Zhong Wenxi, Tan Dan, Zhang Xi, Cheng Jing, Cao Bianchuan, Tang Jian, Liu Mei, Fan Song, Hu WeiLi, Chen Yanhua
School of Nursing, Southwest Medical University, Luzhou, China.
Department of Pain, The Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou, China.
AIDS Behav. 2025 Mar;29(3):884-895. doi: 10.1007/s10461-024-04572-z. Epub 2024 Dec 19.
For adolescents infected with the Human Immunodeficiency Virus (HIV), transitioning from pediatric to adult healthcare requires thorough preparation to maintain care continuity and optimal health outcomes. In China, a dedicated scale for assessing their transition readiness is lacking. The HIV Adolescent Readiness for Transition Scale (HARTS) addresses this by evaluating transition readiness across vital domains, with its 15-item design predicting post-transition viral suppression-a key indicator of a successful transition. With no equivalent tool in China, the HARTS's cross-cultural adaptation holds significant potential for enhancing personalized transition strategies and health management. To validate the HIV Adolescent Readiness for Transition Scale (HARTS) among adolescents with HIV in China, the validation was conducted from October 2023 to February 2024, following a five-step process: translation and back-translation; content validity examination by 13 experts; pre-survey with 30 adolescents with HIV; test-retest reliability assessment with 40 adolescents with HIV over a 10-day interval; and structural validation using exploratory factor analysis, including principal component analysis and varimax orthogonal rotation, among 170 adolescents with HIV. The average content validity index of the scale was 0.99. The Cronbach's alpha value for the pre-survey was 0.767, and for test-retest reliability, the intra-class correlation coefficient (ICC) was 0.901. With a total of 15 items, the four factors that made up the scale-"Disclosure," "Health Navigation," "Self-Advocacy," and "Health Literacy"-explained 81.73% of the variation. With alpha values of 0.940, 0.917, 0.929, and 0.888 for each of the four domains, the scale's overall Cronbach's alpha value was 0.943. The Chinese version of HARTS demonstrates good reliability and validity, serving as a tool for assessing the medical transition readiness level of adolescents with HIV in China.
对于感染人类免疫缺陷病毒（HIV）的青少年而言，从儿科医疗过渡到成人医疗需要进行充分准备，以维持医疗护理的连续性并实现最佳健康结果。在中国，缺乏专门用于评估他们过渡准备情况的量表。HIV青少年过渡准备量表（HARTS）通过评估关键领域的过渡准备情况来解决这一问题，其15个项目的设计能够预测过渡后的病毒抑制情况，而这是成功过渡的一个关键指标。由于中国没有等效工具，HARTS的跨文化适应性对于加强个性化过渡策略和健康管理具有巨大潜力。为了在中国HIV青少年中验证HIV青少年过渡准备量表（HARTS），于2023年10月至2024年2月按照以下五步流程进行了验证：翻译与回译；由13名专家进行内容效度检查；对30名HIV青少年进行预调查；对40名HIV青少年在10天间隔内进行重测信度评估；以及对170名HIV青少年使用探索性因素分析（包括主成分分析和方差最大化正交旋转）进行结构效度验证。该量表的平均内容效度指数为0.99。预调查的Cronbach's alpha值为0.767，重测信度方面，组内相关系数（ICC）为0.901。该量表共有15个项目，构成该量表的四个因素——“信息披露”、“健康导航”、“自我倡导”和“健康素养”——解释了81.73%的变异。四个领域各自的alpha值分别为0.940、0.917、0.929和0.888，该量表的总体Cronbach's alpha值为0.943。HARTS中文版显示出良好的信度和效度，可作为评估中国HIV青少年医疗过渡准备水平的工具。
