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The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS: the SMART/EST Women's Project.

Abstract

The purpose of the present study was to determine whether changes in self-efficacy over time would be related to changes in disease progression markers (CD4, viral load) in a sample of women with AIDS. A self-efficacy measure was developed and two sub-scales emerged via factor analysis of 391 HIV-positive women: AIDS Self-efficacy and Cognitive Behavioral Skills Self-efficacy. Subsequently, the sub-scales and an additional adherence self-efficacy item were given to 56 HIV-positive women who were measured at two time points three months apart. Half of these women were randomly assigned to a CB intervention and half to a low intensity comparison condition. Increases in AIDS Self-efficacy over the three-month period were significantly related to increases in CD4 and decreases in viral load. Similarly, increases in Cognitive Behavioral Skills Self-efficacy were significantly related to decreases in distress over time. Findings were maintained within the intervention group alone. Interestingly, increases in cognitive behavioral skills self-efficacy and increases in the self-efficacy adherence item were also significantly related to decreases in viral load. Implications of the findings and suggestions for future research are discussed.

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  • Authors+Show Affiliations

    ,

    Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL 33146, USA. gironson@aol.com

    , , , , , , , , ,

    Source

    AIDS care 17:2 2005 Feb pg 222-36

    MeSH

    Acquired Immunodeficiency Syndrome
    Adult
    Affect
    Analysis of Variance
    Behavior Therapy
    CD4-Positive T-Lymphocytes
    CD8-Positive T-Lymphocytes
    Disease Progression
    Female
    Humans
    Patient Compliance
    Self Efficacy
    Viral Load

    Pub Type(s)

    Clinical Trial
    Journal Article
    Randomized Controlled Trial
    Research Support, N.I.H., Extramural
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    15763716

    Citation

    Ironson, G, et al. "The Impact of Improved Self-efficacy On HIV Viral Load and Distress in Culturally Diverse Women Living With AIDS: the SMART/EST Women's Project." AIDS Care, vol. 17, no. 2, 2005, pp. 222-36.
    Ironson G, Weiss S, Lydston D, et al. The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS: the SMART/EST Women's Project. AIDS Care. 2005;17(2):222-36.
    Ironson, G., Weiss, S., Lydston, D., Ishii, M., Jones, D., Asthana, D., ... Antoni, M. (2005). The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS: the SMART/EST Women's Project. AIDS Care, 17(2), pp. 222-36.
    Ironson G, et al. The Impact of Improved Self-efficacy On HIV Viral Load and Distress in Culturally Diverse Women Living With AIDS: the SMART/EST Women's Project. AIDS Care. 2005;17(2):222-36. PubMed PMID: 15763716.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS: the SMART/EST Women's Project. AU - Ironson,G, AU - Weiss,S, AU - Lydston,D, AU - Ishii,M, AU - Jones,D, AU - Asthana,D, AU - Tobin,J, AU - Lechner,S, AU - Laperriere,A, AU - Schneiderman,N, AU - Antoni,M, PY - 2005/3/15/pubmed PY - 2005/6/15/medline PY - 2005/3/15/entrez SP - 222 EP - 36 JF - AIDS care JO - AIDS Care VL - 17 IS - 2 N2 - The purpose of the present study was to determine whether changes in self-efficacy over time would be related to changes in disease progression markers (CD4, viral load) in a sample of women with AIDS. A self-efficacy measure was developed and two sub-scales emerged via factor analysis of 391 HIV-positive women: AIDS Self-efficacy and Cognitive Behavioral Skills Self-efficacy. Subsequently, the sub-scales and an additional adherence self-efficacy item were given to 56 HIV-positive women who were measured at two time points three months apart. Half of these women were randomly assigned to a CB intervention and half to a low intensity comparison condition. Increases in AIDS Self-efficacy over the three-month period were significantly related to increases in CD4 and decreases in viral load. Similarly, increases in Cognitive Behavioral Skills Self-efficacy were significantly related to decreases in distress over time. Findings were maintained within the intervention group alone. Interestingly, increases in cognitive behavioral skills self-efficacy and increases in the self-efficacy adherence item were also significantly related to decreases in viral load. Implications of the findings and suggestions for future research are discussed. SN - 0954-0121 UR - https://www.unboundmedicine.com/medline/citation/15763716/full_citation L2 - http://www.tandfonline.com/doi/full/10.1080/09540120512331326365 DB - PRIME DP - Unbound Medicine ER -