Factor structure of the HIV-SM LMIC self-management questionnaire for people living with HIV in low- and middle-income countries
2024

HIV Self-Management Questionnaire for Low and Middle-Income Countries

Sample size: 561 publication Evidence: high

Author Information

Author(s): Dadi Tegene Legese, Medhin Girmay, Spigt Mark

Primary Institution: Hawassa University, Ethiopia

Hypothesis

This study aims to pilot and assess the construct validity of the HIV-SM LMIC questionnaire.

Conclusion

The study refined the original 32-item HIV-SM LMIC questionnaire to a validated 20-item, three-dimensional tool with an acceptable goodness of fit.

Supporting Evidence

  • The study involved 561 HIV patients across two rounds of data collection.
  • 12 items were dropped during the validation process based on statistical analysis and theoretical importance.
  • The final questionnaire consists of three dimensions: awareness and well-being, self-regulation, and self-management practices.

Takeaway

Researchers created a new questionnaire to help people with HIV manage their health better, and it was tested with many patients to make sure it works well.

Methodology

The validation involved two cross-sectional studies in Ethiopia, with exploratory factor analysis (EFA) on 261 patients and confirmatory factor analysis (CFA) on 300 patients.

Potential Biases

Potential bias due to patients' fear of judgment affecting their responses.

Limitations

Social desirability bias and urgency during interviews may have influenced responses.

Participant Demographics

Most participants were aged 30-39, predominantly female, with a significant portion below the extreme poverty line.

Digital Object Identifier (DOI)

10.1186/s12981-024-00676-7

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