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Reliability and validity of the Turkish version of the medication practical barriers to adherence questionnaire in patients with chronic diseases

Samuelyan, Nora; Ay, Pınar; Moon, Zoe; Sancar, Mesut; Horne, Rob; Okuyan, Betul; (2024) Reliability and validity of the Turkish version of the medication practical barriers to adherence questionnaire in patients with chronic diseases. European Journal of Clinical Pharmacology 10.1007/s00228-024-03735-0. (In press).

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Abstract

Purpose: The aim of this study was to evaluate the validity and reliability of the Turkish version of the Medication Practical Barriers to Adherence Questionnaire (MPRAQ-TR). // Methods: This is a validation study conducted between August 2022 and March 2023 in the ambulatory services of a secondary care private hospital located in Istanbul, Türkiye, among patients (18 years of age and older) with chronic diseases. After the Turkish translation and cultural adaptation of the MPRAQ, and a pilot think-aloud study, the following psychometric properties were assessed: internal consistency by calculating the Cronbach’s alpha coefficient, 2-week test-retest reliability, convergent validity by calculating Spearman’s rank correlation between the MPRAQ-TR and the Turkish version of Medication Adherence Report Scale (MARS), and predictive validity by evaluating the association between the MPRAQ-TR score and nonadherence to medications. // Results: Among the 380 patients (response rate = 89.6%), 72.1% were nonadherent to their medications. The intraclass correlation coefficient was 0.99 for MPRAQ-TR scores (95% CI, 0.98–0.99; p < 0.001). The Cronbach’s alpha of the MPRAQ-TR was 0.853. There was a moderate negative correlation between the scores on the MARS and the MPRAQ-TR (Spearman’s rho = − 0.525; p < 0.01), supporting the convergent validity of the MPRAQ-TR. In the univariate analysis, the total score of MPRAQ-TR was associated with increased odds of nonadherence to medications (p < 0.01). // Conclusion: MPRAQ-TR shows good psychometric properties and can be used to evaluate the practical adherence barriers of patients with chronic diseases.

Type: Article
Title: Reliability and validity of the Turkish version of the medication practical barriers to adherence questionnaire in patients with chronic diseases
Location: Germany
DOI: 10.1007/s00228-024-03735-0
Publisher version: http://dx.doi.org/10.1007/s00228-024-03735-0
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Adherence; Medication; MPRAQ; Practicalities; Questionnaire; Validation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10197994
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