Psychometric Evaluation of a Korean Version of the Adherence to Refills and Medications Scale (ARMS) in Adults With Type 2 Diabetes

Kim, Chun‐Ja; Park, Eun Young; Schlenk, Elizabeth A.; Kim, Moonsun; Kim, Dae Jung

doi:10.1177/0145721716632062

Cited by 25 publications

(29 citation statements)

References 30 publications

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“…The calculated item–total correlation coefficients for ARMS-P ranged between 0.363 and 0.891 (mean 0.670). The present results demonstrate that the ARMS-P has excellent psychometric properties, better than those found for the original version of the questionnaire ( r =0.814) or for other validated language versions, eg, Korean (0.801) 22…”

Section: Discussionmentioning

confidence: 46%

Psychometric evaluation of the Polish version of the Adherence to Refills and Medications Scale (ARMS) in adults with hypertension

Lomper¹,

Chabowski²,

Chudiak³

et al. 2018

PPA

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BackgroundOnly 50%–75% of chronically ill patients take their medication as prescribed. The patient is found to adhere to treatment correctly and optimally if they accomplish 80% or more of the treatment plan. A questionnaire titled the Adherence to Refills and Medications Scale (ARMS) has been used in studies involving various populations and proved to be a simple instrument for measuring adherence, with good psychometric properties.ObjectiveThe aim of this study was to develop a Polish version of the ARMS (ARMS-P), an instrument that identifies levels of adherence in the hypertensive population, and evaluate its psychometric properties.MethodsThis cross-sectional study included 279 patients, including 166 females (mean age 66.5 years), hospitalized between September 2016 and March 2017 in the Department of Internal Medicine, Occupational Diseases, and Hypertension of Wrocław Medical University, Poland. The 12-item ARMS was translated from English into Polish. The 12 items included in the final questionnaire comprise two subscales: adherence to taking medications (eight items) and adherence to refilling prescriptions (four items).ResultsPatients in the good-adherence group were younger (P=0.017; P=0.048), more likely to be professionally active (P=0.041), better educated (P=0.037), and more likely to have normal blood pressure (P<0.001). They also measured their blood pressure more often (P<0.001), and took fewer pills in a day (P<0.001). Adherent patients were also more likely to take their medication on their own (P=0.016) and read information leaflets on the medication (P<0.001). The study demonstrated that the ARMS-P questionnaire has good psychometric properties that enable its use for assessing adherence in chronically ill patients, including in particular, patients with hypertension.ConclusionThe psychometric properties of the questionnaire are satisfactory (reliability measured by means of Cronbach’s α). The ARMS-P questionnaire proved to be suitable for use in the Polish population. The use of this screening tool for the assessment of adherence to treatment is recommended in this population of hypertensive patients.

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Section: Discussionmentioning

confidence: 46%

Psychometric evaluation of the Polish version of the Adherence to Refills and Medications Scale (ARMS) in adults with hypertension

Lomper¹,

Chabowski²,

Chudiak³

et al. 2018

PPA

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“…We used the Adherence to Refills and Medication Scale (ARMS) to assess medication adherence after obtaining approval of the original author. ARMS, developed by Kripalani et al, 17 was a valid and reliable adherence scale and its Korean version (ARMS-K) was also verified among Korean adults with diabetes by Kim et al 18 …”

Section: Participants and Methodsmentioning

confidence: 97%

Medication adherence and beliefs about medication in elderly patients living alone with chronic diseases

