Development and Validation of the HIV Medication Readiness Scale  

Oleh:

Balfour, Louise ; Tasca, Giorgio A. ; Kowal, John ; Corace, Kimberly ; Cooper, Curtis L. ; Angel, Jonathan B. ; Garber, Gary ; MacPherson, Paul A. ; Cameron, D. William

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Assessment vol. 14 no. 4 (Dec. 2007), page 408-416.
Topik: medication readiness; adherence; HAART; HIV; psychometric evaluation
Fulltext: 408.pdf (151.63KB)

Isi artikel

Excellent medication adherence (>95%) is required for optimal HIV treatment success. This study aimed to develop and validate a brief scale to assess psychological readiness for successfully starting and adhering to HIV medications. HIV-positive men and women (N= 142) from an HIV outpatient clinic completed the proposed HIV Medication Readiness Scale (HMRS) prior to starting HIV medications. The 10-item HMRS demonstrated high internal consistency (alpha = .90), test-retest reliability (r = .83), and sensitivity to change following a standardized 4-session psychoeducational intervention designed to increase readiness for successful adherence. Predictive validity was supported by higher readiness scores on the day starting HIV medications, predicting higher treatment adherence at 1-month follow-up. The HMRS is a brief, easy-to-use, clinically relevant tool that can assist in identifying people living with HIV at high risk of nonadherence, who might benefit from tailored readiness counseling prior to initiating HIV medications.

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