Main Article Content
Indonesia, self- management, translation, validation
Background: Poor self-management has been associated with uncontrolled blood pressure in hypertensive patients. A valid instrument is needed to assess the self-management of hypertensive patients, especially to measure self-management changes after health workers’ intervention. Objective: To examine the psychometric properties Persian Hypertension Self-Management Questionnaire among patients with hypertension in Indonesia. Methods: Data collection was carried out cross-sectionally using convenience sampling; obtained 407 hypertensive patients in ten primary health centers in South Sumatra Province. The translation of the questionnaire has been carried out by applying forward-backward methods. The Face validity test based on respondents’ responses to each question item was evaluated descriptively. We evaluated content validity by an expert with qualitative and quantitative; known group validity was analyzed using chi-square. Internal consistency reliability test using Cronbach alpha and test-retest reliability using Pearson correlation test or Pearson Spearman rank correlation. Results: Content validity by the expert shows sentence improvement, and CVI value = 1.00. Face validity shows that respondents can understand well to the questionnaire, and the known group validity was considered very good, as indicated by a significant relationship between the level of self-management and blood pressure control (p <0.001). The reliability assessment on internal consistency was 0.823 with a range of values for each domain, namely 0.710 - 0.823, and Test-retest reliability of 0.707 (p <0.001) with values ranging from 0.600 - 0.906. Conclusions: The Persian Hypertension Self-Management Questionnaire has been translated into the Indonesian version and has satisfactory validity and reliability for assessing self-management in hypertensive patients in Indonesia.
Burden of Disease Study 2016. Lancet. 2017;390(10100):1345-1422. https://doi.org/10.1016/S0140-6736(17)32366-8
2. Hsu CY, McCulloch CE, Darbinian J, et al. Elevated blood pressure and risk of end-stage renal disease in subjects without baseline kidney disease. Arch Intern Med. 2005;165(8):923-928. https://doi.org/10.1001/archinte.165.8.923
3. Mills KT, Bundy JD, Kelly TN, et al. Global Disparities of Hypertension Prevalence and Control : A Systematic Analysis of Populationbased Studies from 90 Countries. Circulation. 2016;134(6):444-450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912
4. Kemenkes. Laporan Nasional Riset Kesehatan Dasar. Ministry of Health Republic of Indonesia. Jakarta; 2019.
5. Rotheram-Borus MJ, Ingram BL, Swendeman D, et al. Adoption of Self-Management Interventions for Prevention and Care. Prim Care - Clin Off Prac. 2012;39(4):649-660. http://dx.doi.org/10.1016/j.pop.2012.08.006
6. Still CH, Margevicius S, Harwell C, et al. A community and technology-based approach for hypertension self-management (Coachman) to improve blood pressure control in african americans: Results from a pilot study. Patient Prefer Adherence.
7. Van Truong P, Wulan Apriliyasari R, Lin M-Y, et al. Effects of self-management programs on blood pressure, self-efficacy, medication adherence and body mass index in older adults with hypertension: Meta-analysis of randomized controlled trials.
Int J Nurs Pract. 2021;27(2):e12920. https://doi.org/10.1111/ijn.12920
8. Noble H, Smith J, Fuchs TA, et al. The Effectiveness of Self-Management of Hypertension in Adult Using Mobile Health : Systematic Review and Meta-Analysis. JMIR mHealth uHealth. 2020;8(3):317776.
9. Wiering B, de Boer D, Delnoij D. Patient involvement in the development of patient-reported outcome measures: a scoping review. Heal Expect. 2017;20(1):11-23.
10. Sekhon M, Cartwright M, Francis JJ. Development of a theory-informed questionnaire to assess the acceptability of healthcare interventions. BMC Health Serv Res. 2022;22(1):1-12. https://doi.org/10.1186/s12913-022-07577-3
11. Khajeh FK, Pezeshki MZ, Ghaffarifar S. Development of the Persian Hypertension Self-Management Questionnaire. Int Cardiovasc Res J. 2019;13(7):17-22.
12. Drost EA, Angeles L. Validity and reliability in social science research. Educ Res Perspect. 2011;38(1):105-123.
13. Boateng GO, Neilands TB, Frongillo EA. Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research : A Primer. 2018;6(June):1-18. https://doi.org/10.3389/fpubh.2018.00149
