The Relation between Substance Use and Medication Adherence among HIV Positive Substance Users in Residential Treatment

dc.contributor.advisorMacPherson, Lauraen_US
dc.contributor.authorHoffman, Elana Michelleen_US
dc.contributor.departmentPsychologyen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2016-06-22T06:18:47Z
dc.date.available2016-06-22T06:18:47Z
dc.date.issued2015en_US
dc.description.abstractPoor medication adherence is problematic among HIV positive, low-income African-American substance users. Substance use has been shown to be associated with poor medication adherence, though we do not know the mechanism that underlies this relationship. Lack of positive environmental rewards and the propensity to discount delayed rewards may be possible mechanisms to explain this relationship. Using baseline data from a randomized controlled trial, we examined the relationships between substance use and medication adherence, testing both environmental rewards and delay discounting as independent mediators. There was a main effect of substance use on adherence, such that high frequency of substance use predicted poor adherence. There was also a main effect of environmental rewards on adherence, such that a lack of environmental reinforcement predicted poor adherence. This study shed light on the processes that contribute to low adherence, namely substance use and lack of environmental contingencies, and suggests important targets for intervention.en_US
dc.identifierhttps://doi.org/10.13016/M2FF52
dc.identifier.urihttp://hdl.handle.net/1903/18412
dc.language.isoenen_US
dc.subject.pqcontrolledPsychologyen_US
dc.subject.pquncontrolledBehavioral mediatorsen_US
dc.subject.pquncontrolledHIV/AIDSen_US
dc.subject.pquncontrolledMedication adherenceen_US
dc.subject.pquncontrolledSubstance useen_US
dc.titleThe Relation between Substance Use and Medication Adherence among HIV Positive Substance Users in Residential Treatmenten_US
dc.typeThesisen_US

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Hoffman_umd_0117N_17175.pdf
Size:
446.02 KB
Format:
Adobe Portable Document Format