Validation of an Arabic Version of the Self-Efficacy for Appropriate Medication Use Scale

Background: Medication adherence is essential for optimal treatment outcomes in patients with chronic diseases. Medication nonadherence compromises patient clinical outcomes and patient safety as well as leading to an increase in unnecessary direct and indirect medical costs. Therefore, early identification of non-adherence by healthcare professionals using medication adherence scales should help in preventing poor clinical outcomes among patients with chronic health conditions, such as diabetes and hypertension. Unfortunately, there are very few validated medication adherence assessment scales in Arabic. Thus, the aim of this study was to validate a newly translated Arabic version of the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) among patients with chronic diseases. Methods: In this single-center cross-sectional study that was conducted between March 2019 and March 2021 at the primary care clinics of King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia, the English version of SEAMS was translated to Arabic using the forward–backward method and piloted among 22 adults (≥18 yrs.) with chronic diseases. The reliability of the newly translated scale was examined using the test–retest and Cronbach’s alpha methods. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Arabic version of SEAMS. Results: The number of patients who consented to participate and filled out the questionnaire was 202. Most of the participants were males (69.9%), aged ≥50 years (65.2%), and had diabetes (96.53%). The 13-item Arabic-translated SEAMS mean score was 32.37 ± 5.31, and the scale showed acceptable internal consistency (Cronbach’s alpha = 0.886) and reliability (Intraclass correlation coefficient = 0.98). Total variance of the 13-item Arabic-SEAMS could be explained by two factors as confirmed by the factor analysis. Conclusion: The Arabic version of SEAMS should help in detecting poor self-efficacy for medication adherence among Arabic-speaking patient populations with chronic diseases, such as diabetes and hypertension. Future studies should examine its validity among more diverse patient populations in different Arabic-speaking countries.

Download Full-text

Development and Psychometric Evaluation of the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) in Low-Literacy Patients With Chronic Disease

Journal of Nursing Measurement ◽

10.1891/106137407783095757 ◽

2007 ◽

Vol 15 (3) ◽

pp. 203-219 ◽

Cited By ~ 96

Author(s):

Jessica Risser ◽

Terry A. Jacobson ◽

Sunil Kripalani

Keyword(s):

Chronic Disease ◽

Medication Adherence ◽

Disease Management ◽

Internal Consistency ◽

Self Efficacy ◽

Chronic Disease Management ◽

Medication Use ◽

Literacy Skills ◽

The Self ◽

Low Literacy

Medication nonadherence remains a significant obstacle to achieving improved health outcomes in patients with chronic disease. Self-efficacy, the confidence in one’s ability to perform a given task such as taking one’s medications, is an important determinant of medication adherence, indicating the need for reliable and valid tools for measuring this construct. This study sought to develop a self-efficacy scale for medication adherence in chronic disease management that can be used in patients with a broad range of literacy skills. The Self-efficacy for Appropriate Medication Use (SEAMS) was developed by a multidisciplinary team with expertise in medication adherence and health literacy. Its psychometric properties were evaluated among 436 patients with coronary heart disease and other comorbid conditions. Reliability was evaluated by measuring internal consistency and test-retest reliability. Principal component factor analysis was performed to evaluate the validity of the SEAMS. Reliability and validity analyses were also performed separately among patients with low and higher literacy levels. The final 13-item scale had good internal consistency reliability (Cronbach’s α = 0.89). A two-factor solution was found, explaining 52.3% of the scale’s variance. The scale performed similarly across literacy levels. The SEAMS is a reliable and valid instrument that may provide a valuable assessment of medication self-efficacy in chronic disease management, and appears appropriate for use in patients with low literacy skills.

