Lynam Ian, Catley Delwyn, Goggin Kathy, Rabinowitz Joshua L, Gerkovich Mary M, Williams Karen, Wright Julie
Department of Psychology, University of Missouri-Kansas City, Kansas City, MO 64110, USA.
J Health Psychol. 2009 May;14(4):578-86. doi: 10.1177/1359105309103577.
The purpose of the current study was to examine the interrelationships between autonomous regulation (AR) and locus of control (LOC) and their prediction of Antiretroviral Therapy (ART) adherence among 189 HIV+ patients. Path analyses revealed that neither AR nor LOC directly predicted adherence although AR was indirectly related when mediated by self-efficacy. AR was positively related to internal and doctors LOC, but not related to chance or others LOC. Overall, results support Self-determination Theory's conceptualization of AR and indicate that AR may be a more robust predictor of medication adherence than LOC variables.
本研究的目的是检验189名HIV阳性患者的自主调节(AR)与控制点(LOC)之间的相互关系,以及它们对抗逆转录病毒疗法(ART)依从性的预测作用。路径分析显示,AR和LOC均不能直接预测依从性,尽管在自我效能的介导下,AR存在间接关联。AR与内控点和医生控制点呈正相关,但与机遇控制点或他人控制点无关。总体而言,研究结果支持了自我决定理论对AR的概念化,并表明AR可能是比LOC变量更强有力的药物依从性预测指标。