Self-Reevaluation as a Critical Component in Sustained Viral Load Change for HIV+ Adults with Alcohol Problems

Self-reevaluation is one of the ten processes of change in the transtheoretical model and involves cognitive reappraisal of how behavior change is part of one’s identity. Although self-reevaluation is a critical motivator for individuals in the contemplation stage of change, few studies have examine...

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Bibliographic Details
Published in:Annals of behavioral medicine 2010-10, Vol.40 (2), p.176-183
Main Authors: Longmire-Avital, Buffie, Golub, Sarit A., Parsons, Jeffrey T.
Format: Article
Language:English
Subjects:
Adult
Alcohol-Related Disorders - complications
Alcohol-Related Disorders - psychology
alcohols
Antiretroviral drugs
Antiretroviral Therapy, Highly Active - psychology
Behavior
Behavior Therapy - methods
Cognitive ability
Family Medicine
Female
General Practice
Health Psychology
highly active antiretroviral therapy
HIV
HIV Seropositivity - complications
HIV Seropositivity - drug therapy
HIV Seropositivity - psychology
HIV Seropositivity - therapy
HIV-1 - immunology
Human immunodeficiency virus
Humans
Male
Medication Adherence - psychology
Medicine
Medicine & Public Health
Middle Aged
Original Article
Self-Assessment
Viral Load
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Summary:Self-reevaluation is one of the ten processes of change in the transtheoretical model and involves cognitive reappraisal of how behavior change is part of one’s identity. Although self-reevaluation is a critical motivator for individuals in the contemplation stage of change, few studies have examined its impact on disease progression associated with sustained behavior change. This study investigated the contribution of self-reevaluation on sustained viral load improvement among 143 participants in a randomized controlled trial testing an eight-session intervention (Project Positive Living through Understanding and Support) designed to improve treatment adherence among HIV+ adults with alcohol problems. Participants’ self-reevaluation scores at 3 months emerged as significant and independent predictors of sustained improvement in viral load at 6 months, over and above self-reported HAART dose adherence ( p  
ISSN:0883-6612
1532-4796
DOI:10.1007/s12160-010-9194-4