Measuring Adolescent HIV Self-management: An Instrument Development Study.
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 w...
| Publicado en: | AIDS & Behavior Vol. 24; no. 2; pp. 592 - 607 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141453301&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141453301 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2020 vid: 24 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141453301 141453301 141453301 10.1007/s10461-019-02490-z 141453301 ppf: 592 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Measuring Adolescent HIV Self-management: An Instrument Development Study. aug: au: Crowley, Talitha Van der Merwe, Anita Kidd, Martin Skinner, Donald affil: Department of Nursing and Midwifery, Stellenbosch University, Cape Town, South Africa sug: subj: HIV Infections Therapy Self-Management Evaluation Instrument Construction Instrument Validation Psychometrics Human Adolescence Study Design South Africa Interviews Focus Groups Caregivers Health Personnel Cognition Pilot Studies Reliability Stability Factor Analysis Criterion-Related Validity Adolescent: 13-18 years ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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