A review of health behaviour theories : how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?

Munro, Salla A.; Lewin, Simon A.; Swart, Tanya; Volmink, Jimmy

A review of health behaviour theories : how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?

dc.contributor.author	Munro, Salla A.
dc.contributor.author	Lewin, Simon A.
dc.contributor.author	Swart, Tanya
dc.contributor.author	Volmink, Jimmy
dc.date.accessioned	2010-12-13T13:10:04Z
dc.date.available	2010-12-13T13:10:04Z
dc.date.issued	2007-06
dc.date.updated	2010-11-04T13:23:25Z
dc.description.abstract	Background: Suboptimal treatment adherence remains a barrier to the control of many infectious diseases, including tuberculosis and HIV/AIDS, which contribute significantly to the global disease burden. However, few of the many interventions developed to address this issue explicitly draw on theories of health behaviour. Such theories could contribute to the design of more effective interventions to promote treatment adherence and to improving assessments of the transferability of these interventions across different health issues and settings. Methods: This paper reviews behaviour change theories applicable to long-term treatment adherence; assesses the evidence for their effectiveness in predicting behaviour change; and examines the implications of these findings for developing strategies to improve TB and HIV/AIDS medication adherence. We searched a number of electronic databases for theories of behaviour change. Eleven theories were examined. Results: Little empirical evidence was located on the effectiveness of these theories in promoting adherence. However, several models have the potential to both improve understanding of adherence behaviours and contribute to the design of more effective interventions to promote adherence to TB and HIV/AIDS medication. Conclusion: Further research and analysis is needed urgently to determine which models might best improve adherence to long-term treatment regimens.	en_ZA
dc.description.version	Peer Reviewed
dc.format.extent	16 p.
dc.identifier.citation	Munro, S, Lewin, S, Swart, T & Volmink, J 2007, 'A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?', BMC Public Health, 7(1):104.	en_ZA
dc.identifier.issn	1471-2458
dc.identifier.other	http://dx.doi.org/10.1186/1471-2458-7-104
dc.identifier.uri	http://hdl.handle.net/10019.1/5072
dc.language.iso	en_ZA	en_ZA
dc.language.rfc3066	en
dc.publisher	BioMed Central	en_ZA
dc.rights.holder	Munro et al.; licensee BioMed Central Ltd.	en_ZA
dc.subject	HIV/AIDS	en_ZA
dc.subject	Tuberculosis	en_ZA
dc.subject	Behaviour change theories	en_ZA
dc.subject	Treatment adherence	en_ZA
dc.title	A review of health behaviour theories : how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?	en_ZA
dc.type	Article	en_ZA