Assessing the Factor Structure and Psychometric Properties of the HIV-Related Resilience Screener: The GOLD Studies

AIDS Behav. 2023 May;27(5):1703-1715. doi: 10.1007/s10461-022-03902-3. Epub 2022 Nov 12.

Abstract

People who are 50 and older constitute the majority of those living with HIV/AIDS (PLWHA) in the US. Aging PLWHA face myriad biopsychosocial health challenges related to HIV/AIDS and the aging process. Resilience may act as a buffer to the negative impact of these challenges however measuring it among PLWHA has been inconsistent, so the HIV-Related Resilience Screener (HIV-RRS) was developed. Data for the present study are drawn from 250 sociodemographically diverse HIV-positive gay men ages 50-69 in NYC. Tests of reliability and validity were conducted, and an Exploratory Factor Analysis indicated a three-factor model was the most parsimonious solution. Items were examined for their underlying relationships and labeled: adaptive coping, optimism, and effective coping. The total HIV-RRS yielded a Cronbach's α of 0.84. Convergent and face validity were established using psychosocial and physical outcomes. The HIV-RRS is a psychometrically sound instrument to assess resilience among older HIV-positive gay men.

Keywords: Aging; Gay men; HIV; Psychometrics; Resilience.

MeSH terms

  • Acquired Immunodeficiency Syndrome* / psychology
  • HIV
  • HIV Infections* / diagnosis
  • HIV Infections* / psychology
  • Humans
  • Male
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires