A preliminary validation of the Brief COPE instrument for assessing coping strategies among people living with HIV in China

Infectious Diseases of Poverty

Jin-quan Cheng⁴  Zhang-ping Zhu⁷  Guang-lu Zhao³  Yan Zhang⁴  Jun-min Song⁴  Lin Chen⁴  De Liu⁸  Jun Liu¹  Chu-liang Liu¹  Xi Chen⁶  Tie-jian Feng³  KC Choi²  Winnie WS Mak⁹  Joseph TF Lau²  Xiao-you Su⁵ 

[1] Hengyang City CDC, Hengyang, Hunan Province, China;JC School of Public Health and Primary Care, The Chinese University of Hong Kong; CUHK Shenzhen Research Institute, Shenzhen, China;Shenzhen Chronic Disease Hospital, Shenzhen, China;Shenzhen CDC, Shenzhen, China;Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China;Hunan Province CDC, Hengyang, China;The 3rd Hospital, Hengyang, Hunan Province, China;The 5th Hospital, Hengyang, Hunan Province, China;Department of Psychology, The Chinese University of Hong Kong, Hong Kong, China

关键词: China;    Perceived Discrimination Scale for PLWH;    Perceived Social Support Scale;    Explanatory factor analysis;    Confirmatory factor analysis;    Brief COPE;    People living with HIV;   

Others  :  1225680
DOI  :  10.1186/s40249-015-0074-9

 received in 2015-04-10, accepted in 2015-09-02,  发布年份 2015

【 摘 要 】

Background

The Brief COPE instrument has been utilized to conduct research on various populations, including people living with HIV (PLWH). However, the questionnaire constructs when applied to PLWH have not been subjected to thorough factor validation.

Methods

A total of 258 PLWH were recruited from two provinces of China. They answered questions involving the scales of three instruments: the Brief COPE, the Perceived Social Support Scale, and the Perceived Discrimination Scale for PLWH. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted.

Results

The CFA found a poor goodness of fit to the data. The subsequent EFA identified six preliminary factors, forming subscales with Cronbach’s alphas, which ranged from 0.61 to 0.80. Significant correlation coefficients between the subscales and measures of perceived social support and perceived discrimination were reported, giving preliminary support to the validity of the new empirical factor structure.

Conclusion

This study showed that the original factor structure of the Brief COPE instrument, when applied to PLWH in China, did not fit the data. Thus, the Brief COPE should be applied to various populations and cultures with caution. The new factor structure established by the EFA is only preliminary and requires further validation.

【 授权许可】

   
2015 Su et al.

【 图 表 】

Fig. 1.

Fig. 2.

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