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Validating the Communicating Care Needs Tool for HIV (CCNT-HIV).

Sachiko Terui1, Joy V Goldsmith2, Jiangang Huang3

  • 1Department of Communication Studies, University of Georgia, Athens, Georgia, USA.

Journal of Health Communication
|October 24, 2023
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Summary

A new tool, the Communicating Care Needs Tool for HIV (CCNT-HIV), was developed to better assess health literacy in people with HIV (PWH). This tool shows promise in understanding the complex factors influencing HIV care and medication adherence.

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Area of Science:

  • Public Health
  • Health Communication
  • HIV/AIDS Research

Background:

  • Health literacy significantly impacts the HIV care continuum and epidemic control.
  • Existing reviews show inconsistent links between health literacy and HIV medication adherence.
  • Discrepancies in health literacy conceptualization and measurement may explain these mixed findings, failing to capture patients' real-world challenges.

Purpose of the Study:

  • To introduce and validate the Communicating Care Needs Tool for HIV (CCNT-HIV), a novel health literacy assessment.
  • To compare the CCNT-HIV with existing tools like the Brief Health Literacy Screening Tool (BRIEF) and the All Aspects of Health Literacy Scale (AAHLS).
  • To explore the multi-variable and collaborative impacts of stakeholders on patient health management within the context of HIV care.

Main Methods:

  • Principal component analysis was used to examine the structure of three health literacy tools: CCNT-HIV, BRIEF, and AAHLS.
  • Survey data from 118 persons with HIV (PWH) were analyzed.
  • Correlation analysis was performed to assess the relevance and validity of the identified components across the tools.

Main Results:

  • The CCNT-HIV yielded six principal components, while BRIEF had one, and AAHLS had three.
  • Correlation analyses confirmed the relevance of CCNT-HIV's components in relation to the other measures.
  • The findings support CCNT-HIV's utility in capturing a broader scope of health literacy.

Conclusions:

  • The CCNT-HIV offers a more comprehensive approach to measuring health literacy in persons with HIV (PWH).
  • This tool emphasizes the relational and collaborative aspects of health management, crucial for improving patient outcomes.
  • The study highlights the practical implications for using tailored health literacy tools to enhance patient care and management in HIV treatment.