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Development of a scale to assess the compliance of hypertensive patients

Tiina S Lahdenperä1, Chris C Wright, Helvi A Kyngäs

  • 1Department of Nursing and Health Administration, University Hospital, University of Oulu, PL 5300, Oulu 90014, Finland. tiina.lahdenpera@oulu.fi

International Journal of Nursing Studies
|September 11, 2003
PubMed

Insights

A new scale, the "Compliance of Hypertensive Patients" scale (CHPS), was developed to better assess patient adherence. It includes lifestyle, intention, attitude, responsibility, and smoking behaviors for improved hypertension management.

Area of Science:

  • Nursing
  • Health Psychology
  • Public Health

Background:

  • Existing scales for hypertensive patient compliance primarily focus on adherence to health regimens.
  • There is a need for a more comprehensive assessment tool that includes broader indicators of compliance.

Purpose of the Study:

  • To develop and evaluate the reliability and validity of the "Compliance of Hypertensive Patients" scale (CHPS).
  • To incorporate a wider range of compliance indicators beyond just activity in health regimens.

Main Methods:

  • Development of the CHPS scale incorporating intention, responsibility, and collaboration.
  • Data collection from 103 hypertensive patients across five Finnish healthcare centers.
  • Analysis using principal component analysis, item analysis, Theta coefficient, and various validity assessments (face, content, concurrent).

Main Results:

  • The CHPS scale demonstrated five distinct subscales: lifestyle, intention, attitude, responsibility, and smoking.
  • Good internal consistency was indicated by the Theta coefficient.
  • Reliability was supported by inter-item correlations (0.24-0.61) and corrected item-total correlations (0.32-0.67).

Conclusions:

  • The developed CHPS scale offers a reliable and valid tool for assessing hypertensive patient compliance.
  • The scale's multidimensional approach, including intention and responsibility, enhances the assessment of patient adherence.
  • This scale serves as a foundation for further development in measuring patient compliance in hypertension management.

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