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Rehabilitation Counseling Bulletin
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Article

Adherence to Medical Regimens: Understanding the Effects of Cognitive Appraisal, Quality of Life, and Perceived Family Resiliency

Michael P. Frain, PhD, CRC1*, Malachy Bishop, PhD, CRC2, Molly K. Tschopp, PhD, CRC3, Michael J. Ferrin, PhD, CRC4, and Judy Frain, MSN5

1 Florida Atlantic University, Boca Raton
2 University of Kentucky, Lexington
3 University of Massachusetts–Boston
4 Langston University, Oklahoma
5 Washington University, St. Louis, Missouri

* To whom correspondence should be addressed. E-mail: mfrain{at}fau.edu.


  Abstract
Adherence studies have taken center stage due to the life-threatening risks associated with nonadherence to highly active antiretroviral therapy (HAART) regimens for people with HIV/AIDS. This study examines adherence through self-report of individuals on HAART regimens in a manner to account for demand characteristic bias, while still attempting to get an accurate portrayal of individuals’ adherence to their medication. Results indicate that individuals who are more certain about their course of treatment, are more trusting of their medical provider, have family resources, and are more optimistic about life adhere better. The model predicts who will be adherent with 92% accuracy while accounting for 55% of the variance in adherence. Practice implications for increasing adherence and accurately assessing adherence are discussed.

First published on March 24, 2009, doi:10.1177/0034355209333334

Rehabilitation Counseling Bulletin 2009;52:237.

A more recent version of this article appeared on July 1, 2009

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