Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy

Xiaokun Wu,1,* Shu Cai,1,* Ye Zhou,2 Yutao Lan,1 Yan Lin3 1School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China; 2Department of Nursing, Luzhou Traditional Chinese Medicine Hospital, Luzhou, People’s Republic of China; 3Department of Nursing,...

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Main Authors: Wu X, Cai S, Zhou Y, Lan Y, Lin Y
Format: Article
Language:English
Published: Dove Medical Press 2024-01-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/development-reliability-and-validity-of-the-medication-literacy-scale--peer-reviewed-fulltext-article-PPA
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author Wu X
Cai S
Zhou Y
Lan Y
Lin Y
author_facet Wu X
Cai S
Zhou Y
Lan Y
Lin Y
author_sort Wu X
collection DOAJ
description Xiaokun Wu,1,&ast; Shu Cai,1,&ast; Ye Zhou,2 Yutao Lan,1 Yan Lin3 1School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China; 2Department of Nursing, Luzhou Traditional Chinese Medicine Hospital, Luzhou, People’s Republic of China; 3Department of Nursing, Guangzhou Women and Children’s Medical Center, Guangzhou, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yutao Lan, Guangdong Pharmaceutical University, 283 Jianghai Avenue, Haizhu Distric, Guangzhou, People’s Republic of China, Tel +86 13710667351, Email lanyutao@gdpu.edu.cnPurpose: This study aimed to develop a medication literacy scale for parents of children with epilepsy (MLSPCE) and to test the reliability and validity of the scale.Patients and Methods: The pilot scale was formulated based on the concept of medication literacy, the knowledge-attitude-practice model, and relevant literature reviews. It was formed through two rounds of expert consultations using the Delphi method. A survey of 657 parents of children with epilepsy, who were admitted to the neurology department or examined in the neuro-electrophysiological outpatient department of Guangzhou Women and Children Medical Center, using the pilot scale was conducted from October 2021 to January 2022 to test the reliability and validity of the scale questionnaire. The content validity of the scale questionnaire was assessed by consulting 20 neurology nursing, neurology clinician, and nursing education experts. Numbers, percentages, t-test, correlation analysis, Cronbach’s alpha reliability coefficient and factor analysis were used for data analysis.Results: The MLSPCE included 34 items in four dimensions. Ten factors were drawn from the explorative factor analysis, with a cumulative variance contribution rate of 62.32%. The content validity index of each item on the 34-item scale was between 0.81 and 1.0, and the scale-content validity index/ average was 0.97. The correlation coefficient between each item and its dimension was between 0.399 and 0.760, the correlation coefficients between dimensions were between 0.150 and 0.382, and the correlation coefficients between each dimension and the total scale were between 0.390 and 0.845. Differences for all comparisons were statistically significant (P < 0.05). Cronbach’s alpha coefficient for the total scale was 0.864, and the split-half reliability of the total scale was 0.923.Conclusion: All the statistical procedures performed in the validity and reliability stages of the study showed that MLSPCE is a valid and reliable tool for measuring medication literacy among Chinese parents of children with epilepsy.Keywords: epilepsy in children, medication literacy, scale development, reliability test, validity test
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spelling doaj.art-2005a311ea7d42a095d9c6b6b61eaf632024-01-18T18:05:05ZengDove Medical PressPatient Preference and Adherence1177-889X2024-01-01Volume 1816517689770Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with EpilepsyWu XCai SZhou YLan YLin YXiaokun Wu,1,&ast; Shu Cai,1,&ast; Ye Zhou,2 Yutao Lan,1 Yan Lin3 1School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China; 2Department of Nursing, Luzhou Traditional Chinese Medicine Hospital, Luzhou, People’s Republic of China; 3Department of Nursing, Guangzhou Women and Children’s Medical Center, Guangzhou, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yutao Lan, Guangdong Pharmaceutical University, 283 Jianghai Avenue, Haizhu Distric, Guangzhou, People’s Republic of China, Tel +86 13710667351, Email lanyutao@gdpu.edu.cnPurpose: This study aimed to develop a medication literacy scale for parents of children with epilepsy (MLSPCE) and to test the reliability and validity of the scale.Patients and Methods: The pilot scale was formulated based on the concept of medication literacy, the knowledge-attitude-practice model, and relevant literature reviews. It was formed through two rounds of expert consultations using the Delphi method. A survey of 657 parents of children with epilepsy, who were admitted to the neurology department or examined in the neuro-electrophysiological outpatient department of Guangzhou Women and Children Medical Center, using the pilot scale was conducted from October 2021 to January 2022 to test the reliability and validity of the scale questionnaire. The content validity of the scale questionnaire was assessed by consulting 20 neurology nursing, neurology clinician, and nursing education experts. Numbers, percentages, t-test, correlation analysis, Cronbach’s alpha reliability coefficient and factor analysis were used for data analysis.Results: The MLSPCE included 34 items in four dimensions. Ten factors were drawn from the explorative factor analysis, with a cumulative variance contribution rate of 62.32%. The content validity index of each item on the 34-item scale was between 0.81 and 1.0, and the scale-content validity index/ average was 0.97. The correlation coefficient between each item and its dimension was between 0.399 and 0.760, the correlation coefficients between dimensions were between 0.150 and 0.382, and the correlation coefficients between each dimension and the total scale were between 0.390 and 0.845. Differences for all comparisons were statistically significant (P < 0.05). Cronbach’s alpha coefficient for the total scale was 0.864, and the split-half reliability of the total scale was 0.923.Conclusion: All the statistical procedures performed in the validity and reliability stages of the study showed that MLSPCE is a valid and reliable tool for measuring medication literacy among Chinese parents of children with epilepsy.Keywords: epilepsy in children, medication literacy, scale development, reliability test, validity testhttps://www.dovepress.com/development-reliability-and-validity-of-the-medication-literacy-scale--peer-reviewed-fulltext-article-PPAepilepsy in childrenmedication literacyscale developmentreliability testvalidity test
spellingShingle Wu X
Cai S
Zhou Y
Lan Y
Lin Y
Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
Patient Preference and Adherence
epilepsy in children
medication literacy
scale development
reliability test
validity test
title Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
title_full Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
title_fullStr Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
title_full_unstemmed Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
title_short Development, Reliability and Validity of the Medication Literacy Scale for Parents of Children with Epilepsy
title_sort development reliability and validity of the medication literacy scale for parents of children with epilepsy
topic epilepsy in children
medication literacy
scale development
reliability test
validity test
url https://www.dovepress.com/development-reliability-and-validity-of-the-medication-literacy-scale--peer-reviewed-fulltext-article-PPA
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