Download Full-text

Development and Validation of a Self-Efficacy Scale for Nursing Educators’ Role in Sri Lanka

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157773 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7773

Author(s):

Weerasekara S. Shyamamala ◽

Jina Oh ◽

Haeryun Cho ◽

Mihae Im

Keyword(s):

Sri Lanka ◽

Self Efficacy ◽

Guideline Development ◽

The Self ◽

Sri Lankan ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Nursing Educators ◽

Cronbach's Alpha ◽

Confirmatory Factor

This study develops a scale that assesses the self-efficacy of Sri Lankan nursing educators in assuming the roles of nursing educators and validates its psychometric properties. This methodological research followed the DeVellis Scale Development Model, which involves six steps of instrument development and evaluation. Preliminary items were determined through a literature review and focus group interviews with nine Sri Lankan nursing experts. The experts, comprising five South Korean and two Sri Lankan nursing professors, tested the scale’s content validity. Moreover, 15 nursing educators participated in a pilot study, and 126 educators took part in the main survey. To evaluate the scale’s validity and reliability, the data from a preliminary questionnaire were analyzed using SPSS/IBM and AMOS 24.0. Further, construct validity was tested using exploratory and confirmatory factor analyses, and reliability was tested by calculating Cronbach’s alpha and performing split-half testing. Finally, 39 items under four themes, “clinical mentorship” (18 items), “research” (10), “teaching” (6), and “advising” (5), explained 63.5% of the total variance. Confirmatory factor analysis results revealed an acceptable model fit for the final scale. The developed scale achieved a Cronbach’s alpha value of 0.97. Thus, the psychometrical properties of the scale measuring Sri Lankan nursing educators’ self-efficacy were comprehensively evaluated and found acceptable. The developed scale will be useful in guideline development or studies regarding the self-efficacy of nursing educators’ roles in developing countries with similar context to Sri Lanka.

Download Full-text

Validity and reliability of the Arabic version of the child perceptions questionnaire for 8–10-year-old children

Quality of Life Research ◽

10.1007/s11136-020-02545-y ◽

2020 ◽

Vol 29 (11) ◽

pp. 3131-3141

Author(s):

Deem Al-Blaihed ◽

Azza A. El-Housseiny ◽

Nada J. Farsi ◽

Najat M. Farsi

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Arabic Version ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Group I ◽

Group Ii ◽

Arabic Speaking

Abstract Purpose To develop an Arabic version of the CPQ8–10 and test its validity and reliability for use among Arabic-speaking children. Methods The 25-item professionally translated questionnaire included two global rating questions across four domains, which was assessed through a pilot study on 20 participants who were not included in the main study. Children (n = 175) aged 8–10 years were consecutively recruited: group I (n = 120) included pediatric dental patients, group II (n = 25) included children with orofacial clefts, and group III (n = 30) included orthodontic patients. Construct (convergent and discriminant) validity, internal consistency, and test–retest reliability were assessed using Spearman’s rank correlation coefficients, Cronbach’s alpha coefficient, and intraclass correlation coefficient, respectively. All children were clinically examined; 66 children completed the questionnaire a second time. A cross-sectional study design was employed. Results CPQ8–10 scores and global ratings were positively correlated. CPQ8–10 scores were highest in group II, followed by groups I and III, respectively. CPQ8–10 scores were significantly higher in children affected with caries or malocclusion compared to unaffected children. Cronbach’s alpha was 0.95 and the intraclass correlation coefficient was 0.97. Conclusions The Arabic CPQ8–10 was valid and reliable; therefore, it can be utilized with Arabic-speaking children in this age group.

Download Full-text

Psychometric properities of the Polish version of clinical learning environment inventory

BMC Nursing ◽

10.1186/s12912-021-00649-5 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Iwona Bodys-Cupak

Keyword(s):

Learning Environment ◽

Learning Process ◽

Self Efficacy ◽

Discriminant Validity ◽

Clinical Placement ◽

Clinical Learning ◽

Clinical Learning Environment ◽

Cronbach’S Alpha ◽

Life Orientation Test ◽

Cronbach's Alpha

Abstract Background Clinical experience is a crucial activity for nursing students. The way students` perceive clinical placement exerts an immense influence on the learning process. This study aims to test the psychometric properties of a 19-item version of the Clinical Learning Environment Inventory under Polish clinical conditions. Method For this study, Discriminant validity and Cronbach’s alpha reliabilities were computed. In order to measure content validity, the criterion validity Generalized Self Efficacy Scale and the Life Orientation Test - Revised were used. Results Cronbach’s Alpha for the Clinical Facilitator Support of Learning Scale and the Satisfaction with Clinical Placement scale is 0.949 and 0.901, respectively. The Spearman’s rank correlation coefficient indicates the existence of a positive correlation between the students’ satisfaction with clinical placement and their [overall] life optimism. Age correlates negatively with perceived teacher support and positively with satisfaction with clinical placement. The sense of self-efficacy correlates negatively with their satisfaction with clinical placement. Clinical Learning Environment Inventory − 19 could be a useful tool to evaluate the quality of the clinical learning process in Polish conditions.

