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The Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8): can we trust it?
Aida Iranpour1, Vida Sarmadi2, Arshia Alian Mofrad1
1Department of Internal Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Background:
Diabetes mellitus (DM) is a common serious health problem. Medication adherence is a crucial determinant of therapeutic success in patients with diabetes mellitus. This study aims to examine the 8-item Morisky Medication Adherence Scale (MMAS-8) psychometric properties among diabetic patients.
Methods:
This study was carried out at the Internal Medicine clinic of Firooz Abadi Hospital in Tehran, Iran, from 2018 to 2020. The English version of the MMAS-8 was translated into Persian and administered to patients with diabetes mellitus. A total of 150 patients who had diabetes were included. Cronbach's alpha was calculated to assess the reliability.
Results:
According to the recommended scoring method, the Mean ± SD of MMAS-8 scores was 4.97 ± 1.92. Good internal consistency was found in our study (Cronbach's α = 0.70). Not any significant relationship between MMAS-8 categories and occurrence of complications was found.
Conclusions:
The findings of this validation study indicate that the Persian version of the MMAS-8 is a reliable measure of medication adherence, but it has not acceptable validity. Further studies are needed to reach a good validity.
Insights
The Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8) is reliable for assessing medication adherence in diabetes mellitus patients. However, further research is needed to establish its validity.
Area of Science:
- Endocrinology
- Psychometrics
- Public Health
Background:
- Diabetes mellitus (DM) poses a significant global health challenge.
- Medication adherence is vital for successful diabetes management.
- The 8-item Morisky Medication Adherence Scale (MMAS-8) is a key tool for assessing adherence.
Purpose of the Study:
- To evaluate the psychometric properties of the Persian version of the MMAS-8.
- To determine the reliability and validity of the MMAS-8 in Iranian diabetic patients.
Main Methods:
- The MMAS-8 was translated into Persian and administered to 150 diabetic patients.
- Psychometric properties were assessed using Cronbach's alpha for reliability.
- Data were collected from the Internal Medicine clinic of Firooz Abadi Hospital, Tehran, Iran (2018-2020).
Main Results:
- The mean MMAS-8 score was 4.97 ± 1.92.
- The Persian MMAS-8 demonstrated good internal consistency (Cronbach's α = 0.70).
- No significant relationship was found between MMAS-8 categories and diabetes complications.
Conclusions:
- The Persian MMAS-8 is a reliable instrument for measuring medication adherence in diabetic patients.
- The study suggests the scale has acceptable reliability but requires further validation.
- Additional research is recommended to enhance the validity of the Persian MMAS-8.
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