Skip to main content
SpringerLink
Log in

Motivational interviewing for improving adherence to antiretroviral medications

  • Published:
Current HIV/AIDS Reports Aims and scope Submit manuscript

Abstract

Many interventions have been developed to address barriers to antiretroviral medication adherence, but few have focused on motivation, a fundamental component of behavior change. Research on other health behavior changes and a few pilot studies investigating motivational interviewing (MI) for adherence to antiretroviral medication suggests that MI may be highly beneficial by helping to motivate patients with HIV to adhere to their medications. Existing research, although limited, suggests that MI combined with other interventions is feasible and efficacious for improving adherence to antiretroviral medications. With continued development and refinement of antiretroviral adherence interventions that incorporate MI, more persons with HIV infection can be expected to choose to make the difficult changes necessary for them to benefit from antiretroviral therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Paterson DL, Swindells S, Mohr J, et al.: Adherence to protease inhibitor therapy and outcomes in patients with HIV infection. Ann Intern Med 2000, 133:21–30.

    PubMed  CAS  Google Scholar 

  2. Simoni JM, Frick PA, Pantalone DW, Turner BJ: Antiretroviral adherence interventions: a review of current literature and ongoing studies. Top HIV Med 2003, 11:185–198.

    PubMed  Google Scholar 

  3. Adamian MS, Golin CE, Shain LS, DeVellis B: Brief motivational interviewing to improve adherence to antiretroviral therapy: development and qualitative pilot assessment of an intervention. AIDS Patient Care STDS 2004, 18:229–238.

    Article  PubMed  Google Scholar 

  4. Britt E, Hudson SM, Blampied NM: Motivational interviewing in health settings: a review. Patient Educ Couns 2004, 53:147–155.

    Article  PubMed  Google Scholar 

  5. DiIorio C, Resnicow K, McDonnell M, et al.: Using motivational interviewing to promote adherence to antiretroviral medications: a pilot study. J Assoc Nurses AIDS Care 2003, 14:52–62. This is a randomized, controlled study of an intervention incorporating MI.

    Article  PubMed  Google Scholar 

  6. Swanson AI, Pantalon MV, Cohen KR: Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients. J Nerv Ment Dis 1999, 187:630–635.

    Article  PubMed  CAS  Google Scholar 

  7. Cooperman NA, Parsons JT, Chabon B, et al.: The development and feasibility of an intervention to improve HAART adherence among HIV-positive patients receiving primary care in methadone clinics. J HIVJAIDS Soc Serv 2005, In press. This article is a detailed description of an intervention combining MI and cognitive-behavioral skills training.

  8. Cooperman NA, Parsons JT, Kaswan D, et al.: Intervening to improve utilization of and adherence to antiretroviral therapy among HIV-infected drug users receiving primary care in methadone maintenance treatment programs. Poster presented at the Society of Behavioral Medicine’s 26th Annual Meeting. Boston, MA; April 13–15, 2005.

  9. Lucas GM, Wu AW, Cheever LW: Adherence to antiretroviral therapy: an update of current concepts. Curr HIVJAIDS Rep 2004, 1:172–180.

    Google Scholar 

  10. Catz SL, Kelly IA, Bogart LM, et al.: Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychol 2000, 19:124–133.

    Article  PubMed  CAS  Google Scholar 

  11. Powell-Cope GM, White J, Henkelman EJ, Turner BJ: Qualitative and quantitative assessments of HAART adherence of substance-abusing women. AIDS Care 2003, 15:239–249.

    Article  PubMed  CAS  Google Scholar 

  12. Gao X, Nau DP, Rosenbluth SA, et al.: The relationship of disease severity, health beliefs and medication adherence among HIV patients. AIDS Care 2000, 12:387–398.

    Article  PubMed  CAS  Google Scholar 

  13. Kalichman SC, Ramachandran B, Catz S: Adherence to combination antiretroviral therapies in HIV patients of low health literacy. J Gen Intern Med 1999, 14:267–273.

    Article  PubMed  CAS  Google Scholar 

  14. Holzemer WL, Corless IB, Nokes KM, et al.: Predictors of self-reported adherence in persons living with HIV disease. AIDS Patient Care STDS 1999, 13:185–197.

    Article  PubMed  CAS  Google Scholar 

  15. Avants SK, Margolin A, Warburton LA, et al.: Predictors of nonadherence to HIV-related medication regimens during methadone stabilization. Am J Addict 2001, 10:69–78.

    Article  PubMed  CAS  Google Scholar 

  16. Arnsten JH, Demas PA, Grant RW, et al.: Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users. J Gen Intern Med 2002, 17:377–381.

