School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Robert Sobukwe Rd., Bellville 7535, South Africa.
Int J Environ Res Public Health. 2023 Feb 24;20(5):4061. doi: 10.3390/ijerph20054061.
There has been an increased focus on the mental health of adolescents living with HIV (ALHIV), because evidence shows that poor mental health outcomes are associated with lower rates of adherence and retention in HIV care. However, the research to date has predominantly focused on addressing mental health problems and reducing symptoms of mental illness rather than strengthening mental wellness [positive mental health]. Consequently, little is known about the critical mental wellness indicators that should be targeted in services for ALHIV. There is a need for valid and appropriate measures of mental wellness to drive research and provide evidence on the mental wellness needs of ALHIV that would inform service delivery as well as the monitoring and evaluation of treatment outcomes. To this end, we developed the Mental Wellness Measure for Adolescents Living with HIV (MWM-ALHIV) for ALHIV in the South African context. In this paper, we report on the findings from a cognitive interview study with nine ALHIV aged 15-19 years receiving treatment at a public healthcare facility in the Cape Metropole, South Africa. Through interviews, participants identified key issues related to the wording, relevance and understanding of the items and provided suggestions to improve the instrument's overall face validity.
目前，人们越来越关注感染艾滋病毒的青少年（ALHIV）的心理健康问题，因为有证据表明，心理健康状况不佳与艾滋病毒护理的遵医嘱率和保留率降低有关。然而，迄今为止的研究主要集中在解决心理健康问题和减轻精神疾病症状上，而不是加强心理健康[积极心理健康]。因此，人们对应该在针对 ALHIV 的服务中针对的关键心理健康指标知之甚少。需要有效的和适当的心理健康衡量标准来推动研究，并提供关于 ALHIV 心理健康需求的证据，从而为服务提供以及治疗结果的监测和评估提供信息。为此，我们在南非背景下为 ALHIV 开发了《艾滋病毒感染者青少年心理健康量表》（MWM-ALHIV）。在本文中，我们报告了对在南非开普敦大都市地区一家公立医疗保健机构接受治疗的 9 名年龄在 15 至 19 岁的 ALHIV 进行的认知访谈研究的结果。通过访谈，参与者确定了与项目措辞、相关性和理解相关的关键问题，并提出了改进该工具整体表面效度的建议。
