Revision and validation of the medication adherence self-efficacy scale (MASES) in hypertensive African Americans.

Revision and validation of the medication adherence self-efficacy scale (MASES) in hypertensive African Americans.
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DOI:
10.1007/s10865-008-9170-7
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发表时间:
2008-12
影响因子:
3.1
通讯作者:
Ogedegbe, Gbenga
Ogedegbe, Gbenga
中科院分区:
心理学3区
文献类型:
--
作者:
Fernandez, Senaida;Chaplin, William;Schoenthaler, Antoinette M.;Ogedegbe, Gbenga

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到目前为止,还没有研究在高血压非裔美国人的独立样本中验证药物依从性自我效能量表(MASES)。本研究的目的是修订和评估MASES的效度。研究样本包括168名非洲裔美国人的初级保健实践。平均年龄54岁(SD = 12.36);86%为女性;76%的人有高中及以上学历。与会者提供了人口统计资料;在基线和三个月完成MASES、自我报告和处方抗高血压药物依从性电子测量。验证性(CFA)、探索性(EFA)因素分析和经典检验理论(CTT)分析表明,MASES是一种单向度和内部可靠的测量方法,在3个月内评分相对稳定。项目反应理论(IRT)分析的结果导致量表修订为13个项目的版本:mas - r。EFA、CTT和IRT结果支持mass - r的信度和效度。研究结果表明,MASES-R是一种简短的量表,可以快速管理,并且可以捕获有关非裔美国人依从性自我效能的有用数据。研究其在其他种族群体中的心理测量特性将提高研究结果的普遍性和量表在不同群体中的实用性。
To date, no studies have validated the Medication Adherence Self-Efficacy Scale (MASES) in an independent sample of hypertensive African Americans. The purpose of this study was to revise and assess the validity of the MASES. Study sample included 168 African Americans followed in primary care practices. Mean age was 54 (SD = 12.36); 86% was female; and 76% reported high school education or greater. Participants provided demographic information; completed the MASES, self-report and electronic measures of medication adherence for prescribed antihypertensive medications at baseline and three months. Confirmatory (CFA), exploratory (EFA) factor analyses, and classical test theory (CTT) analyses, suggested that MASES is a unidimensional and internally reliable measure with relatively stable scores over 3 months. Results of item response theory (IRT) analyses led to revision of the scale to a 13-item version: the MASES-R. EFA, CTT, and IRT results for the MASES-R supported its reliability and validity. Findings suggest that the MASES-R is a brief scale that is quick to administer and can capture useful data on adherence self-efficacy for African Americans. Research examining its psychometric properties in other ethnic groups will improve generalizability of findings and utility of the scale in diverse groups.
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