Identifying Dimensions and Items for a Questionnaire to Assess Medication Adherence in Men and Women with Ischemic Heart Disease: Insights from the GENADHECAR Study.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S516285
Álvaro Carbonell-Soliva, Rauf Nouni-García, Jose A Quesada, Francisco González-Llopis, Alberto Cordero, Vicente Bertomeu-González, Domingo Orozco-Beltrán, José Verdú-Soriano, Andreu Nolasco, Virtudes Pérez-Jover, Jose Joaquín Mira, Adriana López-Pineda, Silvia Guillén-García, Pablo Martínez-Pérez, Concepción Carratalá-Munuera, Vicente F Gil-Guillén
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引用次数: 0

Abstract

Purpose: The objective of this study was to identify dimensions and items for a future questionnaire aimed at measuring medication nonadherence in people with ischemic heart disease, considering gender differences and incorporating the views of healthcare professionals, researchers, and patients.

Patients and methods: We conducted a mixed-method cross-sectional study at San Juan de Alicante University Hospital and Miguel Hernández University (Spain). The methods used to identify dimensions included a consensus group of healthcare and scientific professionals, an open-response survey for community pharmacists, a closed-response patient survey, and patient focus groups. When drafting the item list, we followed international recommendations related to the number and wording of items. Our study also included a qualitative review of the item list and response scales by psychologists.

Results: The resulting item list includes 41 potential items grouped into 26 dimensions and five domains: "patient", "treatment", "disease", "health professional-patient relationship" and "healthcare system". It covers aspects such as personal beliefs, mood, polypharmacy, disease symptoms, patient-healthcare professional interaction and healthcare system factors. Response options are presented on a 5-point Likert scale, including agreement-level responses and frequency-level responses.

Conclusion: With the collaboration of patients, researchers, and healthcare providers, we potentially identified five domains, 26 dimensions, and 41 items with 5-point Likert scale response options. These will be considered in the subsequent development and validation of a questionnaire to measure medication adherence in patients with ischemic heart disease.

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确定问卷的维度和项目来评估男性和女性缺血性心脏病患者的药物依从性:来自GENADHECAR研究的见解
目的:本研究的目的是确定未来问卷的维度和项目,旨在测量缺血性心脏病患者的药物不依从性,考虑性别差异,并纳入医疗保健专业人员、研究人员和患者的观点。患者和方法:我们在圣胡安德阿利坎特大学医院和米格尔Hernández大学(西班牙)进行了一项混合方法横断面研究。用于确定维度的方法包括卫生保健和科学专业人员的共识组,社区药剂师的开放式反应调查,封闭式反应患者调查和患者焦点小组。在起草项目清单时,我们遵循了有关项目数量和措词的国际建议。我们的研究还包括心理学家对项目列表和反应量表的定性回顾。结果:项目列表包含41个潜在项目,分为26个维度和5个领域:“患者”、“治疗”、“疾病”、“卫生专业-患者关系”和“卫生保健系统”。它涵盖了个人信仰、情绪、多种药物、疾病症状、患者与医疗保健专业人员的互动以及医疗保健系统因素等方面。响应选项以5点李克特量表呈现,包括协议级响应和频率级响应。结论:在患者、研究人员和医疗保健提供者的合作下,我们确定了5个领域、26个维度和41个项目,其中包括5点李克特量表反应选项。这些将在随后的调查问卷的开发和验证中考虑,以测量缺血性心脏病患者的药物依从性。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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