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AIMS Medical Science

2020, Volume 7, Issue 3: 106-121. doi: 10.3934/medsci.2020010
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Research article

Development and psychometric evaluation of the Beliefs about Home Hemodialysis Scale for patients on in-center hemodialysis

Running title: Health beliefs and home hemodialysis
  • Department of Internal Medicine Nursing, Faculty of Health Sciences, Yüksek İhtisas University, Ankara, Turkey
  • Received: 15 May 2020 Accepted: 12 August 2020 Published: 18 August 2020

  • Objective There is no valid and reliable instrument that evaluates health beliefs related to home hemodialysis of patients. This study aimed to develop the Beliefs about Home Hemodialysis Scale (BHHS) and evaluate its psychometric properties in a sample of patients on in-center hemodialysis.
    Methods This methodological study was carried out with 102 patients on in-center hemodialysis. Data were collected by a questionnaire, the Perceived Social Support from Family Scale, and the BHHS. The analysis of data was carried out using descriptive statistics, Mann-Whitney U test, Pearson's correlation coefficients, and psychometric tests.
    Results The overall content validity index of the scale was satisfactory with 1.00 for relevance and 0.97 for clarity. The exploratory factor analysis yielded a four-factor structure (perceived benefits, perceived barriers toward the environment, perceived barriers toward the procedure, and perceived barriers toward socioeconomic support) accounting for 64.5% of the total variance. The BHHS had acceptable internal consistency (Cronbach's alpha coefficient = 0.69–0.91), test-retest reliability (intraclass correlation coefficient = 0.88–0.95), concurrent validity with the Perceived Social Support from Family Scale scores and known group validity with wanting to start home hemodialysis.
    Conclusions The initial psychometric testing of the BHHS is favorable. The BHHS is a valid and reliable instrument for assessing the perceived benefits and barriers to home hemodialysis in patients on in-center hemodialysis. The results of this study will gain a better understanding of the beliefs about home hemodialysis of patients and will lead to more effective intervention strategies.

    Citation: Belgüzar Kara. Development and psychometric evaluation of the Beliefs about Home Hemodialysis Scale for patients on in-center hemodialysis[J]. AIMS Medical Science, 2020, 7(3): 106-121. doi: 10.3934/medsci.2020010

    Related Papers:

  • Objective There is no valid and reliable instrument that evaluates health beliefs related to home hemodialysis of patients. This study aimed to develop the Beliefs about Home Hemodialysis Scale (BHHS) and evaluate its psychometric properties in a sample of patients on in-center hemodialysis.
    Methods This methodological study was carried out with 102 patients on in-center hemodialysis. Data were collected by a questionnaire, the Perceived Social Support from Family Scale, and the BHHS. The analysis of data was carried out using descriptive statistics, Mann-Whitney U test, Pearson's correlation coefficients, and psychometric tests.
    Results The overall content validity index of the scale was satisfactory with 1.00 for relevance and 0.97 for clarity. The exploratory factor analysis yielded a four-factor structure (perceived benefits, perceived barriers toward the environment, perceived barriers toward the procedure, and perceived barriers toward socioeconomic support) accounting for 64.5% of the total variance. The BHHS had acceptable internal consistency (Cronbach's alpha coefficient = 0.69–0.91), test-retest reliability (intraclass correlation coefficient = 0.88–0.95), concurrent validity with the Perceived Social Support from Family Scale scores and known group validity with wanting to start home hemodialysis.
    Conclusions The initial psychometric testing of the BHHS is favorable. The BHHS is a valid and reliable instrument for assessing the perceived benefits and barriers to home hemodialysis in patients on in-center hemodialysis. The results of this study will gain a better understanding of the beliefs about home hemodialysis of patients and will lead to more effective intervention strategies.


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    Abbreviation BHHS: Beliefs about Home Hemodialysis Scale; CVI: Content validity index; CI: Confident interval; HBM: Health Belief Model; HHD: Home Hemodialysis; ICC: Intraclass correlation coefficient; PSS-Fa: Perceived Social Support from Family Scale; SD: Standard deviation;
    Acknowledgments


    The author thanks all the patients for their participation in the study. The author also thanks Sevda Arat for her support in the data collection in the hemodialysis unit where she serves as a responsible nurse and the medical directors for approving the study. Special thanks to Ecenaz İşcan for her valuable suggestions.

    Conflict of interest


    The author declares no conflicts of interest in this paper.

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