Measuring adolescent HIV self-management: an instrument development study
SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2019
TITLE AUTHOR(S): T.Crowley, A.Van der Merwe, M.Kidd, D.Skinner
KEYWORDS: ADOLESCENTS, HIV/AIDS, SELF-MANAGEMENT, SELF-MEDICATION
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 11028
HANDLE: 20.500.11910/14949
URI: http://hdl.handle.net/20.500.11910/14949
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2019
TITLE AUTHOR(S): T.Crowley, A.Van der Merwe, M.Kidd, D.Skinner
KEYWORDS: ADOLESCENTS, HIV/AIDS, SELF-MANAGEMENT, SELF-MEDICATION
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 11028
HANDLE: 20.500.11910/14949
URI: http://hdl.handle.net/20.500.11910/14949
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
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.-
Related Research Outputs:
- Highlights on HIV and AIDS statistics among 10 to 19 year olds in South Africa
- Adolescent HIV self-management: lived experiences of adolescents, caregivers, and health care workers in a South African context
- Development of a cultural and contextual appropriate HIV self-management instrument using interpretive phenomenology and focus group cognitive interviews
- Adolescent human immunodeficiency virus self-management: associations with treatment adherence, viral suppression, sexual risk behaviours and health-related quality of life
- Adolescent barriers to HIV prevention research: are parental consent requirements the biggest obstacle?
- Trends and correlates of HIV prevalence among adolescents in South Africa: evidence from the 2008, 2012 and 2017 South African National HIV Prevalence, Incidence and Behaviour surveys
- Pregnancy termination among South African adolescents
- What's changed?: the racial orientations of South African adolescents during rapid political change
- Adolescents perceptions of the future of South Africa: a 40 year perspective
- Report on the child and adolescent mental health policy guidelines workshop
- What puts adolescents at risk?
- Adolescence and youth: the challenge of violence in post-conflict South Africa
- Birth to twenty
- Report on the provincial round table: implementing the child & adolescent mental health policy guidelines
- Children and youth at risk: adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa
- Violent behaviour in adolescence: casual pathways, risk assessment and intervention
- Norms for South African Child and Adolescent Mental Health Services (CAMHS)
- Child and adolescent mental health service norms: a manual for costing
- Child and adolescent mental health norms: a manual for planning
- Trends in adolescent alcohol and other drug use: findings from three sentinel sites in South Africa (1997-2001)