Development and validation of the Adherence to Asthma Medication Questionnaire (AAMQ).

IF 2.4 Q3 PHARMACOLOGY & PHARMACY
Pharmacy Practice-Granada Pub Date : 2022-04-01 Epub Date: 2022-05-19 DOI:10.18549/PharmPract.2022.2.2673
Razan I Nassar, Bandana Saini, Nathir M Obeidat, Iman A Basheti
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引用次数: 1

Abstract

Background: Adherence to medication is the cornerstone to achieve the best treatment outcome. Pharmacists are healthcare professionals found in a pivotal position to assess asthmatic patients' adherence to medication. A brief, reliable, and valid measure of patients adherence to mediations is useful to enable the pharmacists to deliver that vital service.

Objective: To develop a reliable and valid adherence assessment tool for asthmatic patients.

Methods: The Adherence to Asthma Medication Questionnaire (AAMQ-13) was developed based on an extensive literature review, followed by applying the Delphi technique, and then it was pilot-tested by 55 patients. The final AAMQ-13 was completed by 213 patients. Psychometric evaluation was assessed including reliability, criterion validity, and construct validity.

Results: The AAMQ-13 is a feasible 13-item questionnaire, as it can be completed within an average of two minutes. It has high reliability (Cronbach's alpha= 0.87). Criterion-concurrent validity was established by comparing the AAMQ-13 to the Test of the Adherence to Inhaler (TAI) and the pharmacy refill records. Criterion-convergent validity was established by comparing the AAMQ-13 to the Asthma Control Test (ACT) questionnaire and the Positive Health Behaviors Scale (PHBS). Construct validity was established through AAMQ-13 factor analysis which revealed two factors explaining 51.76% of the total variance.

Conclusion: The AAMQ-13 is a reliable and valid questionnaire with several desirable characteristics as it has high reliability, good criterion validity, and strong construct validity. The AAMQ-13 is a suitable questionnaire that can identify non-adherent patients and reveal the reasons behind their non-adherence : Asthma; Adherence to medication; Compliance; Questionnaire; Self-report; Scale; Survey.

哮喘药物依从性问卷(AAMQ)的开发和验证。
背景:坚持用药是获得最佳治疗结果的基石。药剂师是医疗保健专业人员,在评估哮喘患者对药物的依从性方面处于关键地位。一个简短、可靠、有效的病人对药物依从性的测量方法有助于药剂师提供至关重要的服务。目的:建立一种可靠、有效的哮喘患者依从性评估工具。方法:在广泛查阅文献的基础上,采用德尔菲法编制哮喘药物依从性问卷(AAMQ-13),并对55例患者进行中试。213例患者完成了最终的AAMQ-13。心理测量评估包括信度、效度和构念效度。结果:AAMQ-13问卷平均在2分钟内完成,是一份可行的13题问卷。信度高(Cronbach’s alpha= 0.87)。通过将AAMQ-13与《吸入器依从性测试》(TAI)和药房补药记录进行比较,建立标准并发效度。通过将AAMQ-13量表与哮喘控制测验(ACT)问卷和积极健康行为量表(PHBS)进行比较,建立标准收敛效度。通过AAMQ-13因子分析构建效度,发现两个因子解释总方差的51.76%。结论:AAMQ-13量表具有较高的信度、较好的效度和较强的结构效度,是一份可靠有效的问卷。AAMQ-13是一份合适的问卷,可以识别非依从性患者并揭示其不依从性背后的原因:哮喘;坚持服药;合规;问卷调查;自我报告;规模;调查。
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来源期刊
Pharmacy Practice-Granada
Pharmacy Practice-Granada PHARMACOLOGY & PHARMACY-
CiteScore
3.90
自引率
4.00%
发文量
113
审稿时长
20 weeks
期刊介绍: Pharmacy Practice is a free full-text peer-reviewed journal with a scope on pharmacy practice. Pharmacy Practice is published quarterly. Pharmacy Practice does not charge and will never charge any publication fee or article processing charge (APC) to the authors. The current and future absence of any article processing charges (APCs) is signed in the MoU with the Center for Pharmacy Practice Innovation (CPPI) at Virginia Commonwealth University (VCU) School of Pharmacy. Pharmacy Practice is the consequence of the efforts of a number of colleagues from different Universities who belief in collaborative publishing: no one pays, no one receives. Although focusing on the practice of pharmacy, Pharmacy Practice covers a wide range of pharmacy activities, among them and not being comprehensive, clinical pharmacy, pharmaceutical care, social pharmacy, pharmacy education, process and outcome research, health promotion and education, health informatics, pharmacoepidemiology, etc.
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