Please use this identifier to cite or link to this item: http://ir.library.ui.edu.ng:8080/jspui/handle/123456789/1328
Title: THE EFFICACY OF MODIFIED COGNITIVE-BEHAVIOURAL INTERVENTION ON TREATMENT ADHERENCE AMONG PEOPLE LIVING WITH HIV&AIDS IN IBADAN, NIGERIA
Authors: ATIBIOKE, Oluyemi Peter
Keywords: Anti-Retroviral Therapy
HIV and AIDS
Cognitive - Behavioural Therapy
Issue Date: Aug-2014
Publisher: University of Ibadan
Abstract: Evidence has shown that adherence to treatment is low among people living with HIV/AIDS (PLWHAs) in Sub Saharan Africa including Nigeria. However, psychosocial determinants of adherence and effectiveness of psychotherapy have not been fully explored. This study therefore, investigated determinants and the effectiveness of modified cognitive-behavioural intervention (M-CBI) on adherence among PLWHAs in Ibadan, Nigeria. The study was anchored on self-efficacy and cognitive-behavioural models and was conducted in two phases. First phase adopted ex-post facto design. Simple random sampling technique was used to select 548 (Males = 154; Females = 394) participants receiving anti-retroviral therapies (ART) in President’s Emergency Plan for AIDS Relief at the University College Hospital, Ibadan. Quantitative data were collected from participants through standardized questionnaire which measured variables such as; stigma and discrimination, social support, self-efficacy, depression, anxiety, religiosity, sexual risk behaviour, pattern of daily feeding and educational level. The second stage involved pre-test-post-test quasi experimental control group design. Fifty participants were purposefully selected from those who met inclusion criteria for phase two and were randomly assigned to two groups (Intervention = 25 and Control = 25) to test for the efficacy of M-CBI on adherence. The intervention group received behavioural change education. Self-efficacy training and cognitive restructuring were also included in the intervention package. Data were analyzed using descriptive and inferential statistics at P < 0.05. Respondents mean age was 39.5 ± 12.7 SD. Adherence was 76.4% among all the participants in stage one and psychosocial factors influenced adherence to treatment in PLWHAs. Adequate social support predicted better adherence to treatment (Odd Ratio {OR} = 2.99, CI = 1.63 - 5.48). The PLWHAs without depression reported better adherence compared to those who were depressed (OR=0.22, CI= 0.12 - 0.41) while engagement in sexual risk behaviour better predicted good adherence to treatment (OR=10.85, CI = 3.18 - 36.97). Access to minimum of three square meals enhanced good adherence (OR= 0.04, CI= 0.01 - 0.18). Educational qualification lower than secondary level revealed better adherence (OR = 2.75, CI = 1.31 - 5.75). The outcome of the intervention showed a significant increase in Adherence {F (2, 69) = 23.261} and knowledge of HIV management {F (2, 69) = 24.195} among intervention group compared to control group. Progressive reduction in depression and anxiety was reported among the intervention group compared to control group from post-test to follow-up of intervention {F (2, 69) = 19.289} and {F (2, 69) = 21.184} respectively. SPANOVA further established a significant effect of the intervention condition on Adherence {F (1, 46) = 7.191}. Modified cognitive-behavioural intervention is efficacious in improving adherence in PLWHAs. Priority importance should be attached to addressing socio-psychological factors that influence adherence to treatment.
URI: http://ir.library.ui.edu.ng:8080/jspui/handle/123456789/1328
Appears in Collections:Thesis

Files in This Item:
File Description SizeFormat 
Atibioke Oluyemi peter Final upload.pdfA THESIS IN THE DEPARTMENT OF PSYCHOLOGY, SUBMITTED TO THE FACULTY OF THE SOCIAL SCIENCES IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY OF THE UNIVERSITY OF IBADAN2.97 MBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.