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Development and validation of the Patient’s Health Belief Questionnaire on Psychiatric Treatment

机译:制定和验证患者的精神病治疗健康信念调查表

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Background: Our previous studies with regard to adherence to psychiatric medications measured pharmacophobia, psychological reactance, and locus of control using a 42-item questionnaire requiring ~1.5?hours for completion. This study aims to develop the Patient’s Health Belief Questionnaire on Psychiatric Treatment, a 17-item inventory which requires only 15?minutes to complete. Methods: Our new questionnaire with five subscales was based on 17 items from three previously validated scales (on pharmacophobia, psychological reactance, and locus of control). In 588 consecutive Spanish psychiatric outpatients taking 1,114 psychiatric medications, we studied the responses to the questionnaire; to validate it, medication adherence was assessed by the Sidorkiewicz tool. Results: Validation of the construct was addressed by performing two exploratory factor analyses independent of each other (one for the eight-item section measuring the attitudes of patients toward psychotropic drugs and one for the nine-item section measuring perceived health locus of control [HLOC]), which led to five subscales that were called Positive and Negative Aspects of Medications, Doctor-HLOC, Internal-HLOC, and Psychological Reactance. The five subscales showed better internal consistency when corrected by number of items than the original 17-item scale. Logistic regression models of the continuous scores, dichotomized subscales, and Chi-squared Automatic Interaction Detector (CHAID) analysis indicated that all five subscales help in predicting adequate adherence, although the various subscales behave differently in different analyses. Conclusion: Future studies need to verify and further extend the preliminary findings of this study that the questionnaire may have construct and predictive validity.
机译:背景:我们以前对精神药物的依从性研究使用42项问卷调查完成,需要约1.5个小时的时间来测量药物恐惧症,心理反应和控制源。这项研究旨在开发有关精神病治疗的患者健康信念问卷,该问卷包含17个项目,只需15分钟即可完成。方法:我们的新问卷分为五个子量表,是基于三个之前已验证的量表(关于恐同症,心理反应和控制源)中的17个项目。在连续588名服用1,114种精神科药物的西班牙精神科门诊患者中,我们研究了问卷的回答。为了验证这一点,通过Sidorkiewicz工具评估了药物依从性。结果:通过进行两个相互独立的探索性因素分析来验证构建体的有效性(一项用于测量患者对精神药物态度的八项研究,另一项用于测量感知的健康控制源[九项] ]),这导致了五个子量表,分别是药物的积极和消极方面,Doctor-HLOC,Internal-HLOC和心理反应。经项目数量校正后,这五个子量表显示出比原始的17个项目量表更好的内部一致性。连续评分,二分式分量表和卡方自动交互检测器(CHAID)分析的逻辑回归模型表明,所有五个分量表均有助于预测足够的依从性,尽管各个分量表在不同分析中的表现也有所不同。结论:未来的研究需要验证并进一步扩展本研究的初步发现,即问卷可能具有结构性和预测效度。

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