scholarly journals A mixed methods study of perceived social support based on the medical outcomes study social support survey in adults with repeated challenges with HIV medication adherence

2016 ◽  
Author(s):  
◽  
Deborah A. Mercier

Numerous research studies in the HIV literature have documented social support as a key factor influencing adherence to antiretroviral therapy (ART). This is one of only a few studies to examine perceived social support among adults living with HIV who have had repeated challenges with medication adherence. A secondary analysis of quantitative and qualitative data from two intervention studies was conducted using a mixed methods design. Two overarching themes were associated with the lack of social support: extreme isolation and constant turmoil. Subthemes, included loneliness, structural vulnerability, and emotional distress. Overall social support was low in this vulnerable group, especially when compared to the general population and to adults living with other chronic health conditions. Strong correlations existed between all social support subscales of the Medical Outcomes Study Social Support Survey (MOS-SSS). The strongest positive correlation was found between affectionate support and positive social interaction (r = .870, p = less than .0001). These data suggest that participants who frequently self-reported a lack of persons to spend time with socially often lacked positive, supportive relationships in their lives. No significant variation was found between self-reported overall social support or subscale scores based on age or health variables. Convergent qualitative data excerpts corresponded with low quantitative social support scores in every dimension, confirming that adults living with HIV who repeatedly struggle with taking life-long HIV medications lack social support in many areas of their lives.

2021 ◽  
Vol 12 ◽  
Author(s):  
Feifei Huang ◽  
Wei-Ti Chen ◽  
Sai Htun Lin ◽  
Min San Tun ◽  
Thet Wai Nwe ◽  
...  

Introduction: Valid and reliable instruments are crucial for measuring perceived social support among people living with HIV (PLHIV). We aimed to investigate the psychometric properties of the English version of the 19-item Medical Outcomes Study Social Support Survey (MOS-SSS) adapted for PLHIV in Myanmar.Methods: Based on a standard cross-cultural procedure, we adapted the MOS-SSS and formed a Myanmar version of the scale (MOS-SSS-M), and then tested its validity and reliability. A sample of 250 eligible PLHIV was collected from a closed Facebook group that included more than 10,000 Myanmars, most of whom were PLHIV.Results: The MOS-SSS-M achieved a Cronbach’s α of 0.82–0.95. Confirmatory factor analysis revealed an acceptable fit index for the four-factor structure. Construct validity was demonstrated by significant association with self-reported HIV stigma and stress levels, and further confirmed by the findings of Rasch analysis.Conclusion: The MOS-SSS-M with a four-factor structure can be used to measure the level and categories of perceived social support among PLHIV in Myanmar.


2012 ◽  
Vol 5 (1) ◽  
pp. 142-150 ◽  
Author(s):  
Nora Helena Londoño Arredondo

Perceived social support is considered to be a variable of great importance in the health – disease continuum. Perceived social support refers to one’s confidence that social support or resources are available if needed. The objectives of this research study were to (1) translate and culturally adapt the Medical Outcomes Study – Social Support Survey (MOS; Sherbourne y Stewart, 1991) for the Colombian population, and (2) validate the Colombian version of the MOS. The survey instrument measures perceived social support and was developed for a study of outcomes in patients with chronic disease. The sample consisted of 179 participants (36.7% men and 63.3% women), mean age 38.4 (SD =15.2, range 17 to 86 years) recruited from different cities in Colombia. The results indicated a favorable Cronbach's alpha between components ranging from .921 to .736. A confirmatory analysis was conducted, obtaining a favorable structure for both 4 and 3 factors.


2017 ◽  
Vol 16 (8) ◽  
pp. 753-761 ◽  
Author(s):  
Lyne Chamberlain

Background: Rehospitalization of heart failure patients is often considered the result of inadequate self-care yet only one study documents superior outcomes with better self-care. Aims: If inadequate self-care is related to hospitalizations, then hospitalized heart failure patients should have lower self-care skills than non-hospitalized patients. The purpose of this study was to evaluate perceived social support and self-care characteristics of patients hospitalized with an exacerbation of heart failure. The self-care of heart failure index (SCHFI) and medical outcomes study of social support (MOS-SS) were the key instruments used in the research. Methods and results: This descriptive study used t tests and multiple regression to analyze the data. Results were compared with non-hospitalized heart failure patients in another study. Perceived social support ( t=−4.007, df=211, P<0.001) and self-care maintenance ( t=−3.343, df=220, P<0.002) scores were lower in the hospitalized participants than the comparison group. Self-care confidence was the only variable significantly related to perceived social support ( β=0.210, t=2.210, P<0.30). Conclusions: This study supports the premise that heart failure rehospitalizations are related to inadequate self-care.


2014 ◽  
Vol 13 (3) ◽  
pp. 683-689 ◽  
Author(s):  
Gema Costa-Requena ◽  
Rafael Ballester Arnal ◽  
Francisco Gil

AbstractObjective:In the biopsychosocial approach, perceived social support has served as a protective factor for psychological adjustment to cancer. This study aimed to determine the influence of different coping responses and health-related quality of life (HRQoL) domains on perceived social support during cancer treatment.Method:A cross-sectional analysis was carried out in a sample of 757 cancer outpatients. The Medical Outcomes Study Social Support Survey (MOS–SSS) was employed to assess perceived social support. The Mental Adjustment to Cancer (MAC) Scale measured coping response, and HRQoL was tested with the Medical Outcomes Study Short Form–36 (SF–36). Multivariate analyses were carried out to examine the extent to which coping and HRQoL were associated with perceived social support.Results:Coping response explained only 2% of the variance in perceived social support, but Hopelessness had a significant influence on perceived social support (p ≤ 0.01). HRQoL, physical, and mental domains made a significant contribution toward perceived social support, accounting for around 10% of total variance. More than coping response, HRQoL's physical and mental domains had an important influence on perceived social support during cancer treatment.Significance of Results:The findings of the current study report the importance of HRQoL domains in predicting perceived social support during cancer treatment, emphasizing the holistic and multidisciplinary approach to facilitate adjustment to cancer.


Author(s):  
Cathy D. Sherbourne ◽  
Anita L. Stewart

2018 ◽  
Author(s):  
Anne E. Kazak ◽  
Wei-Ting Hwang ◽  
Fang Fang Chen ◽  
Martha A. Askins ◽  
Olivia Carlson ◽  
...  

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