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IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-03-15 DOI:10.1111/hex.70222

Yen-Ming Huang, Yu-Meng Yang, Tzu Wang, Yunn-Fang Ho, Hsun-Yu Chan

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引用次数: 0

摘要

目的本研究旨在翻译并评估繁体中文版药物理解和使用自我效能感量表（MUSE-TC）在台湾 2 型糖尿病（T2D）患者中的有效性和可靠性。方法采用正反译法将 8 个项目的 MUSE 原版翻译成繁体中文。译文由四位药学实践和教育心理学专家审阅。在一项横断面研究中，对正在服用糖尿病药物的 T2D 成人进行了 MUSE-TC 的有效性和可靠性评估。参与者于 2023 年 6 月至 2024 年 5 月期间从台湾的五家社区药房招募。MUSE-TC的内部一致性采用麦氏欧米茄（ω）进行测量，而构建效度则通过确认性因子分析进行评估。通过研究自我效能感与服药依从性之间的关系，确定了标准效度。结果共有 274 名患者参与了研究。确认性因子分析为 8 个项目的 MUSE-TC 确定了双因子结构，包括 "服药 "和 "了解药物 "两个领域。所有项目都被加载到其预期因子上，因子加载值介于 0.433 到 0.511 之间。量表显示出良好的内部一致性，"服药 "领域的 McDonald's ω 值为 0.914，"了解药物 "领域的 McDonald's ω 值为 0.906。标准效度进一步证明了这些稳健的心理测量特性，因为自我效能与服药依从性相关。具体来说，"服药 "领域与服药障碍较少呈正相关（r = 0.382，p <0.001），这表明自我效能较高的人往往会坚持按处方服药。结论本研究提出的 MUSE-TC 具有良好的心理测量学特性，可帮助医护人员前瞻性地评估用药方面的自我效能感，并评估自我效能感对不同慢性病患者各种健康结果的影响。患者或公众的贡献患者、药剂师、药房工作人员和学术专家共同努力，翻译并验证了这一针对慢性病患者用药依从性的自我效能量表。社区参与在翻译量表、招募参与者、收集数据、进行分析和解释研究结果方面发挥了关键作用。这些合作努力确保了该研究在常规医疗机构中对患者护理的相关性和适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Translation and Validation of the Medication Understanding and Use Self-Efficacy Scale Among Patients With Type 2 Diabetes in Taiwan

Objective

The study aimed to translate and assess the validity and reliability of the Traditional Chinese version of the Medication Understanding and Use Self-Efficacy Scale (MUSE-TC) among patients with type 2 diabetes (T2D) in Taiwan.

Methods

The original 8-item MUSE was translated into Traditional Chinese using a forward and backward translation method. The translations were reviewed by four experts in pharmacy practice and educational psychology. The validity and reliability of the MUSE-TC were assessed in a cross-sectional study among adults with T2D who were taking diabetes medications. Participants were recruited from five community pharmacies in Taiwan between June 2023 and May 2024. Internal consistency of the MUSE-TC was measured using McDonald's omega (ω), while construct validity was evaluated through confirmatory factor analysis. Criterion validity was established by examining the relationship between self-efficacy and medication adherence.

Results

A total of 274 patients participated in the study. Confirmatory factor analysis identified a two-factor structure for the 8-item MUSE-TC, consisting of the “taking medication” and “learning about medication” domains. All items loaded onto their intended factors, with factor loadings ranging from 0.433 to 0.511. The scale demonstrated excellent internal consistency, with McDonald's ω values of 0.914 for the “taking medication” domain and 0.906 for the “learning about medication” domain. These robust psychometric properties were further supported by criterion validity, as self-efficacy was shown to be associated with medication adherence. Specifically, the “taking medication” domain was positively correlated with fewer barriers to medication-taking (r = 0.382, p < 0.001), suggesting that individuals with higher self-efficacy tend to adhere to their prescribed medication regimen.

Conclusions

This study presents the MUSE-TC with psychometrically sound properties that will enable healthcare professionals to prospectively assess self-efficacy in medication use and evaluate the impact of self-efficacy on a variety of health outcomes across patients with different chronic diseases.

Patient or Public Contribution

Patients, pharmacists, pharmacy staff, and academic experts worked together on the translation and validation of this self-efficacy scale for medication adherence among individuals with chronic illnesses. Community engagement played a key role in translating the scale, recruiting participants, collecting data, conducting analysis, and interpreting the findings. These collaborative efforts ensure the study relevance and applicability to patient care in routine healthcare settings.

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.