Reliability and validity of the Functional Assessment of Human Immunodeficiency Virus Infection (FAHI) in patients with drug and alcohol use disorders

AIDS Care. 2013;25(1):118-25. doi: 10.1080/09540121.2012.687811. Epub 2012 May 30.

Abstract

Human Immunodeficiency Virus (HIV) and substance use disorders can both significantly impact a patient's quality of life (QOL), and it is, therefore, important to assess QOL throughout treatments for these chronic conditions. This study evaluated the psychometric properties of the Functional Assessment of Human Immunodeficiency Virus Infection (FAHI) in 170 HIV-positive patients who participated in a substance abuse treatment study. Internal consistency of the FAHI was good. Convergent and discriminant validity were generally supported with comparisons to other patient-reported measures. FAHI scores were not significantly associated with viral loads or CD4 counts, and they were similar in patients with and without AIDS. Patients who achieved longer durations of drug and alcohol abstinence during treatment reported better QOL post-treatment. The FAHI appears to be a reliable and valid measure for assessing QOL in HIV-positive patients with concurrent drug and alcohol use disorders.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • CD4 Lymphocyte Count
  • Female
  • HIV Infections / complications
  • HIV Infections / psychology*
  • Health Status Indicators*
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patients / psychology
  • Patients / statistics & numerical data
  • Psychometrics / methods*
  • Quality of Life / psychology*
  • Reproducibility of Results
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / psychology*
  • Surveys and Questionnaires
  • Viral Load