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Cross-cultural adaptation and psychometric validation of a Spanish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire.

dc.contributor.authorde Juan-Roldan, Jose Ignacio
dc.contributor.authorCastillo-Jimena, Marcos
dc.contributor.authorGonzalez-Hevilla, Alba
dc.contributor.authorSanchez-Sanchez, Clara
dc.contributor.authorGarcia-Ruiz, Antonio J
dc.contributor.authorGavilan-Moral, Enrique
dc.contributor.funderSpanish Society of Family and Community Medicine (SEMFYC)
dc.contributor.funderAndalusian Society of Family and Community Medicine (SAMFYC)
dc.date.accessioned2023-05-03T13:31:06Z
dc.date.available2023-05-03T13:31:06Z
dc.date.issued2022-03-22
dc.description.abstractSuccessful deprescribing depends largely on factors related to the patient. The revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire was developed with the objective of evaluating the beliefs and attitudes of older adults and caregivers towards deprescribing. The present study was designed to validate a Spanish version of the rPATD questionnaire, both the versions for older adults and for caregivers, through a qualitative validation phase and the analysis of its psychometric properties. Cross-sectional validation study. Primary care settings in Málaga (Spain). A sample of 120 subjects (60 patients with polypharmacy and 60 caregivers of patients with polypharmacy) were enrolled in the study. In the qualitative validation stage, the rPATD questionnaire was translated/back-translated and subjected to a cross-cultural adaptation to evaluate its face validity and feasibility. Next, its psychometric properties were assessed. Confirmatory factor analysis was used to evaluate construct validity. Internal consistency was determined using Cronbach's alpha test. Criterion validity through pre-established hypotheses from the Beliefs about Medicines Questionnaire (BMQ) Specific-Concerns Scale, and test-retest reliability were analysed. Confirmatory factor analysis verified the four-factor structure of the original rPATD questionnaire, with items loading into four factors: involvement, burden, appropriateness and concerns about stopping. The Cronbach's alpha coefficient of the factors ranged from 0.683 to 0.879. The burden, appropriateness and concerns about stopping factors were significantly correlated with the BMQ Specific-Concerns Score, except for the concerns about stopping factor in the older adults' version. The consistency of the items between administration times (test-retest reliability) showed weighted Cohen's kappa values ranging from moderate (>0.4) to very good (>0.8). The Spanish version of the rPATD questionnaire is a feasible, valid and reliable instrument to evaluate attitudes towards deprescribing in Spanish-speaking patients and caregivers.
dc.description.versionSi
dc.identifier.citationde Juan-Roldán JI, Castillo-Jimena M, González-Hevilla A, Sánchez-Sánchez C, García-Ruiz AJ, Gavilán-Moral E. Cross-cultural adaptation and psychometric validation of a Spanish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire. BMJ Open. 2022 Apr 21;12(4):e050678
dc.identifier.doi10.1136/bmjopen-2021-050678
dc.identifier.essn2044-6055
dc.identifier.pmcPMC9024262
dc.identifier.pmid35450888
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024262/pdf
dc.identifier.unpaywallURLhttps://bmjopen.bmj.com/content/bmjopen/12/4/e050678.full.pdf
dc.identifier.urihttp://hdl.handle.net/10668/20134
dc.issue.number4
dc.journal.titleBMJ open
dc.journal.titleabbreviationBMJ Open
dc.language.isoen
dc.organizationÁrea de Gestión Sanitaria Norte de Málaga
dc.organizationValle del Guadalhorce
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.page.number12
dc.provenanceRealizada la curación de contenido 03/09/2024
dc.publisherBMJ
dc.pubmedtypeJournal Article
dc.pubmedtypeResearch Support, Non-U.S. Gov't
dc.relation.publisherversionhttps://bmjopen.bmj.com/content/12/4/e050678.long
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectCaregivers
dc.subjectDeprescribing
dc.subjectPatientPreferences
dc.subjectPolypharmacy
dc.subjectPsychometric properties
dc.subjectSpain
dc.subjectÁrea de Gestión Sanitaria Norte de Málaga
dc.subject.decsComparación transcultural
dc.subject.decsDeprescripciones
dc.subject.decsEncuestas y cuestionarios
dc.subject.decsEstudios transversales
dc.subject.decsPsicometría
dc.subject.meshAged
dc.subject.meshAttitude
dc.subject.meshCross-cultural comparison
dc.subject.meshCross-sectional studies
dc.subject.meshDeprescriptions
dc.subject.meshHumans
dc.subject.meshPsychometrics
dc.subject.meshReproducibility of results
dc.subject.meshSurveys and questionnaires
dc.titleCross-cultural adaptation and psychometric validation of a Spanish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number12
dspace.entity.typePublication

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