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Preliminary development of the Medication Nonpersistence Scale.

Amod S Athavale, John P Bentley, Benjamin F Banahan

Journal of the American Pharmacists Association : Japha

|March 11, 2017

Summary

A new scale, the Medication Nonpersistence Scale (MNPS), accurately measures patient medication persistence. This self-reported tool aids clinical practice and research by identifying nonpersistent individuals.

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Area of Science:

Health Services Research
Psychometrics
Pharmaceutical Sciences

Background:

Medication nonpersistence is a significant issue in healthcare.
Accurate measurement of medication persistence is crucial for effective interventions.

Purpose of the Study:

To develop and validate the Medication Nonpersistence Scale (MNPS).
To create a multi-item, self-reported measure for assessing medication persistence.

Main Methods:

Developed the MNPS, a self-reported scale.
Collected data from 675 patients across 3 community pharmacies.
Utilized confirmatory factor analysis (CFA) to assess scale structure.
Evaluated scale reliability and validity against prescription fill data.

Main Results:

CFA confirmed a single-factor solution with good model fit.
The MNPS demonstrated strong reliability and validity (Cronbach alpha = 0.75).
A cutoff score of 1 or higher on the MNPS identified nonpersistent patients.

Conclusions:

The MNPS is a psychometrically sound tool for measuring medication persistence.
The scale is suitable for use in clinical practice and research settings.
The MNPS provides a valuable method for assessing medication adherence.