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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.
AIDS Care 2005; 17(2):222-36AC

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.

Authors+Show Affiliations

Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL 33146, USA. gironson@aol.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -