Development and validation of the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP)

doi:10.1186/s12883-024-03962-z

	Development and validation of the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP)
	Sun, Hui Jun 1; Wu, Mei Ting 2; Qu, Jiayan 3; Lu, Jianping 4
	2024-11-26
发表期刊	BMC NEUROLOGY (IF:2.2[JCR-2023],2.5[5-Year])
EISSN	1471-2377
卷号	24 期号:1
发表状态	已发表
DOI	10.1186/s12883-024-03962-z
摘要	BackgroundThe extent of rehabilitation of stroke patients outside the hospital is contingent upon their dedication to rehabilitative exercises, adherence to a suitable diet, and medication protocols. Therefore, multiple aspects of compliance must be assessed. Questionnaires are indirect measurements that are economical and easy to use. However, questionnaires should meet specific criteria to minimize errors and ensure reprehensibility of the results.ObjectiveTo develop a new questionnaire-based assessment tool for out-of-hospital treatment adherence in stroke patients and to evaluate the psychometric properties and feasibility of the questionnaire by conducting preliminary measurements in the stroke population. The questionnaire should have at least one validity measure and one reliability measure.MethodsA preliminary "OHAQ-SP" was developed based on a literature review and two rounds of Delphi expert consultation. Between April 1 and July 2022, 308 stroke patients revisited the neurology departments of four Grade A tertiary hospitals in Shanghai using the convenience sampling approach. Various statistical methods, such as item analysis, correlation analysis, exploratory factor analysis, confirmatory factor analysis, and the internal consistency measure Cronbach's alpha coefficient, were employed to assess the reliability and validity of the questionnaire.ResultsA total of 290 questionnaires were collected; the Cronbach's alpha coefficients were 0.936, 0.862, 0.916, and 0.928 for the different sections, and the overall Cronbach's alpha coefficient for the entire scale was 0.902. The results of the confirmatory factor analysis were CMIN/DF = 2.490, RMR = 0.05, GFI = 0.901, NFI = 0.927, IFI = 0.955, and RMSEA = 0.054. The standardized loading values varied between 0.717 and 0.916. The combined reliabilities of the four dimensions were 0.936, 0.864, 0.917, and 0.929, respectively. The average variance extraction values for the four dimensions are 0.676, 0.614, 0.611, and 0.652, respectively.ConclusionThe OHAQ-SP is a reliable and accurate instrument for evaluating medication use, nutritional status, and behavior throughout the out-of-hospital rehabilitation phase.
关键词	Validation Stroke Adherence Scale Validity Reliability
URL	查看原文
收录类别	SCI
语种	英语
资助项目	Shanghai Three-Year Action Plan for Promoting Clinical Skills and Clinical Innovation Capabilities in Municipal Hospitals, China[SHCD2020CR2098B]
WOS研究方向	Neurosciences & Neurology
WOS类目	Clinical Neurology
WOS记录号	WOS:001362563700002
出版者	BMC
文献类型	期刊论文
条目标识符	https://kms.shanghaitech.edu.cn/handle/2MSLDSTB/458331
专题	上海临床研究中心
通讯作者	Lu, Jianping
作者单位	1.ShanghaiTech Univ, Shanghai Clin Res & Trial Ctr, Shanghai, Peoples R China 2.Shanghai Univ Med & Hlth Sci, Sch Nursing & Hlth Management, Shanghai, Peoples R China 3.Shanghai Univ Tradit Chinese Med, Yueyang Hosp integrated Tradit Chinese & Western M, Breast Dept, Shanghai, Peoples R China 4.Shanghai Municipal Hosp Tradit Chinese Med, Nursing Dept, 274 Middle Zhi Jiang Rd, Shanghai 20071, Peoples R China
第一作者单位	上海临床研究中心
第一作者的第一单位	上海临床研究中心
推荐引用方式 GB/T 7714	Sun, Hui Jun,Wu, Mei Ting,Qu, Jiayan,et al. Development and validation of the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP)[J]. BMC NEUROLOGY,2024,24(1).
APA	Sun, Hui Jun,Wu, Mei Ting,Qu, Jiayan,&Lu, Jianping.(2024).Development and validation of the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP).BMC NEUROLOGY,24(1).
MLA	Sun, Hui Jun,et al."Development and validation of the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP)".BMC NEUROLOGY 24.1(2024).