    Article  PubMed  Google Scholar 

  17. Murphy DA, Marelich WD, Hoffman D, Steers WN: Predictors of antiretroviral adherence. AIDS Care 2004, 16:471–484.

    Article  PubMed  CAS  Google Scholar 

  18. Chou F, Holzemer WL, Portillo CJ, Slaughter R: Self-care strategies and sources of information for HIVJAIDS symptoms management. Nurs Res 2004, 53:332–339.

    Article  PubMed  Google Scholar 

  19. Gallant JE: Strategies for long-term success in the treatment of HIV infection. JAMA 2000, 283:1329–1334.

    Article  PubMed  CAS  Google Scholar 

  20. Russell CK, Bunting SM, Graney M, et al.: Factors that influence the medication decision making of persons with HIVJAIDS: a taxonomic exploration. J Assoc Nurses AIDS Care 2003, 14:46–60.

    Article  PubMed  Google Scholar 

  21. Enriquez M, Lackey NR, O’Connor MC, McKinsey DS: Successful adherence after multiple HIV treatment failures. J Adv Nurs 2004, 45:438–446.

    Article  PubMed  Google Scholar 

  22. Prochaska JO, Diclemente CC: Stages of change in the modification of problem behaviors. Prog Behav Modif 1992, 28:183–218.

    PubMed  CAS  Google Scholar 

  23. Miller WR, Rollnick S, eds.: Motivational Interviewing, Preparing People to Change. New York: Guilford Press; 2002. This is a foundational text edited by the developers of MI.

    Google Scholar 

  24. Prochaska JO, DiClemente CC: The transtheoretical approach. In Handbook of Psychotherapy Integration. Edited by Norcross JC and Goldfried MR. New York: Basic Books; 1992.

    Google Scholar 

  25. Willey C, Redding C, Stafford J, et al.: Stages of change for adherence with medication regimens for chronic disease: development and validation of a measure. Clin Ther 2000, 22:858–871.

    Article  PubMed  CAS  Google Scholar 

  26. Rogers AS, Miller S, Murphy DA, et al.: The TREAT (Therapeutic regimens enhancing adherence in teens) program: theory and preliminary results. J Adolesc Health 2001, 29:30–38.

    Article  PubMed  CAS  Google Scholar 

  27. Resnicow K, Dilorio C, Soet J, et al.: Motivational interviewing in medical and public health settings. In Motivational Interviewing, Preparing People to Change. Edited by Miller WR & Rollnick S. New York: Guilford Press; 2002.

    Google Scholar 

  28. Schmaling KB, Blume AW, Afari N: A randomized controlled pilot study of motivational interviewing to change attitudes about adherence to medications for asthma. J Clin Psychol Med Settings 2005, 8:167–172.

    Article  Google Scholar 

  29. Dunn C, Deroo L, Rivara FP: The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction 2001, 96:1725–1742.

    Article  PubMed  CAS  Google Scholar 

  30. Safren SA, Otto MW, Worth JL, et al.: Two strategies to increase adherence to HIV antiretroviral medication: life-steps and medication monitoring. Behav Res Ther 2001, 39:1151–1162.

    Article  PubMed  CAS  Google Scholar 

  31. Parsons JT, Rosof E, Punzalan JC, Di Maria L: Integration of motivational interviewing and cognitive behavioral therapy to improve HIV medication adherence and reduce substance use among HIV-positive men and women: results of a pilot project. AIDS Patient Care STDS 2005, 19:31–39.

    Article  PubMed  Google Scholar 

  32. Fisher JD, Fisher WA: Changing AIDS-risk behavior. Psychol Bull 1992, 111:455–474.

    Article  PubMed  CAS  Google Scholar 

  33. Kalichman SC, Rompa D, DiFonzo K, et al.: HIV treatment adherence in women living with HIVJAIDS: research based on the Information-Motivation-Behavioral Skills model of health behavior. J Assoc Nurses AIDS Care 2001, 12:58–67.

    Article  PubMed  CAS  Google Scholar 

  34. Thrasher AD, Golin CE, Earp JL: Quality of motivational interviewing and antiretroviral adherence. J Gen Intern Med 2004, 19:200–201.

    Google Scholar 

  35. Safren SA, Otto MW, Worth JL: Life-steps: applying cognitive-behavioral therapy to HIV medication adherence. Cog Behav Prac 1999, 6:332–341.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Montefiore Medical Center, III East 210th Street, 10467, Bronx, NY, USA

    Nina A. Cooperman PsyD

Authors
  1. Nina A. Cooperman PsyD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julia H. Arnsten MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cooperman, N.A., Arnsten, J.H. Motivational interviewing for improving adherence to antiretroviral medications. Curr HIV/AIDS Rep 2, 159–164 (2005). https://doi.org/10.1007/s11904-005-0010-x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11904-005-0010-x

Keywords

Search

Navigation