Conceptual Development of an Instrument to Measure the Internalized Stigma of AIDS Based on the Roy Adaptation Model

Abstract

In this column the author describes the development of an instrument to measure internalized stigma of HIV/AIDS based on the self-concept adaptive mode of the Roy adaptation model. The Internalized Stigma of AIDS Tool is a 10-item instrument that is derived from the physical self (body sensation and image) and personal self (self-consistency, self-ideal and moral-ethical-spiritual self) as set forth by Roy. An overview of the Roy adaptation model and the theory of the person as an adaptive system illustrates how this instrument was derived.

Keywords

HIV/AIDS Internalized Stigma of AIDS Tool Roy adaptation model

Get full access to this article

View all access options for this article.

References

Andrews

H. A.

Roy

(1991). Essentials of the Roy adaptation model. In Roy

Andrews

H. A.

(Eds.), The Roy adaptation model: The definitive statement (pp. 3-25). Norwalk, CT: Appleton & Lange.

Barone

S. H.

Roy

C. L.

Frederickson

K. C.

(2008). Instruments used in Roy adaptation model-based research: review, critique, and future directions. Nursing Science Quarterly, 21, 353-362.

Brown

Macintyre

Trujillo

(2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15(1), 49-69.

Crowley

J. S.

Guni

(2004). Background on HIV/AIDS stigma. In Holloway

Seaton

Crowley

(Eds.), HIV/AIDS stigma: Theory, reality, and response (pp. 2-8). Rockville, MD: Health Resources and Services Administration.

Fawcett

(1999). The relationship of theory and research. Philadelphia: F. A. Davis.

Giudici

K. V.

Duran

A. C.

Jaime

P. C.

(2010). Self-reported body changes and associated factors in persons living with HIV. Journal of Health, Population, and Nutrition, 28, 560-566.

Goffman

(1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall.

Gottlieb

M. S.

Schroff

Schanker

H. M.

Weisman

J. D.

Fan

P. T.

Wolf

R. A.

. (1981). Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men: Evidence of a new acquired cellular immunodeficiency. New England Journal of Medicine, 305, 1425-1431.

Helson

(1964). Adaptation-level theory. New York: Harper & Row.

10.

Herek

G. M.

(1999). AIDS and stigma. American Behavioral Scientist, 42, 1106-1116.

11.

Herek

G. M.

Capitanio

J. P.

Widaman

K. F.

(2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. American Journal of Public Health, 92, 371-377.

12.

Jones

E. E.

Farina

Hastorf

A. H.

Markus

Miller

D. T.

Scott

R. A.

. (1984). Social stigma: The psychology of marked relationships. New York: W.H. Freeman.

13.

Phillips

K. D.

Moneyham

Tavakoli

(in press). Development of an instrument to measure internalized stigma of HIV/AIDS. Issues in Mental Health Nursing.

14.

Quagliarello

(1982). The acquired immunodeficiency syndrome: Current status. Yale Journal of Biology and Medicine, 55, 443-452.

15.

Rodgers

Leslie

K. S.

(2011). Skin infections in HIV-infected individuals in the era of HAART. Current Opinion in Infectious Diseases, 24(2), 124-129.

16.

Roy

(2008). Adversity and theory: The broad picture. Nursing Science Quarterly, 21, 138-139.

17.

Roy

Andrews

H. A.

(1999). The Roy adaptation model (2nd ed.). Stamford, CT: Appleton & Lange.