Related Experiment Video
Updated: Nov 17, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.6K
Development and validation of a questionnaire to determine medical orders non-adherence: a sequential exploratory
Vahid Yazdi-Feyzabadi1,2, Nouzar Nakhaee3, Mohammad Hossein Mehrolhassani4
1Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
BMC Health Services Research
|February 13, 2021
Summary
This study developed a valid and reliable questionnaire to identify patient non-adherence reasons in outpatient clinics. The tool assesses intrapersonal, provider-related, and socio-economic factors influencing medical order adherence.
Area of Science:
- Health Services Research
- Patient Adherence Studies
- Questionnaire Development and Validation
Background:
- Patient non-adherence to medical orders in outpatient settings compromises treatment effectiveness and increases healthcare costs.
- Understanding the root causes of non-adherence is crucial for improving patient outcomes.
- This research addresses the need for a validated tool to assess these reasons.
Purpose of the Study:
- To develop and validate a comprehensive questionnaire for identifying patient-reported reasons for non-adherence to physicians' medical orders.
- To establish the psychometric properties of the developed instrument.
Main Methods:
- A sequential exploratory mixed-method design was employed, integrating qualitative (literature review, content analysis of 19 interviews) and quantitative phases.
- The quantitative phase involved construct validity assessment using exploratory factor analysis (EFA) and reliability testing via Cronbach's alpha on 440 outpatients.
- Data analysis utilized MAXQDA 10 for qualitative and Stata 14 for quantitative data.
Main Results:
- An 18-item questionnaire was finalized after content validity index (CVI) and ratio (CVR) assessments.
- Exploratory factor analysis identified four key dimensions: intrapersonal-psychological, intrapersonal-cognitive, provider-related, and socio-economic reasons.
- The instrument demonstrated good reliability, with Cronbach's alpha coefficients ranging from 0.66 to 0.73 for the factors and an overall reliability of 0.70.
Conclusions:
- The developed 18-item questionnaire is a valid and reliable tool for assessing patient-perceived reasons for non-adherence in outpatient services.
- This instrument can aid healthcare providers in understanding and addressing barriers to medical order compliance.
- Findings support the use of this questionnaire to enhance clinical effectiveness and patient care in outpatient settings.
Related Concept Videos
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
61
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
61
01:28Dosage Regimens: Designs and Approaches
118
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
118
01:03Data Validation
6.1K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
6.1K
01:11Observational Studies
10.4K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
10.4K
01:08Obedience
34.4K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
34.4K
01:17Assessment of the Gastrointestinal System I: Subjective Data
457
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
457