Decisional capacity among youth with HIV: Results from the MacArthur Competence Tool for Treatment.

SelectedWorks Author Profiles:

Tiffany Chenneville

Document Type


Publication Date


Date Issued

January 2014

Date Available

July 2014




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.


Abstract only. Full-text article is available only through licensed access provided by the publisher. Published in AIDS Patient Care and STDs, 28(8), 1-8. doi: 10.1089/apc.2013.0374. Members of the USF System may access the full-text of the article through the authenticated link provided.




Mary Ann Liebert, Inc. Publishers

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.