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Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV

 Gwang Suk Kim  ;  Sang Hui Chu  ;  Yunhee Park  ;  Jun Yong Choi  ;  Jeong In Lee  ;  Chang Gi Park  ;  Linda L. McCreary 
 Journal of Korean Academy of Nursing (대한간호학회지), Vol.45(3) : 439-448, 2015 
Journal Title
 Journal of Korean Academy of Nursing (대한간호학회지) 
Issue Date
Adult ; Female ; HIV Infections/psychology* ; Humans ; Male ; Middle Aged ; Principal Component Analysis ; Program Evaluation ; Psychometrics ; Republic of Korea ; Self Care* ; Surveys and Questionnaires ; Translating ; Young Adult
HIV ; Reliability ; Self-care ; Self-management ; Validity
PURPOSE: The purpose of this study was to examine validity and reliability of Webel and colleagues' HIV Self-Management Scale when used with a Korean sample. METHODS: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients' self-rating as a "smart patient" measured using a visual analogue scale. Internal consistency was tested by Cronbach's alpha coefficients. RESULTS: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (χ²/df(₁₆₄)=1.66, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients' self-rated smart patient (r=.41). The subscale Cronbach's alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. CONCLUSION: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Gwang Suk(김광숙) ORCID logo https://orcid.org/0000-0001-9823-6107
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
Chu, Sang Hui(추상희) ORCID logo https://orcid.org/0000-0001-6877-5599
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