Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)

Background: Medication non-adherence is a complex multifactorial phenomenon impacting patients with various health conditions worldwide. Therefore, its detection can improve patient outcomes and minimize the risk of adverse consequences. Even though multiple self-reported medication adherence assess...

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Autores principales:	Ghaida Alammari, Hawazin Alhazzani, Nouf AlRajhi, Ibrahim Sales, Amr Jamal, Turky H. Almigbal, Mohammed A. Batais, Yousif A. Asiri, Yazed AlRuthia
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	medication non-adherence self-reports validation studies surveys and questionnaires 12-item ARMS Medicine R
Acceso en línea:	https://doaj.org/article/acda49315ca94b19a8982217a9e270ad
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spelling	oai:doaj.org-article:acda49315ca94b19a8982217a9e270ad2021-11-25T17:43:50ZValidation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)10.3390/healthcare91114302227-9032https://doaj.org/article/acda49315ca94b19a8982217a9e270ad2021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1430https://doaj.org/toc/2227-9032Background: Medication non-adherence is a complex multifactorial phenomenon impacting patients with various health conditions worldwide. Therefore, its detection can improve patient outcomes and minimize the risk of adverse consequences. Even though multiple self-reported medication adherence assessment scales are available, very few of them exist in Arabic language. Therefore, the aim of this study was to validate a newly translated Arabic version of the Adherence to Refills and Medications Scale (ARMS) among patients with chronic health conditions. Methods: This is a single-center cross-sectional study that was conducted between October 10th 2018 and March 23rd 2021. ARMS was first translated to Arabic using the forward-backward translation method. The translated scale was then piloted among 21 patients with chronic health conditions (e.g., diabetes, hypertension, etc.…) to examine its reliability and comprehensibility using the test-retest method. Thereafter, the Arabic-translated ARMS was self-administered to adult patients aged ≥18 years with chronic health conditions visiting the primary care clinics of a university-affiliated tertiary care hospital in Riyadh, Saudi Arabia. Construct validity was examined using factor analysis with varimax rotation. Results: Of the 264 patients who were invited to participate, 202 (76.5%) consented and completed the questionnaire. Most of the participants were males (69.9%), married (75.2%), having a college degree or higher (50.9%), retired or unemployed (65.2%), aged ≥ 50 years (65.2%), and are diabetic (95.9%). The 12-item Arabic-translated ARMS mean score was 17.93 ± 4.90, and the scale yielded good internal consistency (Cronbach’s alpha = 0.802) and test-retest reliability (Intraclass correlation coefficient = 0.97). Two factors were extracted explaining 100% of the of the total variance (factor 1 = 52.94% and factor 2 = 47.06%). Conclusions: The 12-item Arabic version of ARMS demonstrated good validity and reliability. Therefore, it should help in the detection of medication non-adherence among Arabic-speaking patient population and minimize the risk of adverse consequences.Ghaida AlammariHawazin AlhazzaniNouf AlRajhiIbrahim SalesAmr JamalTurky H. AlmigbalMohammed A. BataisYousif A. AsiriYazed AlRuthiaMDPI AGarticlemedication non-adherenceself-reportsvalidation studiessurveys and questionnaires12-item ARMSMedicineRENHealthcare, Vol 9, Iss 1430, p 1430 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	medication non-adherence self-reports validation studies surveys and questionnaires 12-item ARMS Medicine R
spellingShingle	medication non-adherence self-reports validation studies surveys and questionnaires 12-item ARMS Medicine R Ghaida Alammari Hawazin Alhazzani Nouf AlRajhi Ibrahim Sales Amr Jamal Turky H. Almigbal Mohammed A. Batais Yousif A. Asiri Yazed AlRuthia Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
description	Background: Medication non-adherence is a complex multifactorial phenomenon impacting patients with various health conditions worldwide. Therefore, its detection can improve patient outcomes and minimize the risk of adverse consequences. Even though multiple self-reported medication adherence assessment scales are available, very few of them exist in Arabic language. Therefore, the aim of this study was to validate a newly translated Arabic version of the Adherence to Refills and Medications Scale (ARMS) among patients with chronic health conditions. Methods: This is a single-center cross-sectional study that was conducted between October 10th 2018 and March 23rd 2021. ARMS was first translated to Arabic using the forward-backward translation method. The translated scale was then piloted among 21 patients with chronic health conditions (e.g., diabetes, hypertension, etc.…) to examine its reliability and comprehensibility using the test-retest method. Thereafter, the Arabic-translated ARMS was self-administered to adult patients aged ≥18 years with chronic health conditions visiting the primary care clinics of a university-affiliated tertiary care hospital in Riyadh, Saudi Arabia. Construct validity was examined using factor analysis with varimax rotation. Results: Of the 264 patients who were invited to participate, 202 (76.5%) consented and completed the questionnaire. Most of the participants were males (69.9%), married (75.2%), having a college degree or higher (50.9%), retired or unemployed (65.2%), aged ≥ 50 years (65.2%), and are diabetic (95.9%). The 12-item Arabic-translated ARMS mean score was 17.93 ± 4.90, and the scale yielded good internal consistency (Cronbach’s alpha = 0.802) and test-retest reliability (Intraclass correlation coefficient = 0.97). Two factors were extracted explaining 100% of the of the total variance (factor 1 = 52.94% and factor 2 = 47.06%). Conclusions: The 12-item Arabic version of ARMS demonstrated good validity and reliability. Therefore, it should help in the detection of medication non-adherence among Arabic-speaking patient population and minimize the risk of adverse consequences.
format	article
author	Ghaida Alammari Hawazin Alhazzani Nouf AlRajhi Ibrahim Sales Amr Jamal Turky H. Almigbal Mohammed A. Batais Yousif A. Asiri Yazed AlRuthia
author_facet	Ghaida Alammari Hawazin Alhazzani Nouf AlRajhi Ibrahim Sales Amr Jamal Turky H. Almigbal Mohammed A. Batais Yousif A. Asiri Yazed AlRuthia
author_sort	Ghaida Alammari
title	Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
title_short	Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
title_full	Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
title_fullStr	Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
title_full_unstemmed	Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)
title_sort	validation of an arabic version of the adherence to refills and medications scale (arms)
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/acda49315ca94b19a8982217a9e270ad
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Validation of an Arabic Version of the Adherence to Refills and Medications Scale (ARMS)

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