependence than the other groups. A third group was characterized by global IMB barriers to change (n = 46). Results are discussed in the context of tailoring psychoeducation, motivational interviewing, and cognitive behavioral interventions to match these preintervention patterns of IMB factors.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men

Starks

Millar

Lassiter

et al. 2017

AIDS Patient Care and STDs

View full text Add to dashboard Cite

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“…Further, the model includes a set of moderators which may dilute the potential effect of IMB model-based interventions in some contexts (including acute psychological health issues, homelessness, and active drug abuse). The model has received support from previous research with other populations on ART and has been the basis for a number of different adherence interventions (Amico et al, 2007;Amico et al, 2009;Amico, Toro-Alfonso, & Fisher, 2005;Fisher et al, 2008). It has been previously used in risk behaviour interventions in young people (Fisher et al 1996), in investigating challenges of ART adherence in HIV-positive youth (Rongkavilit et al, 2010), and ART-related views in youth at risk of HIV infection (Simon, Altice, Moll, Shange, & Friedland, 2010).…”

Section: Introductionmentioning

confidence: 99%

The Information-Motivation-Behavioral Skills Model of ART Adherence in Romanian Young Adults

Dima

Schweitzer

Amico

et al. 2013

Journal of HIV/AIDS & Social Services

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Developing theory-driven and culturally-appropriate support for treatment adherence is critical to positive health outcomes in adolescents and emerging adults living with HIV/AIDS. Romanian young long-time HIV survivors represent a special population requiring urgent assessment of specific adherence-support needs. We adapted the Information-Motivation-Behavioral Skills (IMB) model of adherence to this population via thematic analysis of data from focus groups with service users and medical professionals. We identified various adherence-relevant themes consistent with previous IMB-model research, but also new themes such as the role of informational conflicts, long-term goals and altruistic motivation, which reflect the long-term treatment experience and the developmental characteristics. The IMB model of ART adherence in Romanian youth 3 of 29 IntroductionAdolescents and young adults represent over 70% of the people living with HIV/AIDS (PLWHA) in Romania, most of them infected at early ages in hospital settings because of contaminated blood transfusions or nonsterile medical equipment (Buzducea, Lazăr, & Mardare, 2010), as part of the nosocomial spread of HIV in the early stages of the epidemic (1986 to 1992) in Europe and the United States (Franceschi, Maso, & La Vecchia, 1995). Of the estimated 10000 Romanian children affected at the time, about 7000 are longterm HIV survivors, and 68% of these are actively monitored (Buzducea, et al., 2010).Although this cohort has extended histories with antiretroviral therapy (ART), the transition to adulthood brings a new challenge as behaviors change from having adherence largely managed by a caregiver to self-management, which tends to be associated with reduced adherence (Sawyer & Aroni, 2005). Whereas newer formulations provide more 'forgiveness' for non-adherence, sustained near-perfect adherence is still recommended for positive clinical results (Conway, 2007). A recent national survey (Blagoslov, Luca, Ene, Duiculescu, & Lazăr, 2008) revealed that 63% young PLWHA reported non-adherence to ART, suggesting that non-adherence may be common in young adults. Despite universal access to HIV treatment and care in Romania, effective services for supporting consistent use of available treatment are underrepresented in the literature and in practice. Therefore urgent research and interventions are needed to support the attainment and maintenance of optimal medication adherence in this cohort (UNAIDS, 2012).Identifying the determinants of ART adherence is the first step toward developing empirically-guided, well-situated targeted interventions, but research on this population is scarce. Several factors such as long-term lack of symptoms, fear of disclosure, travel, forgetting, or distress have been identified as relevant for non-adherence in young Romanian PLWHA (Blagoslov et al, 2008). However a comprehensive theory-based needs assessment In developing IMB model based interventions, the authors recommend a 3-step process: elicitation work with the target group, intervention ...

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“…The IMB model of ART adherence, [37] which has been used extensively in interventional adherence enhancement research [38,39] and has a developed evidence base in diverse groups of adults [39] [40] [39,41], is used as the basis for understanding specific adherence and nonadherence events. We use the situated-application of the model (sIMB) [36] to further embed the kinds of knowledge, personal and social consequences of adherence and non-adherence in the context of daily life, and skill sets needed for youth to navigate adherence in the context of self, others, and systems.…”

Section: Figure 1: Theoretical Underpinning Of Tera Interventionmentioning

confidence: 99%

Triggered Escalating Real-Time Adherence Intervention to Promote Rapid HIV Viral Suppression Among Youth Living With HIV Failing Antiretroviral Therapy: Protocol for a Triggered Escalating Real-Time Adherence Intervention (Preprint)

Amico¹,

Dunlap²,

Dallas³

et al. 2018

Preprint

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Background: Youth living with HIV (YLWH) are confronted with a number of self-care challenges that can be experienced as overwhelming in the context of the normal developmental processes that characterize adolescence and young adulthood. Challenges to antiretroviral therapy (ART) adherence create a sizable minority of YLWH with unsuppressed viral load in the United States (US). Interventions to promote sustained viral suppression in YLWH are needed.

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The Information–Motivation–Behavioral Skills Model of ART Adherence in a Deep South HIV+ Clinic Sample

Cited by 104 publications

References 27 publications

Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men

Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men

The Information-Motivation-Behavioral Skills Model of ART Adherence in Romanian Young Adults

Triggered Escalating Real-Time Adherence Intervention to Promote Rapid HIV Viral Suppression Among Youth Living With HIV Failing Antiretroviral Therapy: Protocol for a Triggered Escalating Real-Time Adherence Intervention (Preprint)

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