Development of Long and Short Forms of the Multilevel Resilience Resource Measure for African American/Black Adults Living with HIV

AIDS Behav. 2022 Jul;26(7):2469-2484. doi: 10.1007/s10461-022-03579-8. Epub 2022 Jan 29.

Abstract

Understanding resilience in relation to HIV-related outcomes may help address racial/ethnic disparities, however, significant gaps in its measurement preclude in-depth study. Thus, this research aims to develop and evaluate the psychometric properties of long and short forms of the Multilevel Resilience Resource Measure for African American/Black Adults Living with HIV. To develop the items, we conducted a mixed methods study (N = 48) and reviewed published resilience measures. We completed content validity index analyses to ensure the items reflected the resilience construct. Next, we conducted 20 cognitive interviews and a field survey (N = 400). The long and short forms demonstrated acceptable to excellent psychometric properties based on factorial validity, internal consistency and convergent validity and on measurement invariance (conducted for the short form only). These measures provide a comprehensive framework to examine resilience and HIV-related outcomes and can inform resilience-building interventions to reduce racial and ethnic health disparities.

Keywords: Health equity and HIV; Multilevel; Reliability; Resilience; Validity.

MeSH terms

  • Adult
  • Black People
  • Black or African American* / psychology
  • HIV Infections* / psychology
  • Humans
  • Psychometrics
  • Racial Groups
  • Reproducibility of Results
  • Surveys and Questionnaires