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The importance of domain-specific self-efficacy assessment for substance use and HIV care continuum outcomes among adults in an urban HIV clinic network.

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Title: The importance of domain-specific self-efficacy assessment for substance use and HIV care continuum outcomes among adults in an urban HIV clinic network.
Authors: Starks, Tyrel J., Skeen, Simone J., Jones, S. Scott, Millar, Brett M., Gurung, Sitaji, Ferraris, Christopher, Ventuneac, Ana, Parsons, Jeffrey T., Sparks, Martha A.
Source: AIDS Care. May2022, Vol. 34 Issue 5, p670-678. 9p. 2 Diagrams, 4 Charts.
Subjects: HIV infections, HIV-positive persons, Substance abuse, Viral load, Antiretroviral agents, Self-efficacy, Continuum of care, Drugs, Descriptive statistics, Metropolitan areas, Patient compliance, Path analysis (Statistics), Medical appointments
Geographic Terms: New York (State)
Abstract: Despite the prominence of self-efficacy as a predictor of antiretroviral therapy (ART) adherence, relatively little work has examined domain-specific associations with steps in the care continuum or the possibility that substance use may have domain-specific associations with self-efficacy. This study analyzed data from a sample of 174 people living with HIV recruited through three clinics in the New York City metro area. Consistent with hypotheses, path analysis showed that appointments kept and viral load were each predicted only by their respective domain-specific self-efficacy components (i.e., self-efficacy for keeping appointments, B = 0.01, p =.04; and self-efficacy for taking ART medications, B = −0.02, p <.01). Path models also indicated domain-specific associations with substance use. Self-efficacy for keeping appointments was negatively associated with severity of drug use (B = −1.81, p <.01); meanwhile, self-efficacy for taking ART medications was negatively associated with severity of alcohol use (B = −0.52, p <.01). Accordingly, studies assessing barriers to retention in the HIV care continuum should conduct multi-domain assessments of self-efficacy for differential associations with specific behaviors. Furthermore, HIV care providers might consider screening for domain-specific self-efficacy to identify patients at risk of drop-out and tailoring interventions to various care continuum domains. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The importance of domain-specific self-efficacy assessment for substance use and HIV care continuum outcomes among adults in an urban HIV clinic network.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Starks%2C+Tyrel+J%2E%22&quot;&gt;Starks, Tyrel J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Skeen%2C+Simone+J%2E%22&quot;&gt;Skeen, Simone J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jones%2C+S%2E+Scott%22&quot;&gt;Jones, S. Scott&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Millar%2C+Brett+M%2E%22&quot;&gt;Millar, Brett M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gurung%2C+Sitaji%22&quot;&gt;Gurung, Sitaji&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ferraris%2C+Christopher%22&quot;&gt;Ferraris, Christopher&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ventuneac%2C+Ana%22&quot;&gt;Ventuneac, Ana&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Parsons%2C+Jeffrey+T%2E%22&quot;&gt;Parsons, Jeffrey T.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sparks%2C+Martha+A%2E%22&quot;&gt;Sparks, Martha A.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. May2022, Vol. 34 Issue 5, p670-678. 9p. 2 Diagrams, 4 Charts.
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  Data: Despite the prominence of self-efficacy as a predictor of antiretroviral therapy (ART) adherence, relatively little work has examined domain-specific associations with steps in the care continuum or the possibility that substance use may have domain-specific associations with self-efficacy. This study analyzed data from a sample of 174 people living with HIV recruited through three clinics in the New York City metro area. Consistent with hypotheses, path analysis showed that appointments kept and viral load were each predicted only by their respective domain-specific self-efficacy components (i.e., self-efficacy for keeping appointments, B = 0.01, p =.04; and self-efficacy for taking ART medications, B = −0.02, p &lt;.01). Path models also indicated domain-specific associations with substance use. Self-efficacy for keeping appointments was negatively associated with severity of drug use (B = −1.81, p &lt;.01); meanwhile, self-efficacy for taking ART medications was negatively associated with severity of alcohol use (B = −0.52, p &lt;.01). Accordingly, studies assessing barriers to retention in the HIV care continuum should conduct multi-domain assessments of self-efficacy for differential associations with specific behaviors. Furthermore, HIV care providers might consider screening for domain-specific self-efficacy to identify patients at risk of drop-out and tailoring interventions to various care continuum domains. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=156835512
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2021.1904501
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 670
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Path analysis (Statistics)
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: New York (State)
        Type: general
    Titles:
      – TitleFull: The importance of domain-specific self-efficacy assessment for substance use and HIV care continuum outcomes among adults in an urban HIV clinic network.
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            NameFull: Skeen, Simone J.
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            – D: 01
              M: 05
              Text: May2022
              Type: published
              Y: 2022
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