Adaptation and validation of a questionnaire about risk behaviors for AIDS among drug users

• Autor(a) principal: Pechansky,Flavio
• Data de Publicação: 2002
• Outros Autores: Hirakata,Vânia, Metzger,David
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462002000300006
• topic: HIV seroprevalence; AIDS; Risk behaviors; Street drugs; Validation studies (publication type)

Objectives: To initiate the process of validation of an instrument based on an American self-reported questionnaire named RAB (Risk Assessment Battery) -- called CRA in its Brazilian version --, which covers aspects related to drug use, HIV testing, sexual behavior and concern with the transmission of the virus. The questionnaire was back-translated and its concurrent validity was tested, as well as the utility of an Overall Risk Score (ORS) for the transmission of the HIV virus or of subscores for Drug Use (SDU) or Sexual Risk (SSR). Methods: Case vignettes of ten typical cases had their questionnaire scores compared with the impression of independent referees. Results: There were systematic differences in the comparison with the specific referees for each area, suggesting that only the ORS has clinical validity, specifically regarding the exposure to risk of infection/reinfection by HIV. Conclusion: The questionnaire in its current use and format is not adequate to express impairment already caused by exposure to the virus. The specific subscores were not clinically valid to express such risk, and the instrument needs the addition of a more comprehensive section about intravenous drug use to be used in future studies.