The internet intervention patient adherence scale for guided internet-delivered behavioral interventions : Development and psychometric evaluation
(2019) In Journal of Medical Internet Research 21(10).- Abstract
Background: Patient adherence is defined as the extent to which a patient complies with medical or health advice. At present, there is a lack of reliable and valid measures specifically designed to measure adherence to internet-delivered behavioral interventions. Objective: The objective of this study was to develop and psychometrically evaluate a novel measure of adherence to guided internet-delivered behavioral interventions. Methods: In collaboration with experienced clinicians and researchers in the field, a 5-item, clinician-rated internet intervention Patient Adherence Scale (iiPAS) was developed. The initial scale was tested in a sample of children and adolescents (N=50) participating in internet-delivered cognitive behavioral... (More)
Background: Patient adherence is defined as the extent to which a patient complies with medical or health advice. At present, there is a lack of reliable and valid measures specifically designed to measure adherence to internet-delivered behavioral interventions. Objective: The objective of this study was to develop and psychometrically evaluate a novel measure of adherence to guided internet-delivered behavioral interventions. Methods: In collaboration with experienced clinicians and researchers in the field, a 5-item, clinician-rated internet intervention Patient Adherence Scale (iiPAS) was developed. The initial scale was tested in a sample of children and adolescents (N=50) participating in internet-delivered cognitive behavioral therapy (ICBT) studies. A revised version of the iiPAS was then administered to a larger sample of children and adolescents (N=148) with various behavioral problems participating in ICBT trials. The scale was evaluated according to a classical test theory framework. Results: The iiPAS demonstrated excellent internal consistency. Factor analyses revealed one underlying factor, explaining about 80% of the variance, suggesting that the scale captures a homogeneous adherence construct. The iiPAS was strongly associated with objective measures of patient activity in ICBT (number of logins, number of written characters, and completed modules). Furthermore, mid- and posttreatment ratings of the iiPAS were significantly correlated with treatment outcomes. By contrast, objective measures of patient activity in the Web-based platform did not correlate with treatment outcomes. Conclusions: The iiPAS could be a useful tool to measure adherence in a broad range of internet-delivered behavioral interventions.
(Less)
- author
- publishing date
- 2019-10-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cognitive behavioral therapy, EHealth, Internet, Measure, Patient compliance
- in
- Journal of Medical Internet Research
- volume
- 21
- issue
- 10
- article number
- e13602
- publisher
- JMIR Publications Inc.
- external identifiers
-
- pmid:31573901
- scopus:85072847332
- ISSN
- 1438-8871
- DOI
- 10.2196/13602
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © Fabian Lenhard, Kajsa Mitsell, Maral Jolstedt, Sarah Vigerland, Tove Wahlund, Martina Nord, Johan Bjureberg, Hanna Sahlin, Per Andrén, Kristina Aspvall, Karin Melin, David Mataix-Cols, Eva Serlachius, Jens Högström.
- id
- 9aa3433c-995f-48f4-8829-67683c4954ea
- date added to LUP
- 2023-07-14 11:44:31
- date last changed
- 2024-04-20 00:32:10
@article{9aa3433c-995f-48f4-8829-67683c4954ea,
abstract = {{<p>Background: Patient adherence is defined as the extent to which a patient complies with medical or health advice. At present, there is a lack of reliable and valid measures specifically designed to measure adherence to internet-delivered behavioral interventions. Objective: The objective of this study was to develop and psychometrically evaluate a novel measure of adherence to guided internet-delivered behavioral interventions. Methods: In collaboration with experienced clinicians and researchers in the field, a 5-item, clinician-rated internet intervention Patient Adherence Scale (iiPAS) was developed. The initial scale was tested in a sample of children and adolescents (N=50) participating in internet-delivered cognitive behavioral therapy (ICBT) studies. A revised version of the iiPAS was then administered to a larger sample of children and adolescents (N=148) with various behavioral problems participating in ICBT trials. The scale was evaluated according to a classical test theory framework. Results: The iiPAS demonstrated excellent internal consistency. Factor analyses revealed one underlying factor, explaining about 80% of the variance, suggesting that the scale captures a homogeneous adherence construct. The iiPAS was strongly associated with objective measures of patient activity in ICBT (number of logins, number of written characters, and completed modules). Furthermore, mid- and posttreatment ratings of the iiPAS were significantly correlated with treatment outcomes. By contrast, objective measures of patient activity in the Web-based platform did not correlate with treatment outcomes. Conclusions: The iiPAS could be a useful tool to measure adherence in a broad range of internet-delivered behavioral interventions.</p>}},
author = {{Lenhard, Fabian and Mitsell, Kajsa and Jolstedt, Maral and Vigerland, Sarah and Wahlund, Tove and Nord, Martina and Bjureberg, Johan and Sahlin, Hanna and Andrén, Per and Aspvall, Kristina and Melin, Karin and Mataix-Cols, David and Serlachius, Eva and Högström, Jens}},
issn = {{1438-8871}},
keywords = {{Cognitive behavioral therapy; EHealth; Internet; Measure; Patient compliance}},
language = {{eng}},
month = {{10}},
number = {{10}},
publisher = {{JMIR Publications Inc.}},
series = {{Journal of Medical Internet Research}},
title = {{The internet intervention patient adherence scale for guided internet-delivered behavioral interventions : Development and psychometric evaluation}},
url = {{http://dx.doi.org/10.2196/13602}},
doi = {{10.2196/13602}},
volume = {{21}},
year = {{2019}},
}