A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV-AIDSReportar como inadecuado




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BMC Public Health

, 7:104

First Online: 11 June 2007Received: 14 August 2006Accepted: 11 June 2007DOI: 10.1186-1471-2458-7-104

Cite this article as: Munro, S., Lewin, S., Swart, T. et al. BMC Public Health 2007 7: 104. doi:10.1186-1471-2458-7-104

Abstract

BackgroundSuboptimal treatment adherence remains a barrier to the control of many infectious diseases, including tuberculosis and HIV-AIDS, which contribute significantly to the global disease burden. However, few of the many interventions developed to address this issue explicitly draw on theories of health behaviour. Such theories could contribute to the design of more effective interventions to promote treatment adherence and to improving assessments of the transferability of these interventions across different health issues and settings.

MethodsThis paper reviews behaviour change theories applicable to long-term treatment adherence; assesses the evidence for their effectiveness in predicting behaviour change; and examines the implications of these findings for developing strategies to improve TB and HIV-AIDS medication adherence. We searched a number of electronic databases for theories of behaviour change. Eleven theories were examined.

ResultsLittle empirical evidence was located on the effectiveness of these theories in promoting adherence. However, several models have the potential to both improve understanding of adherence behaviours and contribute to the design of more effective interventions to promote adherence to TB and HIV-AIDS medication.

ConclusionFurther research and analysis is needed urgently to determine which models might best improve adherence to long-term treatment regimens.

AbbreviationsHIV-AIDSHuman immunodeficiency virus-Acquired immunodeficiency syndrome

TBTuberculosis

ARVAntiretroviral

SCTSocial-cognitive theory

TRATheory of reasoned action

PMTProtection motivation theory

HBMHealth belief model

TPBTheory of planned behaviour

IMBInformation-motivation-behavioural skills model

ARTAntiretroviral therapy

TTMTranstheoretical model

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-7-104 contains supplementary material, which is available to authorized users.

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Autor: Salla Munro - Simon Lewin - Tanya Swart - Jimmy Volmink

Fuente: https://link.springer.com/







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