Validity and reliability of the Beliefs About Medicines Questionnaire in Colombian hypertensive patients
DOI:
https://doi.org/10.15649/cuidarte.1937Keywords:
Essential Hypertension, Cardiovascular Diseases, Beliefs, Psychometrics, Validation StudyAbstract
Introduction. The Beliefs about Medicines Questionnaire (BMQ) allows the assessment of cognitive representations encompassing patients' medication beliefs about taking medication for their disease in different cultures. Objective. To determine the construct validity and reliability of the BMQ questionnaire adapted to Colombian hypertensive patients. Materials and methods. An instrumental psychometric study was carried out in a sample of 238 hypertensive patients with an average age of 65 years (SD= 11.4), with a predominance of women (70%). Construct validity was assessed by exploratory and confirmatory factor analysis. Reliability was calculated using Cronbach's alpha coefficient method. Results. A reduced version of 16 items was obtained; in the BMQ-General section the 7 items were grouped into two factors that explained 64% of the common variance and good fit (χ^2= 61.46; gl = 13; p = 0.000; CFI = 0.917; NNFI = 0.89; CFI=0.917; SRMR=0.054; RMSEA = 0.125; CI 90% [0.10, 0.16]). In the BMQ-Specific the 9 items grouped into two factors explained 63.17% of the common variance with an acceptable fit (χ^2= 122.4; gl = 26; p = 0.000; CFI = 0.88; NNFI = 0.84; CFI=0.88; SRMR=0.106; RMSEA = 0.125; CI 90% [0.10, 0.15]). The Cronbach's alpha reliability for the BMQ-General and Specific was 0.82 and 0.78, respectively. Discussion and conclusions. The version of the BMQ adapted to Colombian hypertensive patients has adequate psychometric characteristics and its use is recommended in research.
How to cite this article: Herrera Guerra Eugenia del Pilar. Robles González Juana Raquel. Bautista Arellano Lili Rosa. Validez y confiabilidad del Beliefs About Medicines Questionnaire en pacientes hipertensos colombianos. Revista Cuidarte. 2021;12(3):e1937. http://dx.doi.org/10.15649/cuidarte.1937
References
República de Colombia. Ministerio de Salud y Protección social. Análisis de situación de salud (ASIS) Colombia, 2018. Dirección de epidemiologia y demografía. Bogotá DC. Junio de 2019. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-colombia-2018.pdf
Melo Barbosa OP. Enfermedad cardiovascular: creencias y prácticas en la adherencia al tratamiento. Rev. cienc. cuidad. 2018; 15(2):164-176. https://doi.org/10.22463/17949831.1410
Cea-Calvo L, Marín-Jiménez I, de Toro J, Fuster-RuizdeApodaca MJ, Fernández G, Sánchez-Vega N, et al. Association between non-adherence behaviors, patients' experience with healthcare and beliefs in medications: a survey of patients with different chronic conditions. Curr Med Res Opin. 2020; 36(2):293-300. https://doi.org/10.1080/03007995.2019.1676539
Tan CS, Hassali MA, Neoh CF, Saleem F. Aqualitativeexplorationof hypertensive patients’ perception towardsqualityuseofmedication and hypertension management at the community level. Pharmacy Practice. 2017; 15(4):1074. https://doi.org/10.18549/PharmPract.2017.04.1074
Horne R. Treatment perceptions and self-regulation. In L.D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behavior. Psychology Press. 2003: 337. ISBN: 0-415-29701-X.
. Horne R, Frost S, Hankins M, Wright S. In the eye of the beholder: Pharmacy students have more positive perceptions of medicines than students of other disciplines. International Journal of Pharmacy Practice. 2001; 9: 85-89. https://doi.org/10.1111/j.2042-7174.2001.tb01035.x
Horne R, Weinman J, Hankins, M. The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health.1999:14: 1-24. . https://doi.org/10.1080/08870449908407311
Neame R, Hammond A. Beliefs about medications: a questionnaire survey of people with rheumatoid arthritis. Rheumatology (Oxford). 2005; 44(6):762-767. https://doi.org/10.1093/rheumatology/keh587
de Vries ST, Keers JC, Visser R, de Zeeuw D, Haaijer-Ruskamp FM, Voorham J, et al. Medication beliefs, treatment complexity, and non-adherence to different drug classes in patients with type 2-diabetes. J Psychosom Res. 2014; 76(2):134-138. https://doi.org/10.1016/j.jpsychores.2013.11.003
Krauskopf K, Federman A, Kale M, Sigel KM, Martynenko M, O’Conor R, et al. Chronic Obstructive Pulmonary Disease Illness and Medication Beliefs are Associated with Medication Adherence. COPD. 2015; 12(2): 151–164. https://doi.org/10.3109/15412555.2014.922067
Perpiñá M, Martínez E, Belloch A, Lloris A, Pellicer C. Creencias sobre la salud y los medicamentos en la población asmática española. Validación de 2 instrumentos para su medida. Archivos de Bronconeumología. 2009; 45(5):218-223. https://doi.org/10.1016/S1579-2129(09)72151-2
Sjolander M, Eriksson M, Glader EL. The association between patients’ beliefs about medicines and adherence to drug treatment after stroke: a cross-sectional questionnaire survey. BMJ Open. 2013; 3:e003551. http://dx.doi.org/10.1136/bmjopen-2013- 003551
