@article {1847,
	title = {Information-motivation-behavioral skills barriers associated with intentional versus unintentional ARV non-adherence behavior among HIV+ patients in clinical care.},
	journal = {AIDS care},
	volume = {22},
	year = {2010},
	month = {2010 Aug},
	pages = {979-87},
	abstract = {Since the arrival of antiretroviral (ARV) therapy, HIV has become better characterized as a chronic disease rather than a terminal illness, depending in part on one{\textquoteright}s ability to maintain relatively high levels of adherence. Despite research concerning barriers and facilitators of ARV adherence behavior, relatively little is known about specific challenges faced by HIV-positive persons who report "taking a break" from their ARV medications. The present study employed the Information-Motivation-Behavioral Skills Model of ARV adherence as a framework for understanding adherence-related barriers that may differentiate between non-adherent patients who report "taking a break" versus those who do not report "taking a break" from their ARV medications. A sample of 327 HIV-positive patients who reported less than 100\% adherence at study baseline provided data for this research. Participants who reported "taking a break" from their HIV medications without first talking to their healthcare provider were classified as intentionally non-adherent, while those who did not report "taking a break" without first talking with their healthcare provider were classified as unintentionally non-adherent. Analyses examined differences between intentionally versus unintentionally non-adherent patients with respect to demographic characteristics and responses to the adherence-related information, motivation, and behavioral skills questionnaire items. Few differences were observed among the groups on demographics, adherence-related information, or adherence-related motivation; however, significant differences were observed on about half of the adherence-related behavioral skills items. Implications for future research, as well as the design of specific intervention components to reduce intentionally non-adherent behavior, are discussed.},
	keywords = {Adult, Analysis of Variance, Anti-HIV Agents, Attitude to Health, Female, HIV Infections, HIV Seropositivity, Humans, Male, Medication Adherence, Middle Aged, Models, Theoretical, Motivation, Patient Education as Topic},
	issn = {1360-0451},
	doi = {10.1080/09540121003758630},
	author = {Norton, Wynne E and Amico, K Rivet and Fisher, William A and Shuper, Paul A and Ferrer, Rebecca A and Cornman, Deborah H and Trayling, Cynthia A and Redding, Caroline and Fisher, Jeffrey D}
}
