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Introduction: HIV-positive patients require adherence to Antiretroviral therapy (ART) to control their disease. However, in Ternate City, ARV adherence remains low due to side effect fears, stigma, depression, and limited health service access. Therefore, this study analyzes the correlation between self-efficacy, action planning, and coping planning with ARV adherence in HIV-positive patients in Ternate City, North Maluku. Method: An observational, cross-sectional study used stratified random sampling of HIV-positive patients at five service centers, with data analyzed using the Spearman test. Results: Most respondents were aged 19-49 (94.9%), male (69.1%), held a high school education (57.3%), were self-employed (24.2%), and earned under 1 million rupiah per month (33.1%). Furthermore, self-efficacy (p=0.000; r=0.404), action planning (p=0.000; r=0.399), and coping planning (p=0.000; r=0.265) were significantly associated with ARV adherence. Conclusion: These findings suggest that self-efficacy, action planning, and coping planning benefit ARV adherence in HIV-positive patients.

Self-efficacy, action planning, and coping planning are significantly associated with ARV therapy adherence in HIV-positive patients in Ternate, Indonesia.These factors contribute to patients confidence, intention, and ability to overcome obstacles in adhering to their treatment.Therefore, interventions aimed at improving these aspects can enhance ARV adherence and ultimately improve health outcomes for individuals living with HIV.

Penelitian lebih lanjut perlu dilakukan untuk mengembangkan intervensi yang secara khusus menargetkan peningkatan self-efficacy, perencanaan tindakan, dan perencanaan mengatasi pada pasien HIV/AIDS di Ternate. Studi ini dapat berupa pengembangan program pelatihan yang disesuaikan dengan kebutuhan lokal, dengan fokus pada strategi praktis untuk mengatasi hambatan dalam kepatuhan pengobatan ARV. Selain itu, penelitian perlu mengeksplorasi peran dukungan sosial dan keluarga dalam memengaruhi ketiga faktor tersebut, serta bagaimana dukungan tersebut dapat dioptimalkan untuk meningkatkan kepatuhan pengobatan. Terakhir, penelitian kualitatif dapat dilakukan untuk memahami secara mendalam pengalaman dan persepsi pasien terkait dengan self-efficacy, perencanaan tindakan, dan perencanaan mengatasi, sehingga intervensi yang dikembangkan lebih relevan dan efektif. Penelitian-penelitian ini diharapkan dapat memberikan kontribusi signifikan dalam upaya pengendalian HIV/AIDS di Indonesia, khususnya di wilayah Ternate, dengan meningkatkan kualitas hidup dan kesehatan pasien.

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