Park

Seo²,

Yoo³

et al. 2018

PPA

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PurposeThe aim of this study was to assess medication adherence and its related factors among elderly people living alone with chronic diseases using a conceptual framework with the Belief about Medicines Questionnaire and the Adherence to Refills and Medication Scale-Korean version.Participants and methodsThis was a cross-sectional study conducted in 3,326 elderly people living alone, who were enrolled in Seongnam Center for Home Health Care in South Korea. They completed validated questionnaires assessing their adherence and beliefs about medication in general.ResultsIn attitudinal analysis using Belief about Medicines Questionnaire, 37.0% of patients were accepting of medication (high necessity with low concerns), 49.7% were ambivalent (high necessity with high concerns), 1.9% were skeptical (low necessity with high concerns), and 11.4% were indifferent (low necessity and low concerns). In multivariable analysis, we found that adherence was related to patients’ beliefs about medication; compared with patients who were accepting of medication, those in the other three attitudinal groups had significantly lower adherence (indifferent, p=0.003; skeptical, p=0.001; ambivalent, p<0.001). Also, low adherence was associated with heavy burden of drug costs (β=0.109; 95% CI 0.03, 0.19), presence of drug side effects (β=0.431; 95% CI 0.11, 0.75), dissatisfaction with medication (β=−0.626; 95% CI −0.77, −0.48), perceiving health status as poor (β=−0.151; 95% CI −0.27, −0.03), and receiving medical aid (β=0.655; 95% CI 0.42, 0.89). Gender, age group, and number of prescribed medication were not associated with medication adherence.ConclusionTo improve medication adherence of elderly living alone, it is essential to identify barriers to adherence, including their concerns and attitudes toward medications. These factors associated with adherence should be considered in further intervention studies.

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“…MGLS dm (Indonesian version) [189]; Medical Prescription Knowledge questionnaire [190]; Attitude Scale [190]; BMQf dn [191]; MALMAS do [192]; MAT OADs dp [193]; MAT Insulin dq [193]; ARMS-K dr [194]; Diabetes Medication System Rating Questionnaire Short-Form [195]; SR-4 ds (French version) [187]; Zongo et al 1 [187]; Zongo et al 2 [187] •…”

Section: Treatment Experiencementioning

confidence: 99%

Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review

Wee¹,

Kwan²,

Loh³

et al. 2021

J Med Internet Res

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Background The management of diabetes is complex. There is growing recognition of the use of patient-reported outcome measures (PROMs) as a standardized method of obtaining an outlook on patients’ functional status and well-being. However, no systematic reviews have summarized the studies that investigate the measurement properties of diabetes PROMs. Objective Our aims were to conduct a systematic review of studies investigating the measurement properties of diabetes PROMs by evaluating the methodological quality and overall level of evidence of these PROMs and to categorize them based on the outcome measures assessed. Methods This study was guided by the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Relevant articles were retrieved from the Embase, PubMed, and PsychINFO databases. The PROMs were evaluated with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) guidelines. Results A total of 363 articles evaluating the measurement properties of PROMs for diabetes in the adult population were identified, of which 238 unique PROMs from 248 studies reported in 209 articles were validated in the type 2 diabetes population. PROMs with at least a moderate level of evidence for ≥5 of 9 measurement properties include the Chinese version of the Personal Diabetes Questionnaire (C-PDQ), Diabetes Self-Management Instrument Short Form (DSMI-20), and Insulin Treatment Appraisal Scale in Hong Kong primary care patients (C-ITAS-HK), of which the C-PDQ has a “sufficient (+)” rating for >4 measurement properties. A total of 43 PROMs meet the COSMIN guidelines for recommendation for use. Conclusions This study identified and synthesized evidence for the measurement properties of 238 unique PROMs for patients with type 2 diabetes and categorized the PROMs according to their outcome measures. These findings may assist clinicians and researchers in selecting appropriate high-quality PROMs for clinical practice and research. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020180978; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020180978.

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Psychometric Evaluation of a Korean Version of the Adherence to Refills and Medications Scale (ARMS) in Adults With Type 2 Diabetes

Cited by 25 publications

References 30 publications

Psychometric evaluation of the Polish version of the Adherence to Refills and Medications Scale (ARMS) in adults with hypertension

Psychometric evaluation of the Polish version of the Adherence to Refills and Medications Scale (ARMS) in adults with hypertension

Medication adherence and beliefs about medication in elderly patients living alone with chronic diseases

Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review

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