The Adolescent HIV Disclosure Cognition and Affect Scale: Preliminary Reliability and Validity

Globally, there are 2 million HIV-positive 10-19-year-olds. One challenge for this population is sharing their HIV status with others (onward HIV disclosure). There are no multi-item, multidimensional scales of HIV disclosure cognitions and affect for young people living with HIV. An 18-item measure...

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Bibliographic Details
Published in:Journal of pediatric psychology 2017-07, Vol.42 (6), p.711-720
Main Author: Evangeli, Michael
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Affect
Attitude to Health
Child
Cognition
Disclosure
Female
HIV Infections - psychology
Humans
Intention
Interpersonal Relations
Male
Psychological Tests
Psychometrics
Reproducibility of Results
Self Efficacy
Young Adult
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Summary:Globally, there are 2 million HIV-positive 10-19-year-olds. One challenge for this population is sharing their HIV status with others (onward HIV disclosure). There are no multi-item, multidimensional scales of HIV disclosure cognitions and affect for young people living with HIV. An 18-item measure of HIV disclosure cognition and affect was developed, administered to 65 adolescents living with HIV (aged 12-16 years). Data were explored using principal component analysis and preliminary construct and criterion validity assessed. Three factors were revealed: negative disclosure attitudes and feelings, self-efficacy, and positive disclosure attitudes and feelings. The full scale and its subscales were internally consistent. The total score showed statistically significant positive relationships with HIV disclosure in the past 6 months, HIV disclosure intention and self-perception. Preliminary evidence of the measure's good psychometric properties suggests it may be helpful in future clinical and research work.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsw107