Email this article 
Hide
Show all
Original Research
Cognitive-behavioural theories and adherence: Application and relevance in antiretroviral therapy
Submitted: 05 May 2017 | Published: 12 April 2018
About the author(s)
Adegoke O. Adefolalu, Practice of Medicine Unit (POME), Sefako Makgatho Health Sciences University, South AfricaAbstract
Background: Adherence in chronic disease conditions is described as the extent to which a person‘s behaviour corresponds to the prescribed medical advice of the healthcare provider. This is not limited to medication intake only but also includes acts such as following instructions regarding dietary or fluid restrictions and taking medicines at the prescribed times and intervals. Although adherence to antiretroviral therapy (ART) is a predictor of good clinical outcome among HIV-infected persons on ART, it is a major challenge and strict adherence is not very common. This article aims to examine the application and relevance of some cognitive-behavioural theories in antiretroviral therapy adherence
Methods: After doing a thorough literature review, contemporary theories of health behaviour at the individual and interpersonal levels referred to as cognitive-behavioural theories were explored. This review highlights some aspects of the cognitive perspective of health behaviour theories as a good theoretical framework that could be used for organising thoughts about adherence and other health behaviours among patients on lifelong treatment such as ART.
Results: Key concepts of these theories stipulate that behaviour is mediated by cognition i.e. knowledge and attitude affect the person’s action. In addition, cognitive-behavioural theories recognise knowledge alone as being insufficient to produce behavioural change; a person’s perception, motivation, skills and social environment are all influential in the process of behavioural change.
Conclusion: Prediction of medication adherence is complex, and health-related knowledge and beliefs alone are insufficient to achieve behaviour change, especially in chronic conditions such as HIV/AIDS. However, people can control or influence the events affecting their lives by integrating cognitive, social, and behavioural sub-skills related to beliefs of personal efficacy in performing these skills.
Keywords
Metrics
Total abstract views: 7720Total article views: 13824
Crossref Citations
1. The use of discrete choice experiments in adherence research: A new solution to an old problem
Muhammad Umair Khan, Jo-anne Brien, Parisa Aslani
Research in Social and Administrative Pharmacy vol: 16 issue: 10 first page: 1487 year: 2020
doi: 10.1016/j.sapharm.2020.02.013
2. A qualitative study on pharmacists’ perceptions about service innovation
Artemisa R. Dores, Miguel Peixoto, Irene P. Carvalho, Maria Castro, António Marques
Health Policy and Technology vol: 13 issue: 4 first page: 100898 year: 2024
doi: 10.1016/j.hlpt.2024.100898
3. Predictors of adherence to positive airway pressure therapy in children: a systematic review and meta-analysis
Henrietta Blinder, Franco Momoli, Julia Bokhaut, Vanessa Bacal, Reuben Goldberg, Dhenuka Radhakrishnan, Sherri L. Katz
Sleep Medicine vol: 69 first page: 19 year: 2020
doi: 10.1016/j.sleep.2019.12.015
4. Randomized Controlled Trial of a Novel Peer Concussion-Education Program for Collegiate Athletes
Meredith E. Kneavel, William Ernst, Kevin S. McCarthy
Journal of Athletic Training vol: 55 issue: 5 first page: 456 year: 2020
doi: 10.4085/1062-6050-0182.19
