title: Reliability and validity of the Chinese version of the HIV Treatment Adherence Self-Efficacy Scale in mainland China.
abstract: The aim of this study was to translate the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES) and evaluate its reliability and validity in people living with HIV (PLWHIV) in mainland China. The original HIV-ASES was translated from English into Chinese and adapted for cultural context according to cross-cultural adaptation guidelines. A cross-sectional survey investigating 1742 PLWHIV receiving antiretroviral treatment was conducted. Exploratory factor analysis with varimax rotation confirmed the presence of two factors with an accumulated contribution rate of 58.357%. Furthermore, confirmatory factor analysis revealed the model's goodness-of-fit index. The comparative fit index was greater than 0.9 and the overall efficacy of the model was satisfactory. The Cronbach α coefficient of the questionnaire was 0.876 (95% CI: 0.868-0.885), and the correlation coefficient of each item and the total was 0.536-0.660 ( P < 0.01). The Chinese version of the HIV-ASES has high reliability and validity; however, the individual item requires some adjustment.
authors.affiliation: 1 Department of Social Medicine and Health Service Management, College of Public Health, Zhengzhou University, Zhengzhou, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Sun
authors.affiliation: 1 Department of Social Medicine and Health Service Management, College of Public Health, Zhengzhou University, Zhengzhou, China.
authors.forename: Shu-Min
authors.initials: SM
authors.lastname: Yang
authors.affiliation: 2 Department of General Medicine, College of Public Health, Xinxiang Medical University, Xinxiang, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Wu
authors.affiliation: 3 Sanmenxia Center for Disease Control and Prevention, Sanmenxia, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Chen
authors.affiliation: 4 Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, China.
authors.forename: Chong-Jian
authors.initials: CJ
authors.lastname: Wang
authors.affiliation: 1 Department of Social Medicine and Health Service Management, College of Public Health, Zhengzhou University, Zhengzhou, China.
authors.forename: Xiao-Fang
authors.initials: XF
authors.lastname: Li
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D044466:Asian People / Q000523:psychology / Q000706:statistics & numerical data; D002681:China; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D011594:Psychometrics; D015203:Reproducibility of Results; D020377:Self Efficacy; D011795:Surveys and Questionnaires / Q000592:standards*; D000074822:Treatment Adherence and Compliance / Q000208:ethnology* / Q000523:psychology
chemical_list: D019380:Anti-HIV Agents
keywords: AIDS; Chinese; HIV; adherence self-efficacy