한국어판 HIV 감염인의 건강관리 자기효능감 도구의 타당도와 신뢰도

Abstract

Purpose: This study evaluated the validity and reliability of Shively and colleagues’ self-efficacy questionnaire for HIV disease management skills (HIV-SE) among Korean participants. Method: The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson's correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability. Results: The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: “managing depression/mood,” “managing medications,” “managing symptoms,” “communicating with a healthcare provider,” “getting support/help,” and “managing fatigue.” The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom=2.49, root mean squsre error of approximation=.08, goodness-of-fit index=.76, adjusted goodness-of-fit index=.71, Tucker-Lewis index=.84, and comparative fit index=.86). The internal consistency reliability (Cronbach’s α=.91) and test-retest reliability (intraclass correlation coefficient =.73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001). Conclusion: This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.