Volume 4, Issue 2 (6-2018)                   J. Hum. Environ. Health Promot 2018, 4(2): 64-70 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Gharlipour Z, Mohebi S, Sharifirad G, Yadegari J. Effect of Educational Intervention Based on the Expanded Health Belief Model on Antiretroviral Therapy Adherence in the Patients with AIDS . J. Hum. Environ. Health Promot. 2018; 4 (2) :64-70
URL: http://zums.ac.ir/jhehp/article-1-157-en.html
1- Department of Health Education and Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran.
2- Department of Health Education and Promotion, School of Medicine, Islamic Azad University, Qom Branch, Qom, Iran.
3- Department of Health Education, School of Health, Qom University of Medical Sciences, Qom, Iran.
Abstract:   (567 Views)
Background: Antiretroviral treatment could reduce the mortality rate of HIV and prevent the disease progression and prolonging their life span. The present study aimed to assess the effects of education based on expanded health belief model on the treatment adherence of AIDS patients.
Methods: This study was conducted on 72 AIDS patients. The subjects were divided into two groups of intervention and control. Data were collected using a questionnaire and Morisky medication adherence scale. After the pre-test, training sessions were implemented for the intervention group. Post-test was completed after three months. Data analysis was performed in SPSS version 22 using independent t-test, Chi-square, and univariate analysis of covariance.
Results: No significant differences were observed in perceived susceptibility (P = 0.19), perceived benefits (P = 0.31), perceived barriers (P = 0.92), perceived self-efficacy (P = 0.14), and perceived social support (P = 0.15). However, significant differences were denoted in perceived severity (P = 0.01) and treatment adherence (P < 0.01) between intervention and control group in the post-test phase.
Conclusion: According to the results, the expanded health belief model could be used in the training of AIDS patients to enhance their health beliefs, which in turn increases their adherence to antiretroviral treatment.
Keywords: Health, AIDS, Drug Adherence
Full-Text [PDF 588 kb]   (161 Downloads)    
Type of Study: Research Article | Subject: Public Health
Received: 2018/04/16 | Accepted: 2018/05/29 | Published: 2018/06/20

