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Measuring Adolescent HIV Self-management: An Instrument Development Study.
- Source :
- AIDS & Behavior; Feb2020, Vol. 24 Issue 2, p592-606, 15p, 1 Diagram, 5 Charts
- Publication Year :
- 2020
-
Abstract
- Adolescent HIV self-management is a complex phenomenon that has been poorly researched. A mixed-method explorative sequential research design was used to develop an instrument to measure adolescent HIV self-management in the context of the Western Cape, South Africa. The development and validation was undertaken in four phases: (i) individual interviews and focus groups with adolescents aged 13 to 18, their caregivers and healthcare workers (n = 56); (ii) item identification; (iii) item refinement through cognitive interviewing (n = 11), expert review (n = 11) and pilot testing (n = 33); and (iv) psychometric evaluation (n = 385). The final scale consists of five components with 35 items encompassing the construct of adolescent HIV self-management. The developed scale had acceptable reliability (0.84) and stability (0.76). Factor analysis indicated a good model-fit that support the structural validity (RMSEA = 0.052, p = 0.24; RMR = 0.065; CFI = 0.9). Higher self-management was associated with better HIV-related and general health outcomes, which supports the criterion- and convergent validity of the instrument. [ABSTRACT FROM AUTHOR]
- Subjects :
- CAREGIVERS
COGNITION
EXPERIMENTAL design
FACTOR analysis
FOCUS groups
HIV infections
INTERVIEWING
RESEARCH methodology
PSYCHOMETRICS
RELIABILITY (Personality trait)
RESEARCH evaluation
SELF-management (Psychology)
PILOT projects
STATISTICAL reliability
RESEARCH methodology evaluation
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 24
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 141453301
- Full Text :
- https://doi.org/10.1007/s10461-019-02490-z