Original Paper

Journal of Religion and Health

, Volume 51, Issue 4, pp 1239-1260

Multidimensional Assessment of Spirituality/Religion in Patients with HIV: Conceptual Framework and Empirical Refinement

  • Magdalena SzaflarskiAffiliated withDepartment of Public Health Sciences, College of Medicine, University of CincinnatiDepartment of Family and Community Medicine, College of Medicine, University of Cincinnati Email author 
  • , Ian KudelAffiliated withDepartment of Internal Medicine, University of Cincinnati, College of MedicineVeterans Healthcare System of Ohio (VISN 10)
  • , Sian CottonAffiliated withDepartment of Family and Community Medicine, College of Medicine, University of Cincinnati
  • , Anthony C. LeonardAffiliated withDepartment of Public Health Sciences, College of Medicine, University of Cincinnati
  • , Joel TsevatAffiliated withDepartment of Internal Medicine, University of Cincinnati, College of MedicineVeterans Healthcare System of Ohio (VISN 10)
  • , P. Neal RitcheyAffiliated withDepartment of Sociology, University of Cincinnati, McMicken College of Arts and Sciences

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Abstract

A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework.

Keywords

Spirituality Religion HIV Brief Multidimensional Measure of Religiousness/Spirituality