Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Development and Validation of the “Hippocratic Hypertension Self-Care Scale”

Version 1 : Received: 14 July 2023 / Approved: 14 July 2023 / Online: 17 July 2023 (12:11:43 CEST)

A peer-reviewed article of this Preprint also exists.

Brokalaki, H.; Chatziefstratiou, A.A.; Fotos, N.V.; Giakoumidakis, K.; Chatzistamatiou, E. The Development and Validation of the “Hippocratic Hypertension Self-Care Scale”. Healthcare 2023, 11, 2579. Brokalaki, H.; Chatziefstratiou, A.A.; Fotos, N.V.; Giakoumidakis, K.; Chatzistamatiou, E. The Development and Validation of the “Hippocratic Hypertension Self-Care Scale”. Healthcare 2023, 11, 2579.

Abstract

Background: The adoption of self-care behaviors among patients with arterial hypertension (AH) plays an important role in the management of their health condition. However, a lack of scales assessing self-care is observed. We aimed to develop and validate the Hippocratic hypertension self-care scale. Methods: From a pool of questions derived from a literature review, 18 items were included in the scale and reviewed by a committee of experts. Participants indicate the frequency at which they follow the self-behavior prescribed in each statement on a five-point Likert scale. Data were collected between April 2019 and December 2019. Re-sults: 202 consecutive adult patients with AH were enrolled in the study. The internal consistency of the scale was found to be 0.807, using Cronbach’s alpha coefficient. An exploratory factor analysis identified two do-mains that accounted for 92.94% of the variance of the scale items; however, each sub-scale could not be used as an independent scale. Finally, the test- retest of the scale showed a significant strong correlation (r=0.0095, p<0.001). Conclusion: Our data indicate that the scale is a reliable and valid tool for assessing self-behaviors in patients with AH. Health professionals can use it in their clinical practice to improve the management of patients’ health condition.

Keywords

self-care; self-management; hypertension; validation; scale development

Subject

Public Health and Healthcare, Nursing

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