Development and validation of Malaysia Medication Adherence Assessment Tool (MyMAAT) for diabetic patients

Autor: Noraidatulakma Abdullah, Angeline Tan Meng Wah, Shakirin Shaik Rahmat, Noraini Mohamad, Mohd Makmor-Bakry, Sarah Ann Robert, Mahadir Ahmad, Ernieda Hatah, Nadiah Rahim, Fahmi Hassan, Nor Hasni Haron, Noraida Mohamed Shah, Choe Sze Hwe
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Health Care Providers
Cost-Benefit Analysis
Type 2 diabetes
Pharmacists
Biochemistry
Geographical Locations
Endocrinology
Medical Conditions
Mathematical and Statistical Techniques
Surveys and Questionnaires
Medicine and Health Sciences
Diabetes diagnosis and management
Medical Personnel
education.field_of_study
Measurement
Multidisciplinary
Statistics
Middle Aged
Exploratory factor analysis
Professions
Physical Sciences
Medicine
Engineering and Technology
Female
Factor Analysis
Research Article
medicine.medical_specialty
HbA1c
Asia
Patients
Psychometrics
Endocrine Disorders
Science
Population
MEDLINE
Pharmacist
Context (language use)
Health literacy
Research and Analysis Methods
Medication Adherence
Cronbach's alpha
Physicians
medicine
Diabetes Mellitus
Humans
Hypoglycemic Agents
Hemoglobin
Statistical Methods
education
Aged
Biology and life sciences
business.industry
Malaysia
Proteins
Reproducibility of Results
medicine.disease
Diagnostic medicine
Health Care
Diabetes Mellitus
Type 2
Metabolic Disorders
People and Places
Physical therapy
Population Groupings
Self Report
business
Factor Analysis
Statistical
Mathematics
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 11, p e0241909 (2020)
ISSN: 1932-6203
Popis: Medication non-adherence remains a significant barrier in achieving better health outcomes for patients with chronic diseases. Previous self-reported medication adherence tools were not developed in the context of the Malaysia population. The most commonly used tool, MMAS-8, is no longer economical because it requires a license and currently every form used is charged. Hence, there is a need to develop and validate a new medication adherence tool. The Malaysia Medication Adherence Assessment Tool (MyMAAT) was developed by a multidisciplinary team with expertise in medication adherence and health literacy. The face and content validities of the MyMAAT was established by a panel of experts. A total of 495 patients with type 2 diabetes were recruited from the Ministry of Health facilities consisting of five hospitals and five primary health clinics. A test-retest was conducted on 42 of the patients one week following their first data collection. Exploratory factor analysis was performed to evaluate the validity of the MyMAAT. The final item for MyMAAT was compared with SEAMS, HbA1c%, Medication Possession ratio (MPR) score, and pharmacist’s subjective assessment for its hypothesis testing validity. The MyMAAT-12 achieved acceptable internal consistency (Cronbach’s alpha = 0.910) and stable reliability as the test-retest score showed good to excellent correlation (Spearman’s rho = 0.96, p = 0.001). The MyMAAT has significant moderate association with SEAMS (Spearman’s rho = 0.44, p = < 0.001) and significant relationship with HbA1c (< 8% and ≥ 8%) (χ2(1) = 13.4, p < 0.001), MPR (χ2(1) = 13.6, p < 0.001) and pharmacist’s subjective assessment categories (χ2(1) = 31, p < 0.001). The sensitivity of MyMAAT-12, tested against HbA1c% was 72.9% while its specificity was 43%. This study demonstrates that the MyMAAT-12 together with other methods of assessment may make a better screening tool to identify patients who were non-adherence to their medications.
Databáze: OpenAIRE
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