We assessed the decisional capacity (DC) of 72 youth with HIV, ages 13-24, using the MacArthur Competence Tool for Treatment, a structured interview that assesses DC along the following dimensions: understanding, appreciation, reasoning, and the ability to express a choice. Using previously established cutoff scores, results suggested 100% of youth were competent in the area of appreciation, but only 62% and 60% were competent in the areas of understanding and reasoning, respectively. Additional descriptive analyses reveal more detailedinformation regarding specific strengths and weaknesses within each of the dimensions of decisional capacity. These findings have important implications for health literacy initiatives, medical education, and treatment for youth with HIV, and support the need for adherence and secondary prevention interventions that include a decisional capacity component.
Decisional capacity among youth with HIV: Results from the MacArthur Competence Tool for Treatment.Faculty Publications
Date IssuedJanuary 2014
Date AvailableJuly 2014
PublisherMary Ann Liebert, Inc. Publishers
Creative Commons LicenseCreative Commons Attribution-Noncommercial-No Derivative Works 4.0
Citation InformationChenneville, T., Machacek, M., Tan, R., Lujan-Zilberman, J., Emmanuel, P. & Rodriguez, C. (2014). Decisional capacity among youth with HIV: Results from the MacArthur Competence Tool for Treatment. AIDS Patient Care and STDs, 28(8), 425-432. doi: 10.1089/apc.2013.0374