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The development and testing of three medication-taking questionnaires for the medication adherence model constructs in hypertensive patients.

机译:高血压患者用药依从性模型构建的三个用药问卷的开发和测试。

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The purpose of this study was to develop and test psychometric instruments for the Medication Adherence Model constructs (Purposeful Action, Patterned Behavior, and Feedback). The study was conducted in three phases. Phase I undertook clarity and content validity evaluations of the items by 5 healthcare professionals and 5 individuals with hypertension. Phase II selected the final items and subscales by undertaking item analysis, internal consistency, and factor analysis with a sample of 227 individuals with hypertension. Phase III determined the temporal stability and construct validity estimates for the final Medication-Taking Questionnaires using the Phase II sample. The temporal stability sample totaled 116 individuals, and the construct validity sample totaled 111 individuals.; Four Medication-Taking Questionnaires were finalized and tested. The Medication-Taking Questionnaire, representing Purposeful Action, consisted of 13 items and 2 subscales (perceived benefits of treatment and perceived as safe). The Medication-Taking Questionnaire representing Patterned Behavior consisted of 16 items and 4 subscales (regularity of lifestyle, medication routine, remembering to take medications, and financial access to medications). Feedback was represented by 2 separate scales: (a) Medication-Taking Questionnaire: Positive Feedback (8 items) and (b) Medication-Taking Questionnaire: Negative Feedback (4 items).; The construct and divergent hypotheses were supported for the Medication-Taking Questionnaire: Patterned Behavior, suggesting that benefits and safety of treatment were being measured. Validity estimates were not supported for the Patterned Behavior and Feedback constructs, but results were possibly confounded due to the lack of similar measures. However, the results suggest that medication-taking patterns may be independent of general lifestyle routines and busyness. Medication-Taking Questionnaire: Positive Feedback appeared to represent the perceived benefits of medication-taking, and the Medication-Taking Questionnaire: Negative Feedback appeared to represent the perceived severity of an individual's hypertension.; Results provided preliminary support for the Medication Adherence Model depiction that intention to take medications and medication-taking patterns are contributors to being adherent to hypertension medications. Further studies using the Medication-Taking Questionnaires are needed to test the Medication Adherence Model and improve the questionnaires. Continuing examination of the Medication-Taking Questionnaires has the potential to contribute to the development of effective medication adherence interventions.
机译:这项研究的目的是开发和测试用于药物依从性模型构造(有目的的行动,有模式的行为和反馈)的心理测量仪器。该研究分三个阶段进行。第一阶段由5名医疗保健专业人员和5名高血压患者对该项目进行了清晰度和内容有效性评估。第二阶段通过对227名高血压患者进行项目分析,内部一致性和因素分析,选择了最终项目和子量表。第三阶段使用第二阶段样本确定了最终用药问卷的时间稳定性和结构效度估计。时间稳定性样本​​共计116个人,构建效度样本共计111个人。最终确定并测试了四份用药问卷。代表有目的行动的用药问卷包括13个项目和2个分量表(感知到的治疗益处和安全性)。代表模式行为的服药问卷由16个项目和4个分量表组成(生活方式的规律性,用药常规,记住服药和财务状况)。反馈由2个独立的量表表示:(a)服药问卷:正面反馈(8项)和(b)服药问卷:负面反馈(4项);药物接受调查表:行为模式支持该假设和不同假设,表明正在衡量治疗的益处和安全性。模式行为和反馈构造不支持有效性估计,但是由于缺乏类似的措施,结果可能会混淆。但是,结果表明,服药方式可能与一般的生活方式和忙碌状况无关。服药问卷:正面反馈似乎代表了服用药物的感觉好处,而服药问卷:负面反馈似乎代表了患者高血压的感觉严重程度。结果为药物依从性模型描述提供了初步支持,该模型描述了服药的意图和服药方式是坚持使用高血压药物的原因。需要使用药物接受调查表进行进一步研究,以测试药物依从性模型并改进问卷。继续对用药问卷进行检查,有可能有助于发展有效的药物依从性干预措施。

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