Translation and Testing of a Scale to Assess Hypertension Self-Care Activities among Latinos
Methods: We implemented a modified version of the World Health Organization process for translation and adaptation of instruments, which uses forward and backward translation in conjunction with an expert panel review. The resulting survey was then piloted in a primary care clinic serving Latinos.
Results: Participants (n=124) were predominantly female, under age 50, with limited education; one-third reported having hypertension. The internal consistency of the 6 subscales was within limits (α ≥ .70) and item analyses indicated no floor or ceiling effects. Among participants with hypertension, only 33% were adherent to medication regimens; one-third practiced weight management behaviors; over 80% were non-smoking and/or alcohol abstinent; 36.8% were physically active. Less than 16% reported eating a healthy diet.
Conclusion: The Spanish version of the H-SCALE demonstrates basic psychometric properties. Spanish speaking individuals with hypertension report low rates of adherence to important activities for managing blood pressure. Future studies will validate the Spanish version of the H-SCALE against clinical blood pressure.
Learning Areas:Chronic disease management and prevention
List the 6 recommended hypertension self-care behaviors. Describe Latinos' adherence to hypertension self-care practices.
Keyword(s): Hypertension, Latinos
Qualified on the content I am responsible for because: I developed the hypertension self-care scale used in this study and I supervised the translation project and data collection. I have received internal and external funding to pursue research on the assessment of adherence to hypertension self-care activities.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.