Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA.
Ann Behav Med. 2010 Oct;40(2):176-83. doi: 10.1007/s12160-010-9194-4.
Self-reevaluation is one of the ten processes of change in the transtheoretical model and involves cognitive reappraisal of how behavior change is part of one's identity. Although self-reevaluation is a critical motivator for individuals in the contemplation stage of change, few studies have examined its impact on disease progression associated with sustained behavior change. This study investigated the contribution of self-reevaluation on sustained viral load improvement among 143 participants in a randomized controlled trial testing an eight-session intervention (Project Positive Living through Understanding and Support) designed to improve treatment adherence among HIV+ adults with alcohol problems. Participants' self-reevaluation scores at 3 months emerged as significant and independent predictors of sustained improvement in viral load at 6 months, over and above self-reported HAART dose adherence (p < 0.05). Results underscore the role of self-reevaluation as a critical factor in behavioral interventions and highlight its role in sustained change necessary to slow disease progression.
自我重新评估是跨理论模型中的十种变化过程之一，涉及对行为改变如何成为一个人身份的一部分进行认知再评估。尽管自我重新评估是处于改变考虑阶段的个体的关键激励因素，但很少有研究探讨其对与持续行为改变相关的疾病进展的影响。本研究调查了自我重新评估对 143 名参与随机对照试验的参与者持续病毒载量改善的贡献，该试验测试了一项旨在提高有酒精问题的 HIV 阳性成年人治疗依从性的八节干预措施（通过理解和支持积极生活项目）。参与者在 3 个月时的自我重新评估得分是 6 个月时病毒载量持续改善的显著和独立预测因素，超过了自我报告的抗逆转录病毒治疗剂量依从性（p<0.05）。结果强调了自我重新评估作为行为干预关键因素的作用，并突出了其在减缓疾病进展所需的持续变化中的作用。
