Table I.
Summary of Reliability and Validity Information for Structure Interviews and Self-report Measures of Adherence
Measure/Authors | EBA classification | Number of items/Respondent | Internal consistency | Test–retest reliability | Interrater reliability | Validity |
---|---|---|---|---|---|---|
Diabetes | ||||||
Self-Care Adherence Interview(SCAI) (Hanson et al., 1989, 1992, 1996) | Approaching well-established | 15-item semi-structured interview/Parents and adolescents (10–20 years) | Not assessed | 3-month r =.70 6-month r =.68–.70 1-year r =.71 | r =.95–.98 | Correlations between the SCI and glycemic control ranged from −0.20 to −0.28 in different samples. |
Self-Care Inventory(SCI) (Davis et al., 2001; Delamater et al., 1997; Greco et al., 1990; La Greca et al., 1988, Wysocki et al., 2000) | Well-established | 14-items/Parents and adolescents | α =.76 adolescent; α =.87 parent | 2-week r =.77 | Not assessed | Good correlations reported between 24-hr recall and SCI. Higher levels of self care (SCI) reportedly associated with better metabolic control. |
Diabetes Regimen Adherence Questionnaire (DRAQ) (Bond et al., 1992; Brownlee-Duffeck et al., 1987; Thomas et al., 1997) | Well-established | 15-items; adolescents (8–17 years) | Total α =.78–.80 | Not assessed | Not assessed | Good correlations with health beliefs (r's =.29–.33) and some social problem-solving skills (r's =.43–.64) |
Transplant | ||||||
Behavioral Affective and Somatic Experiences (BASES): Compliance Scale (Parent version) (Phipps et al., 1994) | Approaching well-established | 38-items; Compliance scale 8-items/Parents of children who have undergone transplantation | Total α =.77 | Not assessed | Nurse-Parent Agreement: r =.56 median correlation | Not assessed |
Self-Regulation of Medication Adherence Battery (SRMAAB) (Tucker et al., 2001) | Promising | 10-items/Patients who have undergone renal transplants (6–20 years old) | Not assessed | Not assessed | Not assessed | Sensitive to cultural differences in adherence between African-American and Caucasian patients. |
Cystic fibrosis | ||||||
Disease Management Interview-CF (DMI-CF) (formerly Treatment Adherence Questionnaire) (Quittner et al., 2000a) | Well-established | 51 items/Parents and children over 10 years | Not assessed | r's =.62 to.73 (adolescent reports) r's =.76 to.88 (parent reports) | Parent-Teen Agreement: r =.55 nebulized meds r =.78 CPT Parent-Child Agreement: r =.69 nebulized meds r =.88 CPT | Not assessed |
Treatment Adherence Rating Scale (TARS; (DeLambo et al., 2004) | Promising | 16 items/Parents and children/adolescents | Airway Clearance/aerosolized medications α =.82–.84 | r's =.42 to.57 among informants (adolescent, mother, father) | Not assessed | Not assessed |
Asthma | ||||||
Family Asthma Management System Scale (FAMSS) (Klinnert et al., 1997; McQuaid, Walders, Kopel, Fritz, & Klinnert, 2005) | Approaching well-established | Semi-structured interview; Parents of children with asthma with children (11–17 years old) | Total α =.84 | Not assessed | Intraclass correlations ranged from 0.67–0.93 | Adherence scores significantly related to functional impairment/morbidity (r = −0.39), parent knowledge (r = 0.36), and child self-efficacy (r = 0.36). Adequate convergence with MDILog data (r =.29) |
Disease Management Interview–Asthma (Modi & Quittner, 2006a) | Promising | 28 items/Parents and children >10 years. | Not assessed | Not assessed | Parent-child agreement: r =.63 | Child self-report of adherence associated with number of barriers to adherence (r = −0.46). |
HIV/Aids | ||||||
Pediatric AIDS Clinical Trials Group (PACTG): Adherence modules (Farley Hines, Musk, Ferrus, & Tepper, 2003; Van Dyke et al., 2002) | Promising | 2 Interview- administered modules/Parents and children (0–17 years old) | Not assessed | Not assessed | Not assessed | Mixed evidence regarding the association between the PACTG and virological response (90% sensitivity, 43% specificity, 69% positive predictive value) |
Spina Bifida | ||||||
Parent Report of Medical Adherence in Spina Bifida Scale (PROMASB) (Holmbeck et al., 1998) | Approaching well-established | 39 items/Parents of children with spina bifida | α >.65 for 13 of 15 scales | Not assessed | Mother–father agreement: r =.39 total adherence scale Interrater reliability = 85% | Not assessed |