Download Full-text

The 8-item Morisky medication adherence scale: validation of a Portuguese version in HIV patients

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.669 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Aguiar ◽

C Piñeiro ◽

R Serrão ◽

R Duarte

Keyword(s):

Medication Adherence ◽

Psychometric Properties ◽

Reliability Analysis ◽

Cronbach’S Alpha ◽

Portuguese Version ◽

Cronbach's Alpha ◽

Adherence To Medication ◽

Morisky Medication Adherence Scale ◽

Adherence Scale ◽

The Mean

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to < 6 (low), 6 to < 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.

Download Full-text

Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in Brazil

Clinical Nursing Research ◽

10.1177/1054773821989800 ◽

2021 ◽

pp. 105477382198980

Author(s):

Marta Nunes Lira ◽

Clemente Neves Sousa ◽

Maria Carolina Medeiros Wanderley ◽

Natália Ramos Costa Pessoa ◽

Kelly Cristiane Rocha Lemos ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Arteriovenous Fistula ◽

Content Validity ◽

Self Care ◽

The Self ◽

Expert Committee ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

Download Full-text

Does Online Community Participation Contribute to Medication Adherence? An Empirical Study of Patients with Chronic Diseases

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105100 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5100

Author(s):

Jyh-Jeng Wu ◽

Yueh-Mei Chen ◽

Paul C. Talley ◽

Kuang-Ming Kuo

Keyword(s):

Medication Adherence ◽

Chronic Diseases ◽

Online Communities ◽

Emotional Support ◽

Self Efficacy ◽

Online Community ◽

Healthcare Professionals ◽

Informational Support ◽

Chronic Patients ◽

The Relationship

Effectively improving the medication adherence of patients is crucial. Past studies focused on treatment-related factors, but little attention has been paid to factors concerning human beliefs such as trust or self-efficacy. The purpose of this study is to explore the following aspects of patients with chronic diseases: (1) The relationship between emotional support, informational support, self-efficacy, and trust; (2) the relationship between self-efficacy, trust, and medication adherence; and, (3) whether chronic patients’ participation in different types of online communities brings about significant statistical differences in the relationships between the abovementioned variables. A questionnaire survey was conducted in this study, with 452 valid questionnaires collected from chronic patients previously participating in online community activities. Partial Least Squares-Structural Equation Modeling analysis showed that emotional support and informational support positively predict self-efficacy and trust, respectively, and consequently, self-efficacy and trust positively predict medication adherence. In addition, three relationships including the influence of emotional support on trust, the influence of trust on medication adherence, and the influence of self-efficacy on medication adherence, the types of online communities result in significant statistical differences. Based on the findings, this research suggests healthcare professionals can enhance patients’ self-efficacy in self-care by providing necessary health information via face-to-face or online communities, and assuring patients of demonstrable support. As such, patients’ levels of trust in healthcare professionals can be established, which in turn improves their medication adherence.

Download Full-text

Validation of the Arabic Version of the Oxford Happiness Inventory Among Undergraduates in Kuwait

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.050 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S255-S255

Author(s):

B. Alansari ◽

T. AlAli

Keyword(s):