5. Relationship between social capital and post-partum antiretroviral therapy adherence among women living with HIV in the Eastern Cape, South Africa
Khadijat K. Adeleye, Eyitayo O. Owolabi, Oladele V. Adeniyi, David Aduragbemi Okunlola, Anthony I. Ajayi
African Journal of AIDS Research vol: 23 issue: 1-2 first page: 21 year: 2024
doi: 10.2989/16085906.2024.2337763
6. The effect of emotional appeal on seafarers’ safety behaviour: An extended health belief model
Kum Fai Yuen, Kevin X. Li, Fei Ma, Xueqin Wang
Journal of Transport & Health vol: 16 first page: 100810 year: 2020
doi: 10.1016/j.jth.2019.100810
7. Assessing determinants of pre-exposure prophylaxis (PrEP) adherence among a sample of rural Midwestern men who have sex with men (MSM)
Christopher Owens, Randolph D. Hubach, Jessica Nina Lester, Deana Williams, Eva Voorheis, Michael Reece, Brian Dodge
AIDS Care vol: 32 issue: 12 first page: 1581 year: 2020
doi: 10.1080/09540121.2020.1757021
8. Fundamentarea intervenţiilor de creştere a aderenţei în modelele teoretice ale aderenţei la medicaţie – o recenzie narativă
Cristian Daniel Marineci
Farmacist.ro vol: 4 issue: 213 first page: 5 year: 2023
doi: 10.26416/Farm.213.4.2023.8585
9. Adherence to lifestyle changes after coronary artery bypass graft: Outcome of preoperative peer education
Farzaneh Golaghaie, Shahrzad Esmaeili-Kalantari, Mahmoodreza Sarzaeem, Fatemeh Rafiei
Patient Education and Counseling vol: 102 issue: 12 first page: 2231 year: 2019
doi: 10.1016/j.pec.2019.07.019
10. Brain network topology predicts participant adherence to mental training programs
Marzie Saghayi, Jonathan Greenberg, Christopher O’Grady, Farshid Varno, Muhammad Ali Hashmi, Bethany Bracken, Stan Matwin, Sara W. Lazar, Javeria Ali Hashmi
Network Neuroscience vol: 4 issue: 3 first page: 528 year: 2020
doi: 10.1162/netn_a_00136
11. Barriers to concussion reporting in collegiate athletes: an analysis of a peer-led worksheet activity
William Ernst, Meredith Kneavel
Journal of American College Health vol: 72 issue: 4 first page: 1215 year: 2024
doi: 10.1080/07448481.2022.2071621
12. Moderating Effects of Gender Among Collegiate Student-Athletes Receiving a Novel Peer Concussion Education Program
Meredith Kneavel, William Ernst, Kevin McCarthy
Health Education & Behavior vol: 48 issue: 6 first page: 907 year: 2021
doi: 10.1177/1090198120977128
13. A Review of Interventions to Enhance HIV Medication Adherence
Laura B. Whiteley, Elizabeth M. Olsen, Kayla K. Haubrick, Enyonam Odoom, Nicholas Tarantino, Larry K. Brown
Current HIV/AIDS Reports vol: 18 issue: 5 first page: 443 year: 2021
doi: 10.1007/s11904-021-00568-9
14. The Pharmacy of the Future: Pharmacy Professionals’ Perceptions and Contributions Regarding New Services in Community Pharmacies
Artemisa R. Dores, Miguel Peixoto, Irene P. Carvalho, Ângelo Jesus, Fernando Moreira, António Marques
Healthcare vol: 11 issue: 18 first page: 2580 year: 2023
doi: 10.3390/healthcare11182580
15. Predictors of self-care activities of outpatient diabetic residents in Harar and Dire Dawa: A hospital-based cross-sectional study
Behailu Hawulte Ayele, Melkamu Merid Mengesha, Tewodros Tesfa
SAGE Open Medicine vol: 7 year: 2019
doi: 10.1177/2050312119865646
16. Development of a Peer Education Program to Improve Concussion Knowledge and Reporting in Collegiate Athletes
William Ernst, Meredith E. Kneavel
Journal of Athletic Training vol: 55 issue: 5 first page: 448 year: 2020
doi: 10.4085/1062-6050-212-19
