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Portuguese version of the Medication Adherence Report Scale (MARS-9): Validation in a population of chronic pain patients. | LitMetric

Portuguese version of the Medication Adherence Report Scale (MARS-9): Validation in a population of chronic pain patients.

J Eval Clin Pract

Departamento de Biomedicina, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.

Published: April 2019

AI Article Synopsis

  • The study aimed to translate, culturally adapt, and validate the Medication Adherence Report Scale (MARS-P9) for European Portuguese in chronic pain patients.
  • Researchers created the Portuguese version through translation, back translation, and expert evaluation, assessing 141 patients over one year.
  • Results indicated good internal consistency (α = 0.84) and identified a two-factor structure for adherence, confirming MARS-P9's utility in measuring medication adherence in chronic pain management in Portugal.

Article Abstract

Aim: The aim of present study was to perform the translation, cultural adaptation, and validation of the Medication Adherence Report Scale (MARS-P9) for the European Portuguese language in a sample of chronic pain patients.

Methods: A Portuguese version of the nine-item MARS (©Professor Rob Horne) scale (MARS-P9) was constructed through a process of translation, back translation, and experts' panel evaluation. A total of 141 chronic pain patients were subsequently evaluated at four time assessments during a 1-year pain medication treatment. The protocol interview included the assessment of pain intensity and interference (BPI), clinical outcomes and quality of life (S-TOPS), and MARS-P9.

Results: The internal consistency coefficient was acceptable for the total scale (α = 0.84). Exploratory factor analysis revealed a two-factor structure (intentional and unintentional nonadherence) that explained 61% of the variance. Convergent and discriminant validity were demonstrated by correlations between MARS scores and pain interference (r = 0.180, P ≤ 0.01) and S-TOPS (r = 0.242, P ≤ 0.05).

Conclusion: MARS-P9 has been shown to be an adequate instrument for Portuguese researchers and clinicians to assess the pattern of adherence during the management of chronic pain.

Download full-text PDF

Source
http://dx.doi.org/10.1111/jep.13098DOI Listing

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