Shahsavari Arezoo, Sharif-Nia Hamid, Hejazi Sima, Arghaee Ali, Roshan-Nejad Mahdieh
Department of Medical Surgical Nursing, Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran.
Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Geriatr. 2025 Mar 8;25(1):161. doi: 10.1186/s12877-025-05804-0.
Medication management is a crucial responsibility of family caregivers. Having a tool for assessing issues related to family caregiver medication prescription tasks is of great importance in evaluating the caregiving experience. This study aimed to translate and assess psychometrically the Medication Administration Hassles Scale in elderly individuals with chronic diseases.
This study was conducted using a cross-sectional method on family caregivers of elderly individuals with a chronic illness in Iran. In the first phase, the Medication Administration Hassles Scale was translated. In the second phase, face and content validity, item analysis, structural validity, convergent and discriminant validity, and internal consistency were evaluated.
Following face and content validity assessment and item analysis, no items were removed, though some revisions were made. Using exploratory factor analysis with 200 caregivers, resulted in a three-factor structure with 18 items explaining 50.71% of the variance. Confirmatory factor analysis indicated a good model fit (RMSEA: 0.07, IFI: 0.92, CFI: 0.92, PNFI: 0.74, TLI: 0.91). Convergent and discriminant validity of all sub-scales were confirmed. Cronbach's alpha for the three subscales were 0.91, 0.82, and 0.80, respectively.
The results indicated that the 18-item Farsi version of the scale, comprising three factors, exhibits acceptable psychometric properties among Iranian caregivers of elderly individuals.
药物管理是家庭照顾者的一项重要职责。拥有一个评估与家庭照顾者药物处方任务相关问题的工具，对于评估照顾经历非常重要。本研究旨在对慢性病老年患者的用药困扰量表进行翻译和心理测量学评估。
本研究采用横断面研究方法，对伊朗患有慢性病的老年人的家庭照顾者进行研究。在第一阶段，对用药困扰量表进行翻译。在第二阶段，评估了表面效度和内容效度、项目分析、结构效度、收敛效度和区分效度以及内部一致性。
在进行表面效度和内容效度评估以及项目分析后，虽进行了一些修订，但没有删除任何项目。对200名照顾者进行探索性因素分析，得到了一个包含18个项目的三因素结构，解释了50.71%的方差。验证性因素分析表明模型拟合良好（RMSEA：0.07，IFI：0.92，CFI：0.92，PNFI：0.74，TLI：0.91）。所有子量表的收敛效度和区分效度均得到证实。三个子量表的Cronbach's alpha系数分别为0.91、0.82和0.80。
结果表明，该量表的18项波斯语版本包含三个因素，在伊朗老年患者的照顾者中具有可接受的心理测量学特性。
