title: Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.
authors.forename: Gwang Suk
authors.initials: GS
authors.lastname: Kim
authors.affiliation: Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.
authors.forename: Sang Hui
authors.initials: SH
authors.lastname: Chu
authors.affiliation: Department of Nursing, Youngdong University, Youngdong, Korea. yhpark118@gmail.com.
authors.forename: Yunhee
authors.initials: Y
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, College of Medicine, Yonsei University, Seoul, Korea.
authors.forename: Jun Yong
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Division of Nursing, Yonsei University Health System, Seoul, Korea.
authors.forename: Jeong In
authors.initials: JI
authors.lastname: Lee
authors.affiliation: College of Nursing, University of Illinois at Chicago, Chicago, Illinois, U.S.A.
authors.forename: Chang Gi
authors.initials: CG
authors.lastname: Park
authors.affiliation: Health Systems Science · College of Nursing, University of Illinois at Chicago, Chicago, Illinois, U.S.A.
authors.forename: Linda L
authors.initials: LL
authors.lastname: McCreary
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D025341:Principal Component Analysis; D015397:Program Evaluation; D011594:Psychometrics; D056910:Republic of Korea; D012648:Self Care; D011795:Surveys and Questionnaires; D014175:Translating; D055815:Young Adult
keywords: HIV; Reliability; Self-care; Self-management; Validity