Malá-Ládová Kateřina, Voříšková Eliška, Košťálová Barbora, Malý Josef
Vnitr Lek. 2022 Summer;68(E-2):22-28.
The terminology of adherence (or compliance) describing the patients medication taking behavior is often used inconsistently and fragmented in the literature. Therefore, the English original of so-called ABC Taxonomy was developed to classify and unify the terminology. The aim of this paper was to establish the first consensual translation of Czech terminology dealing with the issue of medication taking behavior using Delphi method.
In the period from February to May 2021, a three-round anonymous online Delphi questionnaire survey was conducted. The questionnaire contained items for translations of seven terms and their definitions based on the ABC Taxonomy, while the resulting consensus was established by a predefined degree of agreement of the respondents.
Out of 106 contacted panelists representing different healthcare professions, 46 (43.4%) answered in the first round. Sufficient consensus ( 85%) was reached for the translation of two definitions. In the second round, 32 respondents managed to establish a consensus (> 75%) of one term and four definitions and 24 respondents in the third round established a mild (> 50%) to strong (> 95%) consensus for all remaining terms and definitions. The set of terms related to medication taking for the Czech language was as follows: adherence k léčbě, zahájení léčby, zavedení léčby, přerušení léčby, setrvání na léčbě, management adherence and obory související s adherencí.
The consensual translations of all Czech terms and definitions related to medication adherence can contribute to greater harmonization and comparability of scientific papers as well as to enhance the communication between scientific and clinical community. However, this consensus needs to be confirmed by a larger number of experts dealing with adherence issue, including the involvement of professional societies.
在文献中，用于描述患者服药行为的依从性（或顺应性）术语常常使用不一致且零散。因此，开发了所谓的ABC分类法的英文原文来对术语进行分类和统一。本文的目的是使用德尔菲法建立关于服药行为问题的捷克语术语的首个共识性翻译。
在2021年2月至5月期间，进行了三轮匿名在线德尔菲问卷调查。问卷包含基于ABC分类法的七个术语及其定义的翻译项目，而最终的共识是由受访者预先定义的一致程度确定的。
在106名代表不同医疗专业的被联系专家中，46名（43.4%）在第一轮中做出了回应。对于两个定义的翻译达成了充分共识（≥85%）。在第二轮中，32名受访者对一个术语和四个定义达成了共识（>75%），第三轮中有24名受访者对所有其余术语和定义达成了轻度（>50%）至高度（>95%）的共识。捷克语中与服药相关的术语集如下：服药依从性、开始治疗、引入治疗、治疗中断、坚持治疗、依从性管理以及与依从性相关的领域。
所有与药物依从性相关的捷克语术语和定义的共识性翻译有助于提高科学论文的协调性和可比性，并加强科学与临床社区之间的交流。然而，这一共识需要更多处理依从性问题的专家来确认，包括专业协会的参与。
