Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)

被引:21
作者
Alammari, Ghaida [1 ]
Alhazzani, Hawazin [1 ]
AlRajhi, Nouf [1 ]
Sales, Ibrahim [1 ]
Jamal, Amr [2 ]
Almigbal, Turky H. [2 ]
Batais, Mohammed A. [2 ]
Asiri, Yousif A. [1 ]
AlRuthia, Yazed [1 ,3 ]
机构
[1] King Saud Univ, Coll Pharm, Dept Clin Pharm, POB 2454, Riyadh 11451, Saudi Arabia
[2] King Saud Univ, Coll Med, Family & Community Med Dept, POB 3145, Riyadh 12372, Saudi Arabia
[3] King Saud Univ, Coll Pharm, Pharmacoecon Res Unit, POB 2454, Riyadh 11451, Saudi Arabia
关键词
medication non-adherence; self-reports; validation studies; surveys and questionnaires; 12-item ARMS; PSYCHOMETRIC EVALUATION; HEALTH LITERACY; RELIABILITY; NONADHERENCE; SELECTION; VALIDITY; ADULTS;
D O I
10.3390/healthcare9111430
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Medication non-adherence is a complex multifactorial phenomenon impacting patients with various health conditions worldwide. Therefore, its detection can improve patient outcomes and minimize the risk of adverse consequences. Even though multiple self-reported medication adherence assessment scales are available, very few of them exist in Arabic language. Therefore, the aim of this study was to validate a newly translated Arabic version of the Adherence to Refills and Medications Scale (ARMS) among patients with chronic health conditions. Methods: This is a single-center cross-sectional study that was conducted between October 10th 2018 and March 23rd 2021. ARMS was first translated to Arabic using the forward-backward translation method. The translated scale was then piloted among 21 patients with chronic health conditions (e.g., diabetes, hypertension, etc. ... ) to examine its reliability and comprehensibility using the test-retest method. Thereafter, the Arabic-translated ARMS was self-administered to adult patients aged >= 18 years with chronic health conditions visiting the primary care clinics of a university-affiliated tertiary care hospital in Riyadh, Saudi Arabia. Construct validity was examined using factor analysis with varimax rotation. Results: Of the 264 patients who were invited to participate, 202 (76.5%) consented and completed the questionnaire. Most of the participants were males (69.9%), married (75.2%), having a college degree or higher (50.9%), retired or unemployed (65.2%), aged >= 50 years (65.2%), and are diabetic (95.9%). The 12-item Arabic-translated ARMS mean score was 17.93 +/- 4.90, and the scale yielded good internal consistency (Cronbach's alpha = 0.802) and test-retest reliability (Intraclass correlation coefficient = 0.97). Two factors were extracted explaining 100% of the of the total variance (factor 1 = 52.94% and factor 2 = 47.06%). Conclusions: The 12-item Arabic version of ARMS demonstrated good validity and reliability. Therefore, it should help in the detection of medication non-adherence among Arabic-speaking patient population and minimize the risk of adverse consequences.
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页数:13
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