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Type: Artigo de periódico
Title: Validity And Reliability Of A Self-efficacy Expectancy Scale For Adherence To Antiretroviral Therapy For Parents And Carers Of Children And Adolescents With Hiv/aids [validação E Reprodutibilidade De Uma Escala De Auto-eficácia Para Adesão Ao Tratamento Anti-retroviral Em Pais Ou Cuidadores De Crianças E Adolescentes Vivendo Com Hiv/aids]
Author: Costa L.S.
Latorre M.D.R.D.D.O.
Da Silva M.H.
Bertolini D.V.
Machado D.M.
Pimentel S.R.
Marques H.H.D.S.
Abstract: Objective: To validate and evaluate the reproducibility of a self-efficacy (SE) scale for adherence to antiretroviral therapy in children and adolescents with HIV/AIDS, taking into account the perspective of parents/guardians. Methods: The study was carried out at the Hospital-Dia, Centro de Referência e Treinamento em DST/AIDS (CRT/SP), in São Paulo, Brazil. The parents/guardians of 54 children and adolescents aged 6 months to 20 years were interviewed during routine consultations at our service. Data on SE were collected using the Self-Efficacy for Following Anti-Retroviral Prescription Scale, and SE scores were calculated in two different ways: factor analysis and a predefined formula. The scale's internal consistency was verified using Cronbach's α coefficient. Validity was tested by comparing the mean scores of a group of patients who did adhere to antiretroviral treatment with those of a group that did not (Mann-Whitney test) and by calculating the Spearman correlation coefficient for agreement between scores and clinical parameters. Reproducibility was verified using the Wilcoxon test, intraclass correlation coefficients (ricc) and Bland-Altman plots. Results: The SE scale demonstrated good internal consistency (α = 0.87) and good reproducibility (r icc = 0.69 and r icc = 0.75). In terms of validity, the SE scale was capable of differentiating adherent patients from those who did not adhere to their antiretroviral treatment (p = 0.002) and exhibited a significant correlation with CD4 counts (r = 0.28; p = 0.04). Conclusions: The SE scale can be used to assess adherence to antiretroviral therapy in children and adolescents with HIV/AIDS, taking into account the perspective of parents/carers. Copyright © 2008 by Sociedade Brasileira de Pediatria.
Citation: Jornal De Pediatria. , v. 84, n. 1, p. 41 - 46, 2008.
Rights: aberto
Identifier DOI: 10.2223/JPED.1751
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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