Multimodal Imaging Group, Research Imaging Centre, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
Institute of Medical Science, University of Toronto, Toronto, ON, Canada.
J Clin Hypertens (Greenwich). 2018 Apr;20(4):748-756. doi: 10.1111/jch.13248. Epub 2018 Mar 10.
Impaired illness awareness or not accepting that one has hypertension (HTN) may be an important predictor of treatment adherence and optimal blood pressure control. The purpose of this study was to perform a systematic review of available instruments to evaluate HTN awareness, and subsequently present a novel scale that measures the core domains of subjective illness awareness in HTN. Based on the absence of any validated HTN specific measure identified through our review, the Blood Pressure Awareness and Insight Scale (BASIS) was developed (www.illnessawarenessscales.com). An online survey platform was used to collect data on 100 participants. BASIS showed good concurrent (r(98) = .65, P < 0.001) and discriminant validity, internal consistency (Cronbach's α = .75), and 1-month test-retest reliability (ICC = 0.77). BASIS is a comprehensive, easy-to-use instrument specifically designed to measure subjective HTN awareness. BASIS may be used in research studies and clinical practice to assess the impact of HTN awareness on treatment adherence and clinical outcomes.
疾病意识受损或不承认患有高血压（HTN）可能是治疗依从性和最佳血压控制的重要预测因素。本研究的目的是对评估 HTN 意识的现有工具进行系统评价，并随后提出一种新的量表来衡量 HTN 主观疾病意识的核心领域。基于我们的综述中未发现任何经过验证的 HTN 专用测量方法，因此开发了血压意识和洞察力量表（BASIS）（www.illnessawarenessscales.com）。在线调查平台用于收集 100 名参与者的数据。BASIS 显示出良好的同时效度（r（98）= 0.65，P < 0.001）和判别效度、内部一致性（Cronbach's α = 0.75）以及 1 个月的重测信度（ICC = 0.77）。BASIS 是一种全面、易于使用的工具，专门用于测量主观 HTN 意识。BASIS 可用于研究和临床实践，以评估 HTN 意识对治疗依从性和临床结果的影响。
