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The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample

Thesis (MSc)--University of Stellenbosch, 2011.

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Main Author: Saal, Wylene Leandri
Other Authors: Kagee, Ashraf
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2011
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access_status_str Open Access
author Saal, Wylene Leandri
author2 Kagee, Ashraf
author_browse Kagee, Ashraf
Saal, Wylene Leandri
author_facet Kagee, Ashraf
Saal, Wylene Leandri
author_sort Saal, Wylene Leandri
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MSc)--University of Stellenbosch, 2011.
format Thesis
id oai:scholar.sun.ac.za:10019.1/6821
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:38.662Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2011
publishDateRange 2011
publishDateSort 2011
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/6821 The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample Saal, Wylene Leandri Kagee, Ashraf Swart, Hermann University of Stellenbosch. Faculty of Arts and Social Sciences. Dept. of Psychology. Antiretroviral therapy ART Antiretroviral agents -- Therapeutic use Dissertations -- Psychology Theses -- Psychology Thesis (MSc)--University of Stellenbosch, 2011. ENGLISH ABSTRACT: The primary aim of the study was to determine the applicability of the theory of planned behaviour (TPB) in predicting adherence to ART among South African patients attending public health clinics. The second aim was to determine the relationship between self-reported adherence and viral load. The results from the hierarchical multiple regression analyses revealed that the linear combination of the variables of the TPB significantly explained 12% of the variance in intentions to adhere to ART. Perceived behavioural control was the only variable that significantly predicted intentions to adhere to ART. The inclusion of perceived stigma was not a useful addition to the model. The results also reflect the relationship between intentions to adhere to treatment and self-reported adherence, which was not significant. The TPB was unable to significantly account for variance in self-reported treatment adherence. When perceived stigma was added to the TPB, the model was still unable to significantly explain variance in self-reported adherence. Nonetheless, attitudes towards treatment were the only variable that significantly accounted for variance in self-reported treatment. It was concluded that interventions aimed at improving adherence among South African patients attending public health clinics, should aim to encourage positive attitudes towards treatment, should aim to increase perceived subjective norms, should increase the patients’ perceptibility that they are able to be adherent and should aim to decrease perceived stigma. Improving adherence to ART can result in increasing the quality of life of patients living with HIV/AIDS. AFRIKAANSE OPSOMMING: Die primêre doel van die studie was om vas te stel of die teorie van beplande gedrag (TPB soos voorgestel in die studie) antiretrovirale terapie (ART) nakoming onder Suid-Afrikaanse pasiёnte by publieke gesondheidsklinieke kan voorspel. Die sekondêre doel was om die verhouding tussen self-gerapporteerde volgehoue behandeling en virale lading te bereken. Die uitslae van die hiёrargiese veelvuldige regressie analise het getoon dat die linêere kombinasie van die veranderlikes van TPB 12% van die verandering in ART voornemens akkuraat kon voorspel. Waargenome gedragsbeheer was die enigste veranderlike wat ART voornemens akkuraat kon verklaar het. Die insluiting van waargenome stigma was nie beduidend ten opsigte van die model nie. Geen beduidende verband tussen voorneme om met behandeling vol te hou en self-gerapporteerde volgehoue-behandelingsgedrag word uitgebeeld. Waargenome gedragsbeheer kon wel ‘n bydrae lewer om verandering in die voorneme om met behandeling vol te hou verklaar. Die TPB kon egter nie ‘n verduideliking bied vir die verandering in self-gerapporteerde volgehouebehandelingsgedrag nie. Toe waargenome stigma by die TPB gevoeg is, was die model steeds nie daartoe instaat om die verandering in self-gerapporteerde volgehouebehandelingsgedrag te verklaar nie. Nietemin, houdings teenoor behandeling was die enigste veranderlike wat verandering in self-gerapporteerde gedrag verklaar. Daar is tot die gevolgtrekking gekom dat intervensies gerig op die verbetering van volhoubare gedrag onder Suid-Afrikaanse pasiёnte wat openbare gesondheidsklinieke bywoon,positiewe houding teenoor behandeling moet aanmoedig, subjektiewe norme verhoog, die pasiёnte se persepsie dat hulle instaat is om volhoubare gedrag kan toon moet verhoog en ook waargenome stigma moet verminder. Beter ART nakoming kan lei tot ‘n toename in die MIV/VIGS pasiёnt se kwaliteit van lewe. Masters 2011-03-04T14:51:18Z 2011-03-14T08:44:37Z 2011-03-04T14:51:18Z 2011-03-14T08:44:37Z 2011-03 Thesis http://hdl.handle.net/10019.1/6821 en_ZA University of Stellenbosch 86 p. application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Antiretroviral therapy
ART
Antiretroviral agents -- Therapeutic use
Dissertations -- Psychology
Theses -- Psychology
Saal, Wylene Leandri
The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title_full The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title_fullStr The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title_full_unstemmed The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title_short The applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy (ART) among a South African sample
title_sort applicability of the theory of planned behaviour in predicting adherence to antiretroviral therapy art among a south african sample
topic Antiretroviral therapy
ART
Antiretroviral agents -- Therapeutic use
Dissertations -- Psychology
Theses -- Psychology
url http://hdl.handle.net/10019.1/6821
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