Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran
Introduction: The HBC-HBP Scale is the most common scale for measuring adherence to medication in the elderly with hypertension, its Persian version has never been tested in Iran. Methods: 281 older adults with hypertension were randomly selected from health care centers in Iran during the second ha...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Science, Universiti Putra Malaysia
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/105585/ http://psasir.upm.edu.my/id/eprint/105585/1/2023011613300025_MJMHS_1139.pdf |
| _version_ | 1848864553720348672 |
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| author | Kaveh, Mohammad Hosein Ghajari, Ogholgol Asadollahi, Abdolrahim Ahmad, Nobaya |
| author_facet | Kaveh, Mohammad Hosein Ghajari, Ogholgol Asadollahi, Abdolrahim Ahmad, Nobaya |
| author_sort | Kaveh, Mohammad Hosein |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: The HBC-HBP Scale is the most common scale for measuring adherence to medication in the elderly with hypertension, its Persian version has never been tested in Iran. Methods: 281 older adults with hypertension were randomly selected from health care centers in Iran during the second half-year of 2019. The demographic questionnaire and Persian, Turkmen, and Kazak versions of HBC-HBP were completed by participants. The scale structure was evaluated using goodness of fit by Exploratory and Confirmatory Factor Analysis using IBM-SPSS v.26 and AMOS v.24. Results: The mean of CVI was 0.94, indicating good content validity for HBC-HBP. Exploratory Factor Analysis revealed two subscales for HBC-HBP, collectively explaining 70% of the adherence medication variance in three versions. All item loadings were “moderate” to “excellent”, ranging from 0.38 (Moderate) to 0.95(excellent). Confirmatory Factor Analysis indicated the goodness of fit for the HBC-HBP based on the trilingual version. A high goodness of fit was sown for Turkmen, Persian, and Kazak versions of HBC-HBP. (Chi-Square=8.213, 8.354, 8.210, RMSEA=0.016, 0.013, 0.010, GFI=0.90, 0.90, 0.91, CFI=0.91, 0.90, 0.91, and AGFI=0.90, 0.91, 0.90). Cronbach’s alpha was 0.90 for the whole scale (p<0.001). The optimal cut-off point that best distinguished between adherent and non-adherent patients was 26.5. Conclusion: Results showed the validity and reliability of the trilingual versions of the HBMA for measuring adherence medication in the elderly with hypertension. |
| first_indexed | 2025-11-15T13:50:39Z |
| format | Article |
| id | upm-105585 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:50:39Z |
| publishDate | 2023 |
| publisher | Faculty of Medicine and Health Science, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1055852024-01-29T03:12:02Z http://psasir.upm.edu.my/id/eprint/105585/ Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran Kaveh, Mohammad Hosein Ghajari, Ogholgol Asadollahi, Abdolrahim Ahmad, Nobaya Introduction: The HBC-HBP Scale is the most common scale for measuring adherence to medication in the elderly with hypertension, its Persian version has never been tested in Iran. Methods: 281 older adults with hypertension were randomly selected from health care centers in Iran during the second half-year of 2019. The demographic questionnaire and Persian, Turkmen, and Kazak versions of HBC-HBP were completed by participants. The scale structure was evaluated using goodness of fit by Exploratory and Confirmatory Factor Analysis using IBM-SPSS v.26 and AMOS v.24. Results: The mean of CVI was 0.94, indicating good content validity for HBC-HBP. Exploratory Factor Analysis revealed two subscales for HBC-HBP, collectively explaining 70% of the adherence medication variance in three versions. All item loadings were “moderate” to “excellent”, ranging from 0.38 (Moderate) to 0.95(excellent). Confirmatory Factor Analysis indicated the goodness of fit for the HBC-HBP based on the trilingual version. A high goodness of fit was sown for Turkmen, Persian, and Kazak versions of HBC-HBP. (Chi-Square=8.213, 8.354, 8.210, RMSEA=0.016, 0.013, 0.010, GFI=0.90, 0.90, 0.91, CFI=0.91, 0.90, 0.91, and AGFI=0.90, 0.91, 0.90). Cronbach’s alpha was 0.90 for the whole scale (p<0.001). The optimal cut-off point that best distinguished between adherent and non-adherent patients was 26.5. Conclusion: Results showed the validity and reliability of the trilingual versions of the HBMA for measuring adherence medication in the elderly with hypertension. Faculty of Medicine and Health Science, Universiti Putra Malaysia 2023-01 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/105585/1/2023011613300025_MJMHS_1139.pdf Kaveh, Mohammad Hosein and Ghajari, Ogholgol and Asadollahi, Abdolrahim and Ahmad, Nobaya (2023) Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran. Malaysian Journal of Medicine and Health Sciences, 19 (1). pp. 188-196. ISSN 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_19_2023/mjmhs_vol19_no_1_january_2023-70882 10.47836/mjmhs19.1.26 |
| spellingShingle | Kaveh, Mohammad Hosein Ghajari, Ogholgol Asadollahi, Abdolrahim Ahmad, Nobaya Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title | Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title_full | Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title_fullStr | Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title_full_unstemmed | Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title_short | Psychometric properties of trilingual versions of HBC-HBP hillBone compliance to High blood pressure (9-Items) in divergent ethnic groups of older adults in Iran |
| title_sort | psychometric properties of trilingual versions of hbc-hbp hillbone compliance to high blood pressure (9-items) in divergent ethnic groups of older adults in iran |
| url | http://psasir.upm.edu.my/id/eprint/105585/ http://psasir.upm.edu.my/id/eprint/105585/ http://psasir.upm.edu.my/id/eprint/105585/ http://psasir.upm.edu.my/id/eprint/105585/1/2023011613300025_MJMHS_1139.pdf |