17. Understanding and Designing Multi-level Preventive Medication Support Against HIV for Men who Have Sex with Men in Taiwan
Chien Wen (Tina) Yuan, Yuan-Chi Tseng, Carol Strong
Proceedings of the ACM on Human-Computer Interaction vol: 7 issue: CSCW2 first page: 1 year: 2023
doi: 10.1145/3610101
18. HIV diagnosis period influences ART initiation: findings from a prospective cohort study in China
Tinglong Yang, Xueying Yang, Linghua Li, Huifang Xu, Lirui Fan, Quanmin Li, Xiaoyan Fan, Weiyi Chen, Xuan Du, Chun Hao, Jinghua Li, Yuantao Hao, Jing Gu
AIDS Research and Therapy vol: 18 issue: 1 year: 2021
doi: 10.1186/s12981-021-00379-3
19. HIV programme to enhance adherence to art among older adolescents and younger adults living with HIV in Africa
Jacques Wa Nsenda Kamangu, Sheillah Hlamalani Mboweni
Discover Public Health vol: 22 issue: 1 year: 2025
doi: 10.1186/s12982-025-00978-9
20. Cognitions That Support Concussion Reporting in Collegiate Athletes: An Analysis of a Worksheet Activity
Meredith Kneavel, William Ernst
Health Education & Behavior vol: 49 issue: 3 first page: 548 year: 2022
doi: 10.1177/10901981211046535
21. Qualitative Interviews to Support Development and Cognitive Debriefing of the Adelphi Adherence Questionnaire (ADAQ©): A Patient-Reported Measure of Medication Adherence Developed for Use in a Range of Diseases, Treatment Modalities, and Countries
Sarah Bentley, Lucy Morgan, Elizabeth Exall, Rob Arbuckle, Rebecca C Rossom, Nicholas Roche, Kamlesh Khunti, Victoria Higgins, James Piercy
Patient Preference and Adherence vol: Volume 16 first page: 2579 year: 2022
doi: 10.2147/PPA.S358046
22. Mental Health and ART Adherence in a Multisite International Study: The Mediating Roles of Social Support and Substance Use in People with HIV
Joseph Awad, Wenxiu Sun, Diane Santa Maria, Rebecca Schnall, Panta Apiruknapanond, Tongyao Wang, Claudia Patricia Valencia, Christine Horvat Davey, Solymar Solis Baez, Emilia Iwu, Motshedisi Sabone, Lufuno Makhado, Yvette P. Cuca, J. Craig Phillips, Inge B. Corless, Sheila Shaibu, Carol Dawson-Rose, Wei-Ti Chen
AIDS and Behavior year: 2026
doi: 10.1007/s10461-025-04944-z
23. Building MedVenture – A mobile health application to improve adolescent medication adherence – Using a multidisciplinary approach and academic–industry collaboration
Pooja Mehta, Susan L Moore, Sheana Bull, Bethany M Kwan
DIGITAL HEALTH vol: 7 year: 2021
doi: 10.1177/20552076211019877
24.
Interventions Incorporating Therapeutic Alliance to Improve Hemodialysis Treatment Adherence in Black Patients with End-Stage Kidney Disease (ESKD) in the United States: A Systematic Review
Charlotte Blumrosen, Russom Desta, Kerri L Cavanaugh, Heather E Laferriere, Marino A Bruce, Keith C Norris, Derek M Griffith, Ebele M Umeukeje
Patient Preference and Adherence vol: Volume 14 first page: 1435 year: 2020
doi: 10.2147/PPA.S260684
25. MAIN REASONS AND CURRENT METHODS OF CORRECTION OF POOR ADHERENCE TO ANTIRETROVIRAL TREATMENT IN DIFFICULT PATIENTS
V. B. Musatov, A. A. Yakovlev, N. A. Chaika, Jeffrey Kelly, Y. A. Amirhanyan
HIV Infection and Immunosuppressive Disorders vol: 10 issue: 4 first page: 37 year: 2019
doi: 10.22328/2077-9828-2018-10-4-37-56
26. Toward a better understanding of treatment adherence: incorporating accountability explicitly into the social cognitive theory of adherence behavior
Adaora R. Ewulu, Rohan Singh, Kristina B. Roberson, E. J. Masicampo, Steven R. Feldman
Journal of Dermatological Treatment vol: 35 issue: 1 year: 2024
doi: 10.1080/09546634.2024.2351493