A validation of the religious and spiritual struggles scale among young people living with HIV in Zimbabwe: Mokken scale analysis and exploratory factor analysis.

Wüthrich-Grossenbacher, Ursula; Mutsinze, Abigail; Wolf, Ursula; Maponga, Charles Chiedza; Midzi, Nicholas; Mutsaka-Makuvaza, Masceline Jenipher; Merten, Sonja (2023). A validation of the religious and spiritual struggles scale among young people living with HIV in Zimbabwe: Mokken scale analysis and exploratory factor analysis. Frontiers in psychology, 14, p. 1051455. Frontiers Research Foundation 10.3389/fpsyg.2023.1051455

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INTRODUCTION

Religious/spiritual convictions and practices can influence health- and treatment-seeking behavior, but only few measures of religiousness or spirituality have been validated and used outside of the US. The Religious and Spiritual Struggles scale (RSS) measures internal and external conflict with religion and spirituality and has been validated mainly in different high-income contexts. The aim of this study was the validation of the RSS in the Zimbabwean context and among young people living with human immunodeficiency virus (YPLHIV) aged 14-24.

METHODS

Data collection with an Open Data Kit (ODK) questionnaire with 804 respondents took place in 2021. The validation was performed by confirmatory factor analysis (CFA), using statistical equation modeling (SEM), and Mokken scale analysis (MSA). After the low confirmability of the original scale sub-dimensions exploratory factor analysis (EFA) was applied.

RESULTS

The EFA resulted in four new sub-domains that were different from the original six domains in the RSS but culturally more relevant. The new sub-domains are significantly related to health.

DISCUSSION

The findings support the validity and relevance of the RSS and the new sub-domains in this context. As our study was limited to YPLHIV, further validation of the RSS among different population groups and contexts in the sub-Saharan region is encouraged.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of Complementary and Integrative Medicine (IKIM)

UniBE Contributor:

Wolf, Ursula

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1664-1078

Publisher:

Frontiers Research Foundation

Language:

English

Submitter:

Pubmed Import

Date Deposited:

08 May 2023 14:26

Last Modified:

21 May 2023 02:25

Publisher DOI:

10.3389/fpsyg.2023.1051455

PubMed ID:

37143595

Uncontrolled Keywords:

HIV Zimbabwe adolescents living with HIV religion religious and spiritual struggles scale spiritual struggles validation

BORIS DOI:

10.48350/182358

URI:

https://boris.unibe.ch/id/eprint/182358

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