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.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/6821 |
| Date | 03 1900 |
| Creators | Saal, Wylene Leandri |
| Contributors | Kagee, S. A., Swart, H., University of Stellenbosch. Faculty of Arts and Social Sciences. Dept. of Psychology. |
| Publisher | Stellenbosch : University of Stellenbosch |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | 86 p. |
| Rights | University of Stellenbosch |
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