Evaluation of the impact of the information-motivation-behavioural skills model of adherence to antiretroviral therapy in Ethiopia
Zeleke, Amsalu Belew
The purpose of the study was to evaluate the IMB skills model for its relevance to the
Ethiopian context. According to the model, adherence-related information and
motivation work through adherence-related behavioural skills to affect adherence to
ART. Quantitative, analytical, observational, cross-sectional, institution-based study was
conducted to evaluate the model by assessing those patients who have and do not
have the right information, motivation, and behavioural skills whether they have or do
not have good adherence to ART. Data was collected using structured questionnaires
where a total of 400 randomly selected participants provided data on adherence-related
information, motivation and behavioral skills as well as adherence behavior per se. Data
was analysed using the Statistical Package for Social Sciences (SPSS) version 20.0.
Both descriptive and inferential statistics used in the study. Only 90.75 % of the total
sample population reported ART adherence rate of more than or equal to 95% in this
study. Free and restricted model tests, through bivariate and multivariate analyses,
used to assess the propositions of the IMB model of ART adherence and provided
support for the interrelations between the elements proposed by the model. The study
has supported the applicability of the IMB model of adherence to the Ethiopian context
highlighting its application in adherence-promotion intervention efforts. The findings
revealed the need for on-going educational, informational and other interventions to
address the knowledge, motivation and adherence behavioural skills of patients in order
to improve the current levels of ART adherence behaviour.
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