Hatay 2 Public Health Center, Izmir, Turkey.
Eur J Gen Pract. 2009 Dec;15(4):207-11. doi: 10.3109/13814780903452150.
To assess the validity and reliability of the Turkish version of the Hill-Bone compliance to high blood pressure therapy scale for use in primary care in Turkey.
To develop a Turkish version of the scale, it was translated into Turkish then back-translated into English. The final version was used in a survey in two urban primary health care centers in Izmir, Turkey. For assessing the validity of Turkish scale, we performed factor analysis to test construct validity. Reliability was assessed by calculating the Cronbach's alpha as a measure of internal consistency.
Factor analysis revealed a three-factor structure representing unintentional medication non-adherence; intentional medication non-adherence; and salt intake adherence. Percentages of explained variance were 33.3%, 14.6% and 11.2% respectively. When forcing a two-factor structure we found salt intake and medication adherence clusters. Cronbach's alpha was 0.72 and 0.83 for medication adherence and whole scale, respectively.
The Turkish Hill-Bone scale presented a factor structure consistent with the original scale, had a high level of internal consistency. It can be used for assessing hypertension patients' compliance in Turkish primary care settings.
评估土耳其版 Hill-Bone 高血压治疗依从性量表在土耳其基层医疗中的有效性和可靠性。
为了开发土耳其语版本的量表，我们将其翻译成土耳其语，然后再回译为英语。最终版本用于在土耳其伊兹密尔的两个城市基层医疗中心进行调查。为了评估土耳其语量表的有效性，我们进行了因子分析以检验结构效度。通过计算 Cronbach's alpha 作为内部一致性的度量来评估可靠性。
因子分析显示出代表非故意药物不依从、故意药物不依从和盐摄入量依从的三因素结构。解释方差的百分比分别为 33.3%、14.6%和 11.2%。当强制采用两因素结构时，我们发现了盐摄入量和药物依从性聚类。药物依从性和整个量表的 Cronbach's alpha 分别为 0.72 和 0.83。
土耳其版 Hill-Bone 量表呈现与原始量表一致的因子结构，具有较高的内部一致性。它可用于评估土耳其基层医疗环境中高血压患者的依从性。
