Translation, cultural adaptation and validation of the Hill Bone Compliance to High Blood Pressure Therapy Scale to Nepalese language

Shakya, Rajina, Shrestha, Rajeev, Shrestha, Sunil, Sapkota, Priti, Gautam, Roshani, Rai, Lalita, Khatiwada, Asmita Priyadarshini, Ranabhat, Kamal, Bhuvan, KC, Sapkota, Binaya, Khanal, Saval ORCID: and Paudyal, Vibhu (2022) Translation, cultural adaptation and validation of the Hill Bone Compliance to High Blood Pressure Therapy Scale to Nepalese language. Patient Preference and Adherence, 16. pp. 957-970. ISSN 1177-889X

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Background: Control of high blood pressure and prevention of cardiovascular complications among hypertensive patients depends on patients’ adherence to therapy. The Hill–Bone Compliance to High Blood Pressure Therapy Scale (HBCTS) is one of the most popular scale to assess hypertensive patients’ adherence behaviour. Unfortunately, no questionnaire in the Nepalese language is available to date to assess adherence to anti-hypertensive therapy. Aim: To translate, culturally adapt and validate the English original version of the HBCTS into Nepalese language to measure treatment adherence of Nepalese hypertensive patients. Methods: The cross-sectional study was conducted to translate, culturally adapt and validate the HBCTS into Nepalese version. The standard translation process was followed and was evaluated among 282 hypertensive patients visiting selected primary healthcare centers (PHCCs) of Kathmandu district, Nepal. Cronbach’s alpha was measured to assess the reliability of the tool. Exploratory factor analysis using principal component analysis with varimax rotation was used to evaluate structural validity. Results: The mean±SD age of 282 participants was 58.49±12.44 years. Majority of participants were literate (75.2%), and consumed at least one anti-hypertensive medication per day (85.5%). Nearly half (42.2%) of the participants had a family history of hypertension, and almost half (48%) of them had comorbid conditions. Mean ±SD score for overall adherence was 17.85±3.87 while those of medication taking, reduced salt taking, and appointment keeping subscales were 10.63±2.55, 4.16±1.12 and 3.06±1.07, respectively. Kaiser Meyer Olkin (KMO) was found to be 0.877. Exploratory factor analysis revealed a three-component structure; however, the loading of components into medication adherence, reduced salt intake and appointment keeping constructs were not identical to the original tool. Cronbach’s alpha score for the entire HBCTS scale was 0.846. Conclusion: The translated Nepali version of the HBCTS demonstrated acceptable reliability and validity to measure adherence to antihypertensive therapy among hypertensive patients in clinical and community settings in Nepal.

Item Type: Article
Additional Information: Funding Information: Authors received no financial support for conducting this research work. The authors want to acknowledge the support from the University of Birmingham to cover the open access fees for the article. Publisher Copyright: © 2022 Shakya et al.
Uncontrolled Keywords: cultural adaptation,hill–bone scale,hypertension,nepal,translation,treatment adherence,medicine (miscellaneous),social sciences (miscellaneous),pharmacology, toxicology and pharmaceutics (miscellaneous),health policy,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2701
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Population Health
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Depositing User: LivePure Connector
Date Deposited: 17 Apr 2023 13:31
Last Modified: 06 Jun 2024 15:24
DOI: 10.2147/PPA.S349760


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