Internal Consistency ◽

Convergent Validity ◽

Satisfaction With Life ◽

Satisfaction With Life Scale ◽

Arabic Version ◽

Cronbach’S Alpha ◽

Reliability Factor ◽

Life Orientation Test ◽

Cronbach's Alpha ◽

Oxford Happiness Inventory

IntroductionThe Oxford Happiness Inventory (OHI) 29-Item, each involving the selection of four options that are different for each item. Although there is an Arabic version, it is not identical to the original version in terms of the number of items and response.Objectivesto evaluate the psychometric properties of the Arabic adaptation OHI and its factorial structure in undergraduate sample.MethodsThe participants were 720 first year undergraduate Kuwaitis: 360 males mean age = 20.38 ± 1.60 and 360 females; mean age = 19.71 ± 1.39 (t = 5.87, P < 0.001). The Arabic version of OHI (Argyle, Martin, & Crossland) was administered to participants. The internal consistency reliability, factor structure, and convergent validity of the OHI with Life Orientation Test (LOT-R, Adult Hope Scale (AHS), Satisfaction With Life Scale (SWLS) were assessed as well as divergent validity of the OHI with Beck Depression Inventory-II (BDI-II)ResultsInternal consistency was satisfactory for the OHI (Cronbach's alpha = 0.87) for males and (Cronbach's alpha = 0.86) for females. The results revealed no significant gender differences on happiness (F = 1.77, P > 05). Principal component analyses (PCA) showed that a seven-component solution explains %50.50 of the total variance for males and 51.47% for females. The OHI positively correlates with the following variables: SWLS (r = .52), LOT-R (r = 0.56) AHS (r = .48) while the OHI correlates negatively with BDI-II (r = -54).ConclusionsFindings confirm that the OHI provides satisfactory validation, and thus it can be recommended as a measure of happiness among Arab samples.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Self-perception of oral health in older adults from an urban population in Lisbon, Portugal

Revista de Saúde Pública ◽

10.1590/s1518-8787.2016050006311 ◽

2016 ◽

Vol 50 (0) ◽

Cited By ~ 2

Author(s):

Catarina Carvalho ◽

Ana Cristina Manso ◽

Ana Escoval ◽

Francisco Salvado ◽

Carla Nunes

Keyword(s):

Older Adults ◽

Oral Health ◽

Health Assessment ◽

Life Quality ◽

Sociodemographic Factors ◽

The Self ◽

Self Perception ◽

Cronbach’S Alpha ◽

Convenience Sample ◽

Cronbach's Alpha

ABSTRACT OBJECTIVE To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. METHODS Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte – Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics. The internal consistency of the questionnaire was evaluated by Cronbach’s alpha (α). Later, we used binary logistic regression models to characterize the factors associated with the self-perception of oral health, considering the sociodemographic variables and the older adults’ clinical conditions of oral health and establishing the crude and adjusted (to age) odds ratios and their 90% confidence intervals. RESULTS A total of 369 older adults participated in this study, with an average age of 74.2 years (SD = 6.75); 62.9% were female. On average, the index was moderated, with tendency to be high: 32.9 (SD = 3.6; 12-36 interval). The Cronbach’s alpha was high: 0.805. Age, marital status, and the last dental appointment were the factors significantly associated with self-perception of oral health. CONCLUSIONS The study shows that these individuals have a moderate, with tendency to high, self-perception of oral health. The self-perception of oral health assessment allowed us to identify the main associated sociodemographic factors. This instrument can help guiding planning strategies and oral health promotion directed toward a better life quality for this population group.

Download Full-text

Educational program to promote the self-care of people with diabetes mellitus

Avances en Enfermería ◽

10.15446/av.enferm.v37n2.72316 ◽

2019 ◽

Vol 37 (2) ◽

pp. 169-179

Author(s):

Maria Gabriela Secco Cavicchioli ◽

Tarcila Beatriz Ferraz De Campos ◽

Anderson Da Silva Rosa ◽

Edvane Birelo Lopes De Domenico ◽

Giovana Andrade Frederico ◽

...

Keyword(s):

Educational Program ◽

Intervention Program ◽

Intervention Study ◽

Glycated Hemoglobin ◽

Self Care ◽

The Self ◽

Initial Moment ◽

Service Capacity ◽

Cronbach’S Alpha ◽

Cronbach's Alpha

Objective: to evaluate the effect of an intervention program on the capacity and action for the self-care of people with diabetes mellitus.Method: this is an intervention study with the implementation of a problem-solving educational program in diabetes in a private health service. Capacity and action scales were applied for the self-care, in the initial moment and after the intervention with analysis of the outcome by the metabolic control. Differences were identified by the Student t test and the comparison of the scales variability calculated by Cronbach's alpha, with a 95 % confidence interval.Results: participated in the study 23 people, with significant improvement in the values of glycated hemoglobin, glycemic and diastolic blood pressure variability after the educationalprogram. The educational strategy in diabetes provided improvement in both capacity and action for self-care,respectively (p ≤ 0.0 %), Cronbach’s alpha initial 0.895 and final 0.938 Conclusion: education programs using participatory methodologies are essential to enable the person with diabetes to manage and monitor the disease.

Download Full-text