Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study
Hui-Fen Chen,1 Nuo Lei,1 Yan-Min Xu,1 Li Luo,1 Xian-Long Zhang,1 Bei-Ni Lao,1 Fang Tang,2 Li-Zhe Fu,2 Xu-Sheng Liu,3 Yi-Fan Wu3 1The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Chronic Disease Management Outpatient Clinic, The Second Aff...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2021-08-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/is-e-version-transition-of-the-medication-adherence-scale-feasible-for-peer-reviewed-fulltext-article-PPA |
| _version_ | 1819115808333234176 |
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| author | Chen HF Lei N Xu YM Luo L Zhang XL Lao BN Tang F Fu LZ Liu XS Wu YF |
| author_facet | Chen HF Lei N Xu YM Luo L Zhang XL Lao BN Tang F Fu LZ Liu XS Wu YF |
| author_sort | Chen HF |
| collection | DOAJ |
| description | Hui-Fen Chen,1 Nuo Lei,1 Yan-Min Xu,1 Li Luo,1 Xian-Long Zhang,1 Bei-Ni Lao,1 Fang Tang,2 Li-Zhe Fu,2 Xu-Sheng Liu,3 Yi-Fan Wu3 1The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Chronic Disease Management Outpatient Clinic, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, People’s Republic of China; 3Renal Division, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, People’s Republic of ChinaCorrespondence: Yi-Fan Wu Email wuyifan007@gzucm.edu.cnBackground: To transfer a paper-version Chinese and Western medication adherence scale for CKD into an electronic scale, and evaluate its validity, internal consistency and clinical implementation, and assess whether the transition is feasible in clinic.Methods: We built an e-version Chinese and Western medication adherence scale based on the Wen-JuanXing platform. CKD subjects’ responses were applied to test the scale’s validity and internal consistency. We retested some of the participants two weeks later randomly. We also tested the clinical application.Results: Of the 434 recruited patients, 228 responded. In exploratory factor analysis (EFA), the Kaiser–Meyer–Olkin (KMO) measure of sampling adequacy = 0.8 and Bartlett’s approx. Chi-Square = 1340.0 (df = 105, p < 0.001). We extracted four common factors which could explain 61.47% of the variance. However, Item 15 “Have you changed a traditional Chinese medicine prescription yourself within the past month?” had factor loading = 0.3 and measure of sampling adequacy (MSA) = 0.5, meaning we could not enter it into the factor analysis. The internal consistency reliability for medication adherence was 0.9, with a Guttman split-half coefficient = 0.5 and a Spearman–Brown coefficient = 0.6. Cronbach’s α was 0.9, 0.4 and 0.5 for the knowledge, belief and behavior domains, respectively. The correlation coefficient r of the test–retest reliability was − 0.8 and was − 0.8, 0.4, − 0.3 in the knowledge, belief and behavior domains, respectively. Patients with comorbidities were more likely to respond. We detected no other significant differences in the clinical profiles between respondents and non-respondents.Conclusion: The e-version Chinese and Western medication adherence scales have undesirable construct validity and internal consistency. Thus, caution is needed in transitioning the paper-version scale into an e-version.Keywords: medication adherence, renal insufficiency, chronic, surveys and questionnaires |
| first_indexed | 2024-12-22T05:07:04Z |
| format | Article |
| id | doaj.art-cdb5ef7199224414b8b39fd5c0360ed3 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-22T05:07:04Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-cdb5ef7199224414b8b39fd5c0360ed32022-12-21T18:38:05ZengDove Medical PressPatient Preference and Adherence1177-889X2021-08-01Volume 151785179367964Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot StudyChen HFLei NXu YMLuo LZhang XLLao BNTang FFu LZLiu XSWu YFHui-Fen Chen,1 Nuo Lei,1 Yan-Min Xu,1 Li Luo,1 Xian-Long Zhang,1 Bei-Ni Lao,1 Fang Tang,2 Li-Zhe Fu,2 Xu-Sheng Liu,3 Yi-Fan Wu3 1The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Chronic Disease Management Outpatient Clinic, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, People’s Republic of China; 3Renal Division, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, People’s Republic of ChinaCorrespondence: Yi-Fan Wu Email wuyifan007@gzucm.edu.cnBackground: To transfer a paper-version Chinese and Western medication adherence scale for CKD into an electronic scale, and evaluate its validity, internal consistency and clinical implementation, and assess whether the transition is feasible in clinic.Methods: We built an e-version Chinese and Western medication adherence scale based on the Wen-JuanXing platform. CKD subjects’ responses were applied to test the scale’s validity and internal consistency. We retested some of the participants two weeks later randomly. We also tested the clinical application.Results: Of the 434 recruited patients, 228 responded. In exploratory factor analysis (EFA), the Kaiser–Meyer–Olkin (KMO) measure of sampling adequacy = 0.8 and Bartlett’s approx. Chi-Square = 1340.0 (df = 105, p < 0.001). We extracted four common factors which could explain 61.47% of the variance. However, Item 15 “Have you changed a traditional Chinese medicine prescription yourself within the past month?” had factor loading = 0.3 and measure of sampling adequacy (MSA) = 0.5, meaning we could not enter it into the factor analysis. The internal consistency reliability for medication adherence was 0.9, with a Guttman split-half coefficient = 0.5 and a Spearman–Brown coefficient = 0.6. Cronbach’s α was 0.9, 0.4 and 0.5 for the knowledge, belief and behavior domains, respectively. The correlation coefficient r of the test–retest reliability was − 0.8 and was − 0.8, 0.4, − 0.3 in the knowledge, belief and behavior domains, respectively. Patients with comorbidities were more likely to respond. We detected no other significant differences in the clinical profiles between respondents and non-respondents.Conclusion: The e-version Chinese and Western medication adherence scales have undesirable construct validity and internal consistency. Thus, caution is needed in transitioning the paper-version scale into an e-version.Keywords: medication adherence, renal insufficiency, chronic, surveys and questionnaireshttps://www.dovepress.com/is-e-version-transition-of-the-medication-adherence-scale-feasible-for-peer-reviewed-fulltext-article-PPAmedication adherencerenal insufficiencychronicsurveys and questionnaires |
| spellingShingle | Chen HF Lei N Xu YM Luo L Zhang XL Lao BN Tang F Fu LZ Liu XS Wu YF Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study Patient Preference and Adherence medication adherence renal insufficiency chronic surveys and questionnaires |
| title | Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study |
| title_full | Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study |
| title_fullStr | Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study |
| title_full_unstemmed | Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study |
| title_short | Is E-Version Transition of the Medication Adherence Scale Feasible for CKD Management? A Pilot Study |
| title_sort | is e version transition of the medication adherence scale feasible for ckd management a pilot study |
| topic | medication adherence renal insufficiency chronic surveys and questionnaires |
| url | https://www.dovepress.com/is-e-version-transition-of-the-medication-adherence-scale-feasible-for-peer-reviewed-fulltext-article-PPA |
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