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06.04.2019 | Original Paper

Measuring Adolescent HIV Self-management: An Instrument Development Study

verfasst von: Talitha Crowley, Anita Van der Merwe, Martin Kidd, Donald Skinner

Erschienen in: AIDS and Behavior | Ausgabe 2/2020

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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.

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Titel: Measuring Adolescent HIV Self-management: An Instrument Development Study
verfasst von: Talitha Crowley
Anita Van der Merwe
Martin Kidd
Donald Skinner
Publikationsdatum: 06.04.2019
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 2/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-019-02490-z

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Measuring Adolescent HIV Self-management: An Instrument Development Study

Abstract

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