2020
DOI: 10.2147/ppa.s236268
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<p>Psychometric Evaluation of Chinese Version of Adherence to Refills and Medications Scale (ARMS) and Blood-Pressure Control Among Elderly with Hypertension</p>

Abstract: Objective: This study aimed to develop the ARMS-C and test its psychometric properties in hypertensive patients, to assess the level of medication adherence and to identify associated predictors for medication adherence and blood-pressure control among Chinese hypertensive patients. Methods: Hypertensive elderly who met inclusion criteria were recruited from an aged-care facility in Henan Province between January 2019 and July 2019. The patients completed the adapted ARMS-C. The scale's factor structure, inter… Show more

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Cited by 14 publications
(15 citation statements)
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“…The resulting ROC for total subjects, male, female, young, and old shows a similar image with AUC values and they are all above 0.90. This AUC value is even higher than previous studies in China, India, Vietnam, and Afghanistan which only had an AUC of around 0.80, even though it uses different reference instruments such as the Clinical Interview Schedule Revised (CIS-R), Composite International Diagnostic Interview (CIDI), Hopkins Symptom Checklist-25 (HSCL-25) [13][14][15][16]. Research using the same questionnaire such as SRQ and MINI was conducted in South Africa with an emergency department setting, the results also showed the AUC value of around 0.80 [17].…”
Section: Discussioncontrasting
confidence: 55%
“…The resulting ROC for total subjects, male, female, young, and old shows a similar image with AUC values and they are all above 0.90. This AUC value is even higher than previous studies in China, India, Vietnam, and Afghanistan which only had an AUC of around 0.80, even though it uses different reference instruments such as the Clinical Interview Schedule Revised (CIS-R), Composite International Diagnostic Interview (CIDI), Hopkins Symptom Checklist-25 (HSCL-25) [13][14][15][16]. Research using the same questionnaire such as SRQ and MINI was conducted in South Africa with an emergency department setting, the results also showed the AUC value of around 0.80 [17].…”
Section: Discussioncontrasting
confidence: 55%
“…The ARMS is a widely used self-report questionnaire that has been used to assess medication adherence among diverse patient populations, particularly among older adults [26]. Additionally, it has been validated and culturally adapted to different languages, which makes it an attractive, easy to administer, free of charge, and reliable medication adherence scale [27][28][29][30]. However, the absence of a validated Arabic version of ARMS or other widely used and valid medication adherence scales that can be administered free of charge makes it hard to assess adherence to prescription medications among the Arabic-speaking patient population [15,17,21].…”
Section: Discussionmentioning
confidence: 99%
“…The ARMS can range from 12 to 48 with higher scores indicating poor adherence [26]. This scale has been validated among different patient populations with various chronic health conditions, such as diabetes and hypertension, and was translated to different languages [28][29][30]. Moreover, a score of ≥16 was used as a cut-off point to categorize surveyed patients into non-adherent (e.g., ≥16) and adherent (e.g., <16) [30].…”
Section: Research Instrument Translation and Validationmentioning
confidence: 99%
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“…Currently, there are limited scales that aim to provide reasons for non-adherence to blood pressure medications in the Chinese population. Although several Chinese versions were used in measuring adherence to medication in patients with epilepsy, myocardial infarction, and high blood pressure, these are limited in recognizing the potential reasons for non-adherent behaviors in patients [ 5 , 20 , 21 , 22 ]. Therefore, to develop a new adherence scale that is adapted to cultural and healthcare system differences is in demand.…”
Section: Introductionmentioning
confidence: 99%