A mixed methods approach to adapting and evaluating the functional assessment of HIV infection (FAHI), Swahili version, for use with low literacy populations
| Autor: | Charles R. Newton, Amin S. Hassan, Amina Abubakar, Janet Thoya, Rachael Odhiambo, Fons J. R. van de Vijver, Antipa Sigilai, Moses K. Nyongesa |
|---|---|
| Přispěvatelé: | Leerstoel Baar, Development and Treatment of Psychosocial Problems, Department of Culture Studies, Rapid Social and Cultural Transformation: Online & Offline, Kamat, R |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
RNA viruses
Questionnaires Male Gerontology Research Validity Psychometrics lcsh:Medicine Social Sciences HIV Infections ComputingMilieux_LEGALASPECTSOFCOMPUTING Pathology and Laboratory Medicine Biochemistry 0302 clinical medicine Immunodeficiency Viruses Surveys and Questionnaires Content validity Psychology Medicine 030212 general & internal medicine lcsh:Science Multidisciplinary Agricultural and Biological Sciences(all) 030503 health policy & services HIV diagnosis and management Research Assessment 3. Good health Convergent validity Medical Microbiology Research Design Viral Pathogens Scale (social sciences) Viruses Infectious diseases Female Pathogens 0305 other medical science Research Article Clinical psychology Adult Viral diseases Research and Analysis Methods Microbiology Interviews as Topic 03 medical and health sciences Quality of life (healthcare) Literacy Cronbach's alpha Retroviruses Mental Health and Psychiatry Humans Microbial Pathogens Face validity Medicine and health sciences Survey Research business.industry Biochemistry Genetics and Molecular Biology(all) lcsh:R Lentivirus Organisms Biology and Life Sciences HIV Reproducibility of Results Construct validity Kenya Diagnostic medicine Health Care Quality of Life lcsh:Q business Genetics and Molecular Biology(all) |
| Zdroj: | PLOS ONE, 12:e0175021. PUBLIC LIBRARY SCIENCE PLoS ONE PLoS ONE, Vol 12, Iss 4, p e0175021 (2017) PLoS One, 12(4). Public Library of Science |
| ISSN: | 1932-6203 |
| Popis: | Background Despite bearing the largest HIV-related burden, little is known of the Health-Related Quality of Life (HRQoL) among people living with HIV in sub-Saharan Africa. One of the factors contributing to this gap in knowledge is the lack of culturally adapted and validated measures of HRQoL that are relevant for this setting. Aims We set out to adapt the Functional Assessment of HIV Infection (FAHI) Questionnaire, an HIV-specific measure of HRQoL, and evaluate its internal consistency and validity. Methods The three phase mixed-methods study took place in a rural setting at the Kenyan Coast. Phase one involved a scoping review to describe the evidence base of the reliability and validity of FAHI as well as the geographical contexts in which it has been administered. Phase two involved in-depth interviews (n = 38) to explore the content validity, and initial piloting for face validation of the adapted FAHI. Phase three was quantitative (n = 103) and evaluated the internal consistency, convergent and construct validities of the adapted interviewer-administered questionnaire. Results In the first phase of the study, we identified 16 studies that have used the FAHI. Most (82%) were conducted in North America. Only seven (44%) of the reviewed studies reported on the psychometric properties of the FAHI. In the second phase, most of the participants (37 out of 38) reported satisfaction with word clarity and content coverage whereas 34 (89%) reported satisfaction with relevance of the items, confirming the face validity of the adapted questionnaire during initial piloting. Our participants indicated that HIV impacted on their physical, functional, emotional, and social wellbeing. Their responses overlapped with items in four of the five subscales of the FAHI Questionnaire establishing its content validity. In the third phase, the internal consistency of the scale was found to be satisfactory with subscale Cronbach’s α ranging from 0.55 to 0.78. The construct and convergent validity of the tool were supported by acceptable factor loadings for most of the items on the respective sub-scales and confirmation of expected significant correlations of the FAHI subscale scores with scores of a measure of common mental disorders. Conclusions The adapted interviewer-administered Swahili version of FAHI questionnaire showed initial strong evidence of good psychometric properties with satisfactory internal consistency and acceptable validity (content, face, and convergent validity). It gives impetus for further validation work, especially construct validity, in similar settings before it can be used for research and clinical purposes in the entire East African region. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|