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Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study

Thesis (MSc)--Stellenbosch University, 2023.

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Main Author: Dambi, Jermaine Matewu
Other Authors: Esterhuizen, Tonya
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2023
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access_status_str Open Access
author Dambi, Jermaine Matewu
author2 Esterhuizen, Tonya
author_browse Dambi, Jermaine Matewu
Esterhuizen, Tonya
author_facet Esterhuizen, Tonya
Dambi, Jermaine Matewu
author_sort Dambi, Jermaine Matewu
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MSc)--Stellenbosch University, 2023.
format Thesis
id oai:scholar.sun.ac.za:10019.1/128686
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:26.849Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/128686 Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study Dambi, Jermaine Matewu Esterhuizen, Tonya Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Epidemiology and Biostatistics. Exercise -- Psychological aspects HIV-positive persons -- Psychology Exercise -- Physiological aspects Exercise -- Health aspects UCTD Thesis (MSc)--Stellenbosch University, 2023. ENGLISH SUMMARY: Objectives: Despite the widely known benefits of physical activity (PA), only 25% of people living with HIV (PLHIV) meet the WHO-recommended minimum PA levels. With the need to promote PA, there is a need to objectively measure PA, including understanding context-specific barriers, facilitators, and general awareness of the importance of PA. This study aimed to translate and validate the Shona version of the Exercise Benefits and Barriers Scale (EBBS) in Zimbabwean PLHIV. Design: cross-sectional study. Setting: Four (4/9) randomly selected polyclinics (primary healthcare facilities) in urban Harare, Zimbabwe. Participants: We recruited adult patients (aged ≥ 18 years) with a confirmed diagnosis of HIV. Participants had to be willing to provide informed consent, not acutely unwell and requiring emergency treatment, and proficient in the Shona language. Interventions: We used a forward-backwards translation method to translate the EBBS from English to Shona, a Zimbabwean native language. The alpha EBBS-Shona version was pilot tested on 10 PLHIV to assess the face validity, understandability and cultural appropriateness using semi-structured interviews. Thereafter, the EBBS was administered to 567 consecutively selected PLHIV. Results: Most participants were female (72.5%) and self-reported having secondary/high school education (78.8%), with a mean age of 39.9 (SD 12.1) years. The EBBS-Shona version yielded a four factor solution consisting of three benefits factors and one barrier factor against the originally postulated six-factor structure. The EBBS-Shona yielded α=0.85 and intraclass correlation coefficient= 0.86, demonstrating excellent reliability. Increased perception of exercise benefits was positively correlated with increased reports of physical activity, higher health-related quality of life and lower psychiatric morbidity; evidence for construct validity. Conclusions: This study demonstrates the validity and reliability of the EBBS-Shona version in Zimbabwean PLHIV. The EBBS-Shona version can be used for research and clinical purposes to glean data to inform the development, implementation, and evaluation of bespoke PA interventions for PLHIV. Strengths and limitations of this study: • Application of a robust translation and adaption methodology • Utilisation of both exploratory and confirmatory factor analysis for structural validation • Recruitment of a large sample size • Electronic data collection negating missing responses • Non-random, facility-based recruitment of study participants AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-03-20T23:13:39Z 2023-11-16T08:16:03Z 2023-03-20T23:13:39Z 2023-11-16T08:16:03Z 2023-03 Thesis https://scholar.sun.ac.za/handle/10019.1/128686 en_ZA Stellenbosch University iii, 51 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Exercise -- Psychological aspects
HIV-positive persons -- Psychology
Exercise -- Physiological aspects
Exercise -- Health aspects
UCTD
Dambi, Jermaine Matewu
Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title_full Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title_fullStr Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title_full_unstemmed Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title_short Translation and validation of the Shona version of the exercise benefits and barriers scale in Zimbabwean adult people living with HIV/AIDS : a cross-sectional study
title_sort translation and validation of the shona version of the exercise benefits and barriers scale in zimbabwean adult people living with hiv aids a cross sectional study
topic Exercise -- Psychological aspects
HIV-positive persons -- Psychology
Exercise -- Physiological aspects
Exercise -- Health aspects
UCTD
url https://scholar.sun.ac.za/handle/10019.1/128686
work_keys_str_mv AT dambijermainematewu translationandvalidationoftheshonaversionoftheexercisebenefitsandbarriersscaleinzimbabweanadultpeoplelivingwithhivaidsacrosssectionalstudy