Designing a Community-Based Model of Adjustment Methods for Positive Prevention Based on Perceived Deterioration and Adherence Treatment Mediated by Coping Strategies in HIV-Positive Patients

Background: HIV is one of humanity's greatest challenges and major health risk factors. Therefore, this study aimed to design a community-based model of adjustment methods for positive prevention based on perceived deterioration and treatment adherence mediated by coping strategies in HIV-positive patients.

Methods: The present study was a correlation study with a structural equation modeling design. The statistical population included all HIV-infected patients in Tehran, Iran, of which 250 people were selected as a sample from the patients referred to positive clubs under the supervision of the Welfare Organization. The Ways of Coping Questionnaire (WCQ), Psychosocial Adjustment to Illness Scale (PAIS), and Brief Illness Perception Questionnaire (IPQ) were used to collect data. The proposed model was evaluated using structural equation modeling method, and bootstrap method (AMOS software) was used to test indirect relationships.

Results: The proposed model after the correction has an acceptable fit with the data. All direct paths are statistically significant. Moreover, all indirect pathways (relationship of adjustment methods for positive prevention, perceived deterioration, and treatment adherence through coping strategies) were significant (P < 0.001).

Conclusion: Perceived deterioration and adherence treatment have a direct effect on psychosocial adjustment in HIV-positive patients. Coping strategies also have a direct effect on psychosocial adjustment in HIV-positive patients.