HIV Support Source: Development of a Distress Screening Measure for Adults with HIV.

To provide an effective, multidimensional, and psychometrically valid measure to screen for distress among people with HIV, we developed and assessed the psychometric properties of HIV Support Source, a distress screening, referral, and support program designed to identify the unmet needs of adults...

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Published in:AIDS & Behavior Vol. 28; no. 2; pp. 713 - 728
Main Authors: Zaleta, Alexandra K., Fortune, Erica E., Miller, Melissa F., Olson, Julie S., Hollis-Hansen, Kelseanna, Dohn, Stacey Karpen, Kwait, Jennafer L.
Format: research tables/charts Journal Article
Published: Springer Nature Feb2024
Online Access:View this record in EBSCOhost
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      dt: Feb2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-023-04261-3
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          Zaleta, Alexandra K.
          Fortune, Erica E.
          Miller, Melissa F.
          Olson, Julie S.
          Hollis-Hansen, Kelseanna
          Dohn, Stacey Karpen
          Kwait, Jennafer L.
        affil: https://ror.org/00tnycw03 Cancer Support Community, Research and Training Institute, 520 Walnut Street, Suite 1170, 19106, Philadelphia, PA, USA
      sug:
        subj:
          Instrument Construction
          Instrument Validation
          HIV-Positive Persons Psychosocial Factors
          Psychological Distress Evaluation
          Psychometrics Evaluation
          Support, Psychosocial
          Human
          United States
          Validation Studies
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Funding Source
          Descriptive Statistics
          Factor Analysis
          Depression
          Anxiety
          Questionnaires
          Reliability and Validity
          Nonparametric Statistics
          ROC Curve
          Internal Consistency
          Psychological Well-Being
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: To provide an effective, multidimensional, and psychometrically valid measure to screen for distress among people with HIV, we developed and assessed the psychometric properties of HIV Support Source, a distress screening, referral, and support program designed to identify the unmet needs of adults with HIV and link them to desired resources and support. Development and testing were completed in three phases: (1) item generation and initial item pool testing (N = 375), (2) scale refinement via exploratory factor analysis (N = 220); external/internal item quality, and judging theoretical and practical implications of items, and (3) confirmatory validation (N = 150) including confirmatory factor analysis along with reliability and validity analyses to corroborate dimensionality and psychometric properties of the final measure. Nonparametric receiver operating characteristic (ROC) curve analyses determined scoring thresholds for depression and anxiety risk subscales. The final measure comprises 17-items representing four domains of concern: emotional well-being, financial and practical needs, physical well-being, and HIV treatment and sexual health, plus one screening item assessing tobacco and substance use. Our analyses showed strong internal consistency reliability, a replicable factor structure, and adequate convergent, discriminant, and known groups validity. Sensitivity of 2-item depression and 2-item anxiety risk subscales was 0.90 and 0.79, respectively. HIV Support Source is a reliable and valid multidimensional measure of distress that also screens for risk for clinically significant depression and anxiety. It can be implemented within a distress screening, referral, and follow-up program to rapidly assess and support the unmet needs of adults with HIV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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