Document Detail

Reliability and validity of two HIV/AIDS-specific quality of life instruments adapted for use in HIV-positive Zimbabweans.
MedLine Citation:
PMID:  19444668     Owner:  NLM     Status:  MEDLINE    
We sought to assess the reliability and construct validity of the HIV/AIDS-Targeted Quality of Life instrument (HAT-QoL) and the Medical Outcomes Study HIV Health Survey (MOS-HIV) adapted for use in Shona-speaking rural Zimbabwe. HAT-QoL and MOS-HIV were translated and culturally adapted into Shona, and administered to a convenience-sample of 400 patients with HIV-related opportunistic infections. HIV disease severity and bereavement history were assessed. Factor analysis of the HAT-QoL items produced seven factors that were nearly identical to the factor structure reported for an American sample that was the basis for the current HAT-QoL scales. Factor analysis of the MOS-HIV scales resulted in a single factor, not the expected two-factor structure (physical and mental). Convergent and discriminant validity assessments confirmed, in general, that similar Shona HAT-QoL and MOS-HIV dimensions were correlated and dissimilar ones not correlated. Construct validity assessments indicated that, on the whole, most Shona HAT-QoL and MOS-HIV dimensions were capturing anticipated subgroup differences. The exceptions were the Shona MOS-HIV dimensions of general health perceptions, cognitive function, and the quality of life (QoL) item. The reliability and validity of most Shona-adapted HAT-QoL and MOS-HIV dimensions suggest that both instruments are likely useful in measuring the QoL of rural, Shona-speaking populations in Zimbabwe, Mozambique, Zambia, and Botswana.
Tonya N Taylor; Curtis Dolezal; Susan Tross; William C Holmes
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  AIDS care     Volume:  21     ISSN:  1360-0451     ISO Abbreviation:  AIDS Care     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8915313     Medline TA:  AIDS Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  598-607     Citation Subset:  IM; X    
HIV Center for Clinical and Behavioral Studies at New York State Psychiatric Institute, Columbia University, New York, NY, USA.
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MeSH Terms
HIV Infections / psychology*
Health Status Indicators*
Middle Aged
Quality of Life*
Reproducibility of Results
Rural Health
Young Adult
Grant Support
1R03-MH 62250-01/MH/NIMH NIH HHS; P30-MH 43520/MH/NIMH NIH HHS; T32 MH 19139/MH/NIMH NIH HHS

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