Jonsdottir H, Friis S, Horne R, Pettersen KI, Reikvam A, Andreassen OA. Beliefs about medications: measurement and relationship to adherence in patients with severe mental disorders. Acta Psychiatr Scand. 2009; 119(1):78-84. https://doi.org/10.1111/j.1600-0447.2008.01279.x
Fall E, Gauchet A, Izaute M, Horne R, Chakroun N. Validation of the French version of the Beliefs about Medicines Questionnaire (BMQ) among diabetes and HIV patients. Eur Rev Appl Psychol. 2014; 64(6):335-343. https://doi.org/10.1016/j.erap.2014.08.005
Ruppar TM, Dobbels F, De Geest S. Medication beliefs and antihypertensive adherence among older adults: A pilot study. Geriatr Nurs. 2012; 33(2):89-95. https://doi.org/10.1016/j.gerinurse.2012.01.006
Andersson Sundell K, Jonsson AK. Beliefs About Medicines Are Strongly Associated With Medicine-Use Patterns Among the General Population. Int J Clin Pract. 2016; 70(3):277-85. https://doi.org/10.1111/ijcp.12781
Cinar M, Cinar FI, Acikel S, Yilmaz M, Cakar M, Horne R, et al. AB0559 Reliability and Validity of The Turkish Translation of The Beliefs about Medicines Questionnaire (BMQ-T) in Patients with Behçet's Disease. Annals of the Rheumatic Diseases 2016; 75: 1002-1096. https://doi.org/10.1136/annrheumdis-2016-eular.4884
Salgado T, Marques A, Geraldes L, Benrimoj S, Horne R, Fernandez-Llimos F. Cross-cultural adaptation of the Beliefs about Medicines Questionnaire into Portuguese Sao Paulo. Med J. 2013; 131(2): 88–94. https://doi.org/10.1136/annrheumdis-2016-eular.4884
Nova PM, Chen, C. Medication Beliefs in Patients Following Percutaneous Coronary Intervention: A Cross-sectional Study. Jurnal Keperawatan Indonesia. 2019; 22 (3): 363-368. https://doi.org/10.7454/jki.v22i3.1092
De las Cuevas C, Santana AR, Perez LP, Lorenzo MG, Ramos JP, Sanz EJ. Adaptation and validation study of the Beliefs about Medicines Questionnaire in psychiatric outpatients in a community mental health setting. Hum Psychopharmacol. 2011; 26(2):140-146. https://doi.org/10.1002/hup.1185
. Tordera MP, Moragon EM, Fuster AB, Bayo AL, Císcar CP. Spanish asthma patients’ beliefs about health and medicines: validation of 2 questionnaires. Arch Bronconeumol. 2009; 45(5):218-223. https://doi.org/10.1016/j.arbres.2008.06.006
Beléndez M, Mijares AH, Horne R. Evaluación de las creencias sobre el tratamiento: validez y fiabilidad de la versión española del Beliefs about Medicines Questionnaire. Int J Clin Health Psychol. 2007; 7(3):767-779. https://www.redalyc.org/pdf/337/33770313.pdf
Buendía, JA. Actitudes, conocimientos y creencias del paciente hipertenso sobre la medicación antihipertensiva. Biomédica Revista del Instituto Nacional de Salud. 2012; 32(4): 578-584. https://doi.org/10.7705/biomedica.v32i4.421
LoBiondo-Wood G, Judith H. Nursing research methods and critical appraisal for evidence-based practice. 8th ed. St. Louis, Missouri: Elsevier; 2014. https://doi.org/10.1016/S2155-8256(15)30102-2
Escobedo M, Hernández J, Ortega V, Martínez G. Modelo de ecuaciones estructurales: características, fases, construcción, aplicación y resultados. Cienc Trab. 2016, 18 (55): 16-22. https://doi.org/10.4067/S0718-24492016000100004
George D, Mallery P. SPSS for Windows step by step. A simple guide and reference 17.0 update. 10th ed. Boston, MA: Allyn & Bacon. 2010. ISBN: 9780205755615. http://lib.ugent.be/catalog/rug01:001424067
Rodríguez M, Ruiz M. Atenuación de la asimetría y de la curtosis de las puntuaciones observadas mediante transformaciones de variables: incidencia sobre la estructura factorial. Psicológica. 2008; 29: 205-227. https://www.redalyc.org/articulo.oa?id=16929206
Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int. J. Med. Educ. 2011; 2:53-5. https://doi.org/10.5116/ijme.4dfb.8dfd
República de Colombia. Ministerio de salud. Resolución 8430 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: Ministerio de Salud; 1993. p. 1- 12.
Tibaldi G, Clatworthy J, Torchio E, Argentero P, Munizza C, Horne, R. The utility of the Necessity- -Concerns Framework in explaining treatment non-adherence in four chronic illness groups in Italy. Chronic Illn. 2009; 5(2):129-33. https://doi.org/10.1177/1742395309102888
Mahler C, Hermann K, Horne R, Jank S, Emil W, Szecsenyi, J. Patients’ Beliefs about Medicines in a primary care setting in Germany. J Eval Clin Pract. 2012; 18(2):409-13. https://doi.org/10.1111/j.1365-2753.2010.01589.x
Salgado T, Marques A, Geraldes L, Benrimoj S, Horne R, Fernandez F. Cross-cultural adaptation of the Beliefs about Medicines Questionnaire into Portuguese. Sao Paulo Med J. 2013; 131(2):88-94. https://doi.org/10.1590/S1516-31802013000100018
Karbownik MS, Jankowska-Polańska B, Horne R, Górski KM, Kowalczyk E, Szemraj, J. Adaptation and validation of the Polish version of the Beliefs about Medicines
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