Measuring adolescent HIV self-management: an instrument development study

Show simple item record 2022-08-17T13:26:46Z 2022-08-17T13:26:46Z 2019-11-01 en
dc.description.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 identifcation; (iii) item refnement through cognitive interviewing (n=11), expert review (n=11) and pilot testing (n=33); and (iv) psychometric evaluation (n=385). The fnal scale consists of fve 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-ft 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. en
dc.format.medium Print en
dc.subject SELF-MANAGEMENT en
dc.subject HIV/AIDS en
dc.subject SELF-MEDICATION en
dc.subject ADOLESCENTS en
dc.title Measuring adolescent HIV self-management: an instrument development study en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume April en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Social Aspects of Public Health en
dc.SourceTitle AIDS and Behavior en
dc.ArchiveNumber 11028 en
dc.URL en
dc.PageNumber Online en
dc.outputnumber 10131 en
dc.bibliographictitle Crowley, T., Van der Merwe, A., Kidd, M. & Skinner, D. (2019) Measuring adolescent HIV self-management: an instrument development study. AIDS and Behavior. April:Online. en
dc.publicationyear 2019 en
dc.contributor.author1 Crowley, T. en
dc.contributor.author2 Van der Merwe, A. en
dc.contributor.author3 Kidd, M. en
dc.contributor.author4 Skinner, D. en

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