Cargando…

Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)

BACKGROUND: Medication literacy is one of the key indicators that can affect the self-management of medications and medication safety. This study aimed to revise the Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP) and test the reliability and validity of the revised scale. METH...

Descripción completa

Detalles Bibliográficos
Autores principales: Qin, Ning, Duan, Yinglong, Yao, Ziqiang, Shi, Shuangjiao, Liu, Haoqi, Li, Xiao, Zheng, Feng, Zhong, Zhuqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486212/
https://www.ncbi.nlm.nih.gov/pubmed/36148050
http://dx.doi.org/10.3389/fcvm.2022.976691
_version_ 1784792230262734848
author Qin, Ning
Duan, Yinglong
Yao, Ziqiang
Shi, Shuangjiao
Liu, Haoqi
Li, Xiao
Zheng, Feng
Zhong, Zhuqing
author_facet Qin, Ning
Duan, Yinglong
Yao, Ziqiang
Shi, Shuangjiao
Liu, Haoqi
Li, Xiao
Zheng, Feng
Zhong, Zhuqing
author_sort Qin, Ning
collection PubMed
description BACKGROUND: Medication literacy is one of the key indicators that can affect the self-management of medications and medication safety. This study aimed to revise the Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP) and test the reliability and validity of the revised scale. METHODS: We revised the C-MLSHP by several methods, i.e., focus group discussion, expert consultation, patient interview, and pilot study, based on the established evaluation index system of medication literacy for hypertensive patients. Then, a formal survey using the revised Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP-R) was carried out on hypertensive patients from hospitals and community healthcare centers in Changsha city of China to test its reliability and validity. The reliability was evaluated with Cronbach's α coefficient, split-half reliability, and test–retest reliability. The validity was evaluated with content validity, construct validity, convergent validity, discriminant validity, and criterion-related validity. RESULTS: The C-MLSHP-R contained 18 items within four domains, i.e., the knowledge domain included four items, the attitude domain had three items, the skill domain involved seven items, and the practice domain included four items. A total of 339 hypertensive patients participated in the formal survey. The results showed that the Cronbach's α coefficient of C-MLSHP-R was 0.802, and for each domain ranged from 0.639 to 0.815. The split-half reliability coefficient of C-MLSHP-R was 0.709, and for each domain ranged from 0.648 to 0.792. The test–retest reliability coefficient of C-MLSHP-R was 0.851, and for each domain ranged from 0.655 to 0.857. The I-CVI of each item ranged from 0.833 to 1.000, the S-CVI/Ave of C-MLSHP-R was 0.981, the S-CVI/UA was 0.889, and for each domain ranged from 0.958 to 1.000. Confirmatory factor analysis results showed that the model fitted well. The convergent validity of C-MLSHP-R was acceptable, and the discriminant validity was good. The criterion coefficient between C-MLSHP-R and C-MLSHP was 0.797, and for each domain ranged from 0.609 to 0.755. CONCLUSION: Compared with C-MLSHP, the C-MLSHP-R with 18 items was much shorter for measuring, and had decreased reliability within the acceptable range and better validity, which was more appropriate and time-saving to assess the medication literacy level for hypertensive patients scientifically and conveniently.
format Online
Article
Text
id pubmed-9486212
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-94862122022-09-21 Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R) Qin, Ning Duan, Yinglong Yao, Ziqiang Shi, Shuangjiao Liu, Haoqi Li, Xiao Zheng, Feng Zhong, Zhuqing Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Medication literacy is one of the key indicators that can affect the self-management of medications and medication safety. This study aimed to revise the Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP) and test the reliability and validity of the revised scale. METHODS: We revised the C-MLSHP by several methods, i.e., focus group discussion, expert consultation, patient interview, and pilot study, based on the established evaluation index system of medication literacy for hypertensive patients. Then, a formal survey using the revised Chinese Medication Literacy Scale for hypertensive patients (C-MLSHP-R) was carried out on hypertensive patients from hospitals and community healthcare centers in Changsha city of China to test its reliability and validity. The reliability was evaluated with Cronbach's α coefficient, split-half reliability, and test–retest reliability. The validity was evaluated with content validity, construct validity, convergent validity, discriminant validity, and criterion-related validity. RESULTS: The C-MLSHP-R contained 18 items within four domains, i.e., the knowledge domain included four items, the attitude domain had three items, the skill domain involved seven items, and the practice domain included four items. A total of 339 hypertensive patients participated in the formal survey. The results showed that the Cronbach's α coefficient of C-MLSHP-R was 0.802, and for each domain ranged from 0.639 to 0.815. The split-half reliability coefficient of C-MLSHP-R was 0.709, and for each domain ranged from 0.648 to 0.792. The test–retest reliability coefficient of C-MLSHP-R was 0.851, and for each domain ranged from 0.655 to 0.857. The I-CVI of each item ranged from 0.833 to 1.000, the S-CVI/Ave of C-MLSHP-R was 0.981, the S-CVI/UA was 0.889, and for each domain ranged from 0.958 to 1.000. Confirmatory factor analysis results showed that the model fitted well. The convergent validity of C-MLSHP-R was acceptable, and the discriminant validity was good. The criterion coefficient between C-MLSHP-R and C-MLSHP was 0.797, and for each domain ranged from 0.609 to 0.755. CONCLUSION: Compared with C-MLSHP, the C-MLSHP-R with 18 items was much shorter for measuring, and had decreased reliability within the acceptable range and better validity, which was more appropriate and time-saving to assess the medication literacy level for hypertensive patients scientifically and conveniently. Frontiers Media S.A. 2022-09-06 /pmc/articles/PMC9486212/ /pubmed/36148050 http://dx.doi.org/10.3389/fcvm.2022.976691 Text en Copyright © 2022 Qin, Duan, Yao, Shi, Liu, Li, Zheng and Zhong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Qin, Ning
Duan, Yinglong
Yao, Ziqiang
Shi, Shuangjiao
Liu, Haoqi
Li, Xiao
Zheng, Feng
Zhong, Zhuqing
Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title_full Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title_fullStr Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title_full_unstemmed Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title_short Psychometric properties and validation of the revised Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP-R)
title_sort psychometric properties and validation of the revised chinese medication literacy scale for hypertensive patients (c-mlshp-r)
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486212/
https://www.ncbi.nlm.nih.gov/pubmed/36148050
http://dx.doi.org/10.3389/fcvm.2022.976691
work_keys_str_mv AT qinning psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT duanyinglong psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT yaoziqiang psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT shishuangjiao psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT liuhaoqi psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT lixiao psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT zhengfeng psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr
AT zhongzhuqing psychometricpropertiesandvalidationoftherevisedchinesemedicationliteracyscaleforhypertensivepatientscmlshpr