14. Yaghmale. Content Validity and its Estimation. J Med Educ. 2003;3(1):25-27.
15. Loewinski T, Östling F, Alehagen S, et al. Translation, cross-cultural adaptation, and validation of the Swedish version of the female genital self-image scale. Sex Reprod Healthc. 2022;33(July):100758. https://doi.org/10.1016/j.srhc.2022.100758
16. Andayani TM, Kristina SA, Endarti D, et al. Translation, Cultural Adaptation, and Validation of Short-Form 6D on the General Population in Indonesia. Value Heal Reg Issues [Internet]. 2020;21:205-210. https://doi.org/10.1016/j.vhri.2019.11.004
17. Lee C-C, Li D, Arai S, et al. Ensuring Cross-Cultural Equivalence in Translation of Research Consents and Clinical Documents. Journal of Transcultural Nursing. 2009;20(1):77-82. https://doi.org/10.1177/1043659608325852
18. Emmanuel A, Clow SE. A questionnaire for assessing breastfeeding intentions and practices in Nigeria: Validity, reliability and translation. BMC Pregnancy Childbirth. 2017;17(1):1-8. https://doi.org/10.1186/s12884-017-1366-9
19. Akyol MA, Küçükgüçlü Ö, Akpinar Söylemez B, et al. Translation and Psychometric Evaluation of the Turkish Version of the Motivation to Change Lifestyle for Dementia Risk Reduction Scale (T-MOCHAD-10). Eur J Psychiatry. 2022;36(4):252-259.
20. Wild D, Grove A, Martin M, et al. Principles of good practice for the translation and cultural adaptation process for patientreported outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Heal.
21. Kristina SA, Putri LR, Riani DA, et al. Validity of Self-Reported Measure of Medication Adherence Among Diabetic Patients in Indonesia. Int Res J Pharm. 2019;10(7):144-148.
22. Qu Z, Parry M, Liu F, et al. Self-management and blood pressure control in China: A community-based multicentre crosssectional study. BMJ Open. 2019;9(3):1-11. https://doi.org/10.1136/bmjopen-2018-025819
23. James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA - Journal of the American
Medical Association. 2014;311(5):507-520. https://doi.org/10.1001/jama.2013.284427
24. Carey RM, Muntner P, Bosworth HB, et al. Prevention and Control of Hypertension: JACC Health Promotion Series. J Am Coll Cardiol. 2018;72(11):1278-1293. https://doi.org/10.1016/j.jacc.2018.07.008
25. Zamanzadeh V, Ghahramanian A, Rassouli M, et al. Design and Implementation Content Validity Study: Development of an instrument for measuring Patient-Centered Communication. J Caring Sci. 2015;4(2):165-178. https://doi.org/10.15171/
26. Barlow J, Wright C, Sheasby J, et al. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns. 2002;48(2):177-187. https://doi.org/10.1016/s0738-3991(02)00032-0
27. Lorig KR, Holman HR. Self-Management Education : History, Definition, Outcomes, and Mechanism. Ann Behav Med. 2003;26(1):1-7. https://doi.org/10.1207/S15324796ABM2601_01
28. Foroumandi E, Kheirouri S, Alizadeh M. Patient Education and Counseling The potency of education programs for management of blood pressure through increasing self-ef fi cacy of hypertensive patients : A systematic review and meta-analysis. Patient
Educ Couns. 2020;103(3):451-461. https://doi.org/10.1016/j.pec.2019.09.018
29. Delavar F, Pashaeypoor S, Negarandeh R. The effects of self-management education tailored to health literacy on medication adherence and blood pressure control among elderly people with primary hypertension: A randomized controlled trial. Patient Educ Couns. 2020;103(2):336-342. https://doi.org/10.1016/j.pec.2019.08.028
30. Wang C, Lang J, Xuan L, et al. The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: A cross-sectional study. International Journal for Equity in Health.
31. Glynn LG, Murphy AW, Smith SM, et al. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database Syst Rev. 2010;17(2):CD00582. https://doi.org/10.1002/14651858.CD005182.pub4
32. Bosworth HB, Benjamin J. Powers, et al. Patient Self-Management Support : Novel Strategies in Hypertension and Heart disease. Cardiol Clin. 2010;28(4):655-663. https://doi.org/10.1016/j.ccl.2010.07.003
33. Zapata BC, Fernández-Alemán JL, Idri A, et al. Empirical Studies on Usability of mHealth Apps: A Systematic Literature Review. J Med Syst. 2015;39(2):1-19. https://doi.org/10.1007/s10916-014-0182-2
34. Zha P, Qureshi R, Porter S, et al. Utilizing a Mobile Health Intervention to Manage Hypertension in an Underserved Community. West J Nurs Res. 2020;42(3):201-209. https://doi.org/10.1177/0193945919847937
35. McManus RJ, Mant J, Bray EP, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): A randomised controlled trial. Lancet. 2010;376(9736):163-172. https://doi.org/10.1016/S0140-6736(10)60964-6
36. Lawless MT, Tieu M, Feo R, et al. Theories of self-care and self-management of long-term conditions by communitydwelling older adults: A systematic review and meta-ethnography. Soc Sci Med. 2021;287(September):114393. https://doi.