Award Date
12-1-2024
Degree Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Department
Public Health
First Committee Member
Manoj Sharma
Second Committee Member
Neeraj Bhandari
Third Committee Member
Christopher Johansen
Fourth Committee Member
Kavita Batra
Number of Pages
188
Abstract
HIV/AIDS continues to be a significant public health problem in the US and globally. In the US, it disproportionately affects people of color. In 2012, Pre-exposure Prophylaxis (PrEP) was approved by the FDA for HIV prevention. PrEP reduces the chances of acquiring HIV by 99% among people at high risk. However, PrEP uptake among people of color remains low. Therefore, this study aimed to develop and test the predictability of an instrument to describe the intent to initiate and sustain PrEP use among people of color. This research utilized an exploratory sequential mixed methods design based on the fourth-generation, multi-theory model (MTM) of health behavior change. The first phase of the research involved qualitative interviews with people of color and directed content analysis to develop an instrument based on MTM for PrEP uptake behavior (n=12). The second phase involved the establishment of face validity, content validity, and qualitative construct validity through two rounds of expert panel validation. The third phase of the research involved quantitative testing of construct validity using structural equation modeling and predictive validity through hierarchical multiple regression (n=225). The findings revealed that the constructs of behavioral confidence (β=0.439, p
Keywords
HIV prevention; Instrument; Multi-theory Model; People of color; Pre-exposure Prophylaxis
Disciplines
Public Health | Science and Mathematics Education
File Format
File Size
3500 KB
Degree Grantor
University of Nevada, Las Vegas
Language
English
Repository Citation
Raich, Siddharth, "Development And Testing the Predictability of An Instrument Based on The Multi- Theory Model (MTM) Of Health Behavior Change for Pre-Exposure Prophylaxis (PREP) Uptake Among People of Color" (2024). UNLV Theses, Dissertations, Professional Papers, and Capstones. 5200.
http://dx.doi.org/10.34917/38330412
Rights
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