验证适当用药自我效能量表的阿拉伯语版本。
Validation of an Arabic Version of the Self-Efficacy for Appropriate Medication Use Scale.
机构信息
Department of Clinical Pharmacy, College of Pharmacy, King Saud University, P.O. Box 2454, Riyadh 11451, Saudi Arabia.
Family and Community Medicine Department, College of Medicine, King Saud University, P.O. Box 3145, Riyadh 12372, Saudi Arabia.
出版信息
Int J Environ Res Public Health. 2021 Nov 15;18(22):11983. doi: 10.3390/ijerph182211983.
BACKGROUND
Medication adherence is essential for optimal treatment outcomes in patients with chronic diseases. Medication nonadherence compromises patient clinical outcomes and patient safety as well as leading to an increase in unnecessary direct and indirect medical costs. Therefore, early identification of non-adherence by healthcare professionals using medication adherence scales should help in preventing poor clinical outcomes among patients with chronic health conditions, such as diabetes and hypertension. Unfortunately, there are very few validated medication adherence assessment scales in Arabic. Thus, the aim of this study was to validate a newly translated Arabic version of the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) among patients with chronic diseases.
METHODS
In this single-center cross-sectional study that was conducted between March 2019 and March 2021 at the primary care clinics of King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia, the English version of SEAMS was translated to Arabic using the forward-backward method and piloted among 22 adults (≥18 yrs.) with chronic diseases. The reliability of the newly translated scale was examined using the test-retest and Cronbach's alpha methods. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Arabic version of SEAMS.
RESULTS
The number of patients who consented to participate and filled out the questionnaire was 202. Most of the participants were males (69.9%), aged ≥50 years (65.2%), and had diabetes (96.53%). The 13-item Arabic-translated SEAMS mean score was 32.37 ± 5.31, and the scale showed acceptable internal consistency (Cronbach's alpha = 0.886) and reliability (Intraclass correlation coefficient = 0.98). Total variance of the 13-item Arabic-SEAMS could be explained by two factors as confirmed by the factor analysis.
CONCLUSION
The Arabic version of SEAMS should help in detecting poor self-efficacy for medication adherence among Arabic-speaking patient populations with chronic diseases, such as diabetes and hypertension. Future studies should examine its validity among more diverse patient populations in different Arabic-speaking countries.
背景
药物依从性对于慢性病患者获得最佳治疗效果至关重要。药物不依从会影响患者的临床结果和安全，导致不必要的直接和间接医疗费用增加。因此，医护人员使用药物依从性量表尽早识别不依从，可以帮助预防患有糖尿病和高血压等慢性病患者的不良临床结果。不幸的是，阿拉伯语版的药物依从性评估量表非常少。因此，本研究旨在验证一种新翻译的阿拉伯语版适当用药自我效能量表（SEAMS）在慢性病患者中的适用性。
方法
这是一项单中心横断面研究，于 2019 年 3 月至 2021 年 3 月在沙特阿拉伯利雅得的沙特国王大学医疗城（KSUMC）的初级保健诊所进行，使用正向-反向翻译法将 SEAMS 的英文版本翻译成阿拉伯语，并在 22 名患有慢性病的成年人（≥18 岁）中进行预试验。使用重测信度和克朗巴赫α方法检验新翻译量表的可靠性。进行探索性和验证性因子分析以检验 SEAMS 阿拉伯语版本的结构效度。
结果
同意参加并填写问卷的患者人数为 202 名。大多数参与者为男性（69.9%），年龄≥50 岁（65.2%），患有糖尿病（96.53%）。阿拉伯语翻译的 SEAMS 平均得分为 32.37±5.31，该量表显示出可接受的内部一致性（克朗巴赫α=0.886）和可靠性（组内相关系数=0.98）。通过因子分析证实，13 项阿拉伯语-SEAMS 的总方差可由两个因素解释。
结论
SEAMS 的阿拉伯语版本可以帮助检测出患有糖尿病和高血压等慢性病的阿拉伯语患者群体中药物依从性自我效能差的情况。未来的研究应在不同的阿拉伯语国家中，在更多样化的患者群体中检验其有效性。
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