Measuring HIV self-management in women living with HIV/AIDS: a psychometric evaluation study of the HIV Self-management Scale.

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Allison R WebelChristopher J Burant

Abstract

To develop and validate the HIV Self-management Scale for women, a new measure of HIV self-management, defined as the day-to-day decisions that individuals make to manage their illness. The development and validation of the scale was undertaken in 3 phases: focus groups, expert review, and psychometric evaluation. Focus groups identified items describing the process and context of self-management in women living with HIV/AIDS (WLHA). Items were refined using expert review and were then administered to WLHA in 2 sites in the United States (n = 260). Validity of the scale was assessed through factor analyses, model fit statistics, reliability testing, and convergent and discriminate validity. The final scale consists of 3 domains with 20 items describing the construct of HIV self-management. Daily self-management health practices, social support and HIV self-management, and chronicity of HIV self-management comprise the 3 domains. These domains explained 48.6% of the total variance in the scale. The item mean scores ranged from 1.7 to 2.8, and each domain demonstrated acceptable reliability (0.72-0.86) and stability (0.61-0.85). Self-management is critical for WLHA, who constitute over 50% of people living with HIV/AIDS (PLWHA) a...Continue Reading

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Mar 14, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Joseph Perazzo, Allison Webel
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Apr 14, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Allison R WebelRobert A Salata
May 2, 2013·Social Science & Medicine·Allison R WebelRobert A Salata
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Apr 8, 2019·AIDS and Behavior·Talitha CrowleyDonald Skinner
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