1. Ramana KV, Rao R. Human immunodeficiency Virus disease management in highly active antiretroviral therapy era; a 1. Ramana KV, Rao R. Human Immunodeficiency Virus Disease Management in Highly Active Antiretroviral Therapy era; A Comprehensive Review. ATMPH. 2013; 6(1): 5-9.
2. Oliva J, Roa C, el Liano J. Indirect Costs in Ambulatory Patient with HIV/AIDS in: A Pilot Study. Pharmacoeconomics. 2003; 21(15):1113-21. [Crossref]
3. World Health Organization (WHO). Global Health Observatory (GHO) Data Respiratory. 2017. [Cited 2 Feb 2018]. Available from: URL: http://www. who.int/gho/data/node.main.626?lan.
4. Gordillo V, Del Amo J, Soriano V, Gonzalez Lahoz J. Sociodemographic and Psychological Variables Influencing Adherence to Antiretroviral Therapy. AIDS. 1999; 13(13): 1763-9. [Crossref]
5. Gupta R, Hill A, Sawyer AW, Pillay D. Emergence of Drug Resistance in HIV Type 1-Infected Patients after Receipt of First-Line Highly Active Antiretroviral Therapy; A Systematic Review of Clinical Trials. Clin Infect Dis. 2008; 47(5): 712-22. [Crossref]
6. Mehta S, Moore RD, Graham NMH. Potential Factors Affecting Adherence with HIV Therapy. AIDS. 1997; 11(14): 1665-70. [Crossref]
7. Sotodeh Asl N, Neshat Dost H, Kalanteri M, Talebi H, Khosravi AR. Comparison of the Effectiveness of Cognitive Behavioral Therapy and Medication on the Quality of Life in the Patients with Essential Hypertension. Koomesh. 2010; 11(4): 294-301. [In Persian].
8. Horne R, Weinman J, Hankins M. The Belief about Medicines Questionaire; the Develoment and Evaluation of a New Method for Assessing the Cognitive Representation of Medication. Psychol Health. 1999; 14(1): 1-24. [Crossref]
9. Deeks SG, Smith M, Holodniy M, Kahn JO. HIV-1 Protease Inhibitors: A review for clinicians. JAMA. 1997; 277(2): 145-53. [Crossref]
10. Sharifi-rad G, Hazavei MM, Hasan- Zadeh A, Danesh-amouz A. The Effect of Health Education Based on Health Belief Model on Preventive actions of Smoking in Grade one, Middle School Students. Amuj. 2007; 10(1): 79-86.
11. Solhi M, Haghighi M, Rahmati Najarkolaei F, Afifehzade Kashani H, Zemestani A. HIV Prevention Perception among Barbers According to Health Belief Model Case Study from Marand. JRH. 2014; 4(1):592-8. [In Persian].
12. Karimi M, Ghofranipor F, Heidarnia A. The Effect of Health Education Based on Health Belief Model on Preventive Action of AIDS on Addict in Zarandieh. J Guilan Univ Med Sci. 2009; 18(2): 64-73. [In Persian].
13. Cohen S, Janicki-Deverts D. Can We Improve our Physical Health by Altering our Social Network? Perspect Psychol Sci. 2009; 4(4): 375-8. [Crossref]
14. Glanz K, K. Rimer B, Viswanath K. Health Behavior and Health Education Theory, Research, and Practice. 4 th ed. Jossey-Bass; Sanfrancisco: 1990.
15. Suarez L, Ramirez AG, Villarreal JS. Religious Involvement, Coping, Qualcial Network and Center Screening in four U.S Hispanic Group. Am J Prev Med. 2004; 19(1): 47-52. [Crossref]
16. Morisky DE, Green LW, Levin DM. Concurrent and Predictive Validity of a Self-Reported Measure of Medication Adherence. Med Care. 1986; 24(1): 67-74. [Crossref]
17. Negarandeh R, Mahmoodi H, Noktehdan H, Heshmat R, Shakibazadeh E. Teach Back and Pictorial Image Educational Strategies on Knowledge about Diabetes and Medication/Dietary Adherence among Low Health Literate Patients with Type 2 Diabetes. Primary Care Diabetes. 2013; 7(2): 111-8. [Crossref]
18. Pirzadeh A, Sharifirad GhR. Efect of Educational Program on Knowledge and Health Belief about Acquired Immune Deficiency Syndrome (AIDS) among High School Student in Isfahan, Iran. J Gorgan Univ Med Sci. 2012; 14(3): 66-71. [In Persian].
19. Karimi M, Zareban I, Sarani M, Rakhshani F, Kuhpayehzadeh H. Factors Affecting Adherence to the Treatment Regimen of Tuberculosis Patients: Assessing the Efficiency of Health belief Model Constructs. J Kermanshah Univ Med Sci. 2014; 18(4): 213-9.
20. Kamran A, Sadeghieh S, Biria M, Malpour A, Heidari H. Determinants of Patient’s Adherence to Hypertension Medications: Application of Health belief Model among Rural Patients. Ann Med Health Sci Res. 2014; 4(6): 922-7. [Crossref]
21. Sadeghi R, Mazloomy S, Hashemi M, Rezaeian M. The Effects of an Educational Intervention Based on the Health Belief Model to Enhance HIV-Preventive Behaviors among Men Barbers in Sirjan. J Rafsanjan Univ Med Sci. 2016; 15(3): 235-46. [In Persian].
22. Shameena AU, Badiger S, Nanjesh Kumar S. Medication Adherence and Health Belief Model among Hypertensive Patients Attending Rural Health Centres of a Tertiary Care Hospital in South India. Int J Community Med Public Health. 2017; 4(4): 1159-65. [Crossref]
23. Barclay TR, Hinkin CH, Castellon SA, Mason KI, Reinhard MJ, Marion SD, et al. Age-associated Predictors of Medication Adherence in HIV-positive Adults: Health Beliefs, Self-efficacy, and Neurocognitive Status. Health Psychol. 2007; 26(1): 40-9. [Crossref]
24. Rosenstock IM. The Health Belief Model and Health Preventive Behaviour. Health Educ Monogr. 1974; 2(4): 354-86. [Crossref]
25. Knobe M, Carow JB, Ruesseler M, Leu BM, Simon M, Beckers SK, et al. Arthroscopy or Ultrasound in Undergraduate Anatomy Education: A Randomized Cross-Over Controlled Trial. BMC Med Educ. 2012; 12: 85. [Crossref]
26. Luszczynska A, Sarkar Y, Knoll N. Received Social Support, Self-efficacy, and Finding Benefits in Disease as Predictors of Physical Functioning and Adherence to Antiretroviral Therapy. Patient Educ Couns. 2007; 66(1): 37-42. [Crossref]
27. Pang SK, Ip WY, Chang AM. Psychosocial Correlates of Fluids Compliance among Chinese Hemodialysis Patients. J Adv Nurs. 2001; 35(5): 691-8. []
28. Reisner MSL, Mimiaga MJ, Skeer MM, Perkovich B, Johnson CV, Safren SA. A Review of HIV Antiretroviral Adherence and Intervention Studies among HIV–infected Youth. Top HIV Med. 2009; 17(1): 14-25.
29. Daryazadeh S. Investigation of Adherence Process of Anti-retroviral Therapy in Patient Reffered to Isfahan Behavioral Consultation Centerb during Ten Years. Razi J Med Sic. 2014; 21(123): 62-70.
30. Paterson DL, Swindells S, Mohr J, Brester M, VergisEN, Wagener MM, et al. Adherence to Protease Inhibitor Therapy and Outcomes in Patients with HIV Infection. Ann Intern Med. 2000; 133(1): 21-3. [Crossref]

Add your comments about this article : Your username or Email:

Send email to the article author

© 2019 All Rights Reserved | Journal of Human, Environment and Health Promotion

Designed & Developed by : Yektaweb