Rosa Debora, Villa Giulia, Marcomini Ilaria, Nardin Elisa, Gianfranceschi Enrico, Faini Andrea, Pengo Martino F, Bilo Grzegorz, Croce Alessandro, Manara Duilio Fiorenzo, Parati Gianfranco
Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy.
Istituto Auxologico Italiano IRCCS, Milan, Italy.
High Blood Press Cardiovasc Prev. 2025 Jan;32(1):61-68. doi: 10.1007/s40292-024-00688-4. Epub 2024 Oct 29.
Engagement with mobile health (mHealth) technologies among patients with hypertension is linked to reduced blood pressure and improved patient understanding of the condition.
This study aimed to evaluate the psychometric properties (validity and reliability) of the TWente Engagement with Ehealth Technologies Scale (TWEETS) in an Italian cohort with hypertension. This study is the first attempt to evaluate the psychometric characteristics of the TWEETS in this population.
The study was conducted in three phases. The first phase encompassed the translation and cultural adaptation of the TWEETS to the Italian setting. The second phase involved an expert panel evaluating the instrument's face and content validities. The third phase was a cross-sectional study aiming to test construct validity and reliability. Adults diagnosed with hypertension were eligible for participation. Additional inclusion criteria included stable antihypertensive treatment for at least 2 weeks before enrolment and the provision of written informed consent. Patients were taught how to use two mHealth devices using the teach-back method.
A total of 131 patients were enrolled. Exploratory and confirmatory factor analyses revealed that the TWEETS had a one-factor structure and a good level of fit. Cronbach's alpha coefficients suggested good internal consistency.
The findings indicate that the TWEETS is a valuable tool for assessing the engagement of patients with hypertension with mHealth devices. Further assessment is needed in various cohorts to confirm the psychometric equivalence of the construct across different groups with hypertension.
高血压患者使用移动健康（mHealth）技术与血压降低及患者对病情的理解改善有关。
本研究旨在评估特温特电子健康技术参与量表（TWEETS）在意大利高血压队列中的心理测量特性（效度和信度）。本研究是首次尝试评估该量表在这一人群中的心理测量特征。
该研究分三个阶段进行。第一阶段包括将TWEETS翻译并文化适应至意大利环境。第二阶段涉及一个专家小组评估该工具的表面效度和内容效度。第三阶段是一项横断面研究，旨在测试结构效度和信度。确诊为高血压的成年人有资格参与。其他纳入标准包括入组前至少2周的稳定降压治疗以及提供书面知情同意书。采用反馈教学法向患者教授如何使用两种移动健康设备。
共纳入131名患者。探索性和验证性因素分析表明，TWEETS具有单因素结构且拟合度良好。克朗巴哈α系数表明内部一致性良好。
研究结果表明，TWEETS是评估高血压患者对移动健康设备参与度的有价值工具。需要在不同队列中进行进一步评估，以确认该结构在不同高血压患者群体中的心理测量等效性。
