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Review paper

Validation of the Persian version of self-care tools for hypertension among older adults

By
Farideh Barati Orcid logo ,
Farideh Barati
Contact Farideh Barati

Department of Community Health & Maagement Nursing, Gonabad University of Medical Sciences, Gonabad, Iran

Leila Sadeghmoghadam ,
Leila Sadeghmoghadam
Contact Leila Sadeghmoghadam

Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

Department of Aging & Mental Nursing, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad , Iran

Moosa Sajjadi ,
Moosa Sajjadi

Department of Medical-Surgical Nursing, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran

Shima Nazari ,
Shima Nazari

Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Narjes Bahri
Narjes Bahri

Department of Midwifery, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Aim
To validate two sub-scales of self-care behaviour and self-efficacy of hypertension in elderly patients in Iran using an English scale developed by Dr. Han et al.
Methods
The Persian version of two sub-scales of self-care behavior and self-efficacy was validated for 300 elderly people who suffered from hypertension. These sub-scales were translated into Persian according to the Wild et al. model. The validity of the tool was confirmed through formal, content and structural validity and reliability through calculation of internal consistency and time stability.
Results
Cronbach's alpha was reported to 0.85 for behavior, 0.86 for self-efficacy. Pearson's correlation coefficient for behavior was 0.89, for self-efficacy 0.92. Intraclass correlation coefficient (ICC) was 0.84 for behavior and 0.88 for self-efficacy. The minimum acceptable content validity ratio (CVR) for each grade was equal to 49.0 and for the content validity index (CVI) equal to 0.79, indicating that all items obtained the grade points. In exploratory analysis, two dimensions of diet and disease management were determined for both sub-scales, which were approved according to fit indicators.
Conclusion
The Persian version of the Self-Care Tools for hypertension showed favourable validity and reliability, and thus it can be used for measuring the level of self-care for hypertension in Iranian elderly population.

References

1.
Mills K, Bundy J, Kelly T, Reed J, Kearney P, Reynolds K. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016. p. 441–50.
2.
Barati F, Sajjadi M, Farhadi A, Amiri M, Sadeghmoghadam L. Self-care behavior and related factors in older adults with hypertension in Ahvaz City. Journal of Gerontology. 2018. p. 56–62.
3.
Gheshlagh R, Parizad N, Ghalenoee M, Dalvand S, Baghi V, Najafi F, et al. Psychometric features of the Persian Version of Self-Efficacy Tool for patients with hypertension. Int Cardiovasc Res J. 2018. p. 50–6.
4.
Neminqani D, El-Shereef E, Thubiany M. Hypertensive patients: self-care anagement practices in Al-Taif, KSA. IJSR. 2013. p. 1705–14.
5.
Woolf K, Bisognano J. Nondrug interventions for treatment of hypertension. J Clin Hypertens (Greenwich). 2011. p. 829–35.
6.
Izadirad H, Zi. Assessment of Knowledge, treatment and blood pressure control in hypertensive patients. Journal of Health Literacy. 2016. p. 61–6.
7.
Warren-Findlow J, Basalik D, Dulin M, Tapp H, Kuhn L. Preliminary validation of the Hypertension Self-Care Activity Level Effects (H-SCALE) and clinical blood pressure among patients with hypertension. J Clin Hypertens (Greenwich). 2013. p. 637–43.
8.
Huang A, Mallet L, Rochefort C, Eguale T, Buckeridge D, Tamblyn R. Medication-related falls in the elderly. Drugs Aging. 2012. p. 359–76.
9.
Nobili A, Marengoni A, Tettamanti M, Salerno F, Pasina L, Franchi C, et al. Association between clusters of diseases and polypharmacy in hospitalized elderly patients: results from the REPOSI study. Eur J Intern Med. 2011. p. 597–602.
10.
Abel N, Contino K, Jain N, Grewal N, Grand E, Hagans I, et al. Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population. N Am J Med Sci. 2015. p. 438.
11.
Najimi A, Golshiri P, Amini S. Health literacy and self-care in reproductive age: The role of reading and numeracy skills. Journal of Nursing Education. 2017. p. 19–24.
12.
Dickson V, Lee C, Yehle K, Abel W, Riegel B. Psychometric testing of the self-care of hypertension inventory. J Cardiovasc Nurs. 2017. p. 32431–8.
13.
Han HR, Lee H, Commodore-Mensah Y, Kim M. Development and validation of the hypertension selfcare profile: a practical tool to measure hypertension self-care. J Cardiovasc Nurs. 2014. p. E11.
14.
Plichta S, Kelvin E, Munro B. Munro’s Statistical Methods for Health Care Research. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013.
15.
Wild D, Grove A, Martin M, Eremenco S, Mcelroy S, Verjee-Lorenz A, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005. p. 94–104.
16.
Hazavehei M, Dashti S, Moeini B, Faradmal J, Shahrabadi R, Ah Y. Factors related to self-care behaviors in hypertensive individuals based on Health Belief Model. Koomesh. 2015. p. 37–44.
17.
Sadeghi M, Shiri M, Roohafza H, Rakhshani F, Sepanlou S, Sarrafzadegan N. Developing an appropriate model for self-care of hypertensive patients: first experience from EMRO. ARYA Atheroscler. 2013. p. 232.
18.
Han HR, Song HJ, Nguyen T, Kim M. Measuring self-care in patients with hypertension: a systematic review of literature. J Cardiovasc Nurs. 2014. p. 55–67.

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