Dobkin Patricia L, De Civita Mirella, Bernatsky Sasha, Filipski Marta, Sita Aurelio, Baron Murray
Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, Canada.
Psychol Rep. 2009 Oct;105(2):447-60. doi: 10.2466/PR0.105.2.447-460.
The goals of this study were to (1) provide preliminary reliability and validity of the Barriers to Treatment Adherence Questionnaire, developed for patients with fibromyalgia, and (2) examine barriers to adherence and general adherence to multimodal treatment during a 3-mo. period. A secondary goal was to explore in a focus discussion group format patients' perceptions of the adherence process and ways of managing the treatment program. 39 fibromyalgia patients were followed while participating in a combined outpatient program of physiotherapy, occupational therapy, nursing, and cognitive behavioral therapy. The Barriers to Treatment Adherence Questionnaire demonstrated good reliability. Construct validity of the Barriers to Treatment Adherence Questionnaire was supported through significant positive correlations with the General Adherence Scale at Months 1 and 3. In addition, a significant change was observed in scores on the Barriers to Treatment Adherence Questionnaire for the physiotherapy component of treatment, with scores decreasing between Months 2 and 3. Addressing barriers to improve adherence may maximize the benefit of treatment programs.
（1）为纤维肌痛患者开发的治疗依从性障碍问卷提供初步的信度和效度；（2）在3个月期间检查依从性障碍和对多模式治疗的总体依从性。次要目标是以焦点讨论小组的形式探讨患者对依从过程的看法以及管理治疗方案的方法。39名纤维肌痛患者在参加物理治疗、职业治疗、护理和认知行为治疗相结合的门诊项目时接受了随访。治疗依从性障碍问卷显示出良好的信度。治疗依从性障碍问卷的结构效度通过在第1个月和第3个月与总体依从性量表的显著正相关得到支持。此外，观察到治疗依从性障碍问卷中治疗物理治疗部分的得分有显著变化，在第2个月和第3个月之间得分下降。解决障碍以提高依从性可能会使治疗方案的益处最大化。
