Safer Conception Methods and Counseling: Psychometric Evaluation of New Measures of Attitudes and Beliefs Among HIV Clients and Providers.
With data from 400 HIV clients with fertility intentions and 57 HIV providers in Uganda, we evaluated the psychometrics of new client and provider scales measuring constructs related to safer conception methods (SCM) and safer conception counselling (SCC). Several forms of validity (i.e., content, face, and construct validity) were examined using standard methods including exploratory and confirmatory factor analysis. Internal consistency was established using Cronbach's alpha correlation coefficient. The final scales consisted of measures of attitudes towards use of SCM and delivery of SCC, including measures of self-efficacy and motivation to use SCM, and perceived community stigma towards childbearing. Most client and all provider measures had moderate to high internal consistency (alphas 0.60-0.94), most had convergent validity (associations with other SCM or SCC-related measures), and client measures had divergent validity (poor associations with depression). These findings establish preliminary psychometric properties of these scales and should facilitate future studies of SCM and SCC.
RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. mwoldets@rand.org.|Pardee RAND Graduate School, 1776 Main Street, Santa Monica, CA, USA. mwoldets@rand.org.
Mahlet Atakilt
MA
Woldetsadik
Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas, USA.|Schools of Medicine and Pharmacy, University of Missouri - Kansas City, Kansas, USA.
Kathy
K
Goggin
Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas, USA.|School of Medicine, University of Missouri - Kansas City, Kansas, USA.
Vincent S
VS
Staggs
Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Rhoda K
RK
Wanyenze
Department of Obstetrics and Gynecology, Mulago Hospital, Makerere University College of Health Sciences, Kampala, Uganda.
Jolly
J
Beyeza-Kashesya
Los Angeles Center for Culture and Health, University of California, Los Angeles, USA.
Deborah
D
Mindry
Department of Family Medicine, University of Kansas Medical Center, Kansas City, USA.
Sarah
S
Finocchario-Kessler
The AIDS Support Organization, Kampala, Uganda.
Sarah
S
Khanakwa
RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
Glenn J
GJ
Wagner
D000328:Adult; D001291:Attitude of Health Personnel; D003376:Counseling; D005163:Factor Analysis, Statistical; D005260:Female; D005298:Fertility; D005306:Fertilization; D015658:HIV Infections / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D011594:Psychometrics / Q000295:instrumentation* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D020377:Self Efficacy; D057545:Social Stigma; D014454:Uganda
HIV; Psychometric evaluation; Safer conception counseling; Safer conception methods; Uganda