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Title: Mechanisms of motivational interviewing in HIV medication adherence
Author: Hogan, Ailbhe
ISNI:       0000 0004 8499 7900
Awarding Body: Royal Holloway, University of London
Current Institution: Royal Holloway, University of London
Date of Award: 2017
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Antiretroviral therapy (ART) is an effective treatment for Human Immunodeficiency Virus (HIV), slowing down the progression of the disease and reducing the risk of onward transmission of the virus. The effectiveness of ART requires life-long, strict adherence to the regimen which can be difficult to achieve and maintain. Motivational interviewing (MI) is a goal-focused, person-centred counselling approach to behaviour change which has been shown to improve ART adherence. There have been numerous process research studies which have focused on understanding how and why MI works, however few have been carried out within the context of ART adherence. This study aims to test the relational and technical pathways of the MI model along with exploring constructs outlined in Self-determination Theory, as expressed during an MI session targeting ART adherence with 62 adults living with HIV. Results did not find evidence for the relational pathway as MI spirit was not found to be associated with either change talk or ART adherence change. The technical pathway was partially upheld in that there was a relationship found between therapist use of MI-consistent methods and client change talk, however neither were associated with ART adherence change. There was some tentative evidence to suggest that naturally occurring autonomous motivation speech might have a stronger relationship to ART adherence than controlled motivation speech. The research findings are discussed in relation to previous MI process research studies. Clinical and research implications are outlined along with the strengths and limitations of the study.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Motivational Interviewing ; HIV ; Medication adherence ; Self-determination theory