An Arabic instrument to measure medication adherence in Saudi hypertensive patients

Alsolami, Fatmah Jabr, Hou, Xiang-Yu, Correa-Velez, Ignacio, & Bahlas, Sami M. (2013) An Arabic instrument to measure medication adherence in Saudi hypertensive patients. Middle Eastern Journal of Family Medicine, 11(7), pp. 17-23.

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To show the validity and reliability of the translated Hill-Bone scale on 110 hypertensive participants from an Arabic speaking country.


With the wide spread availability of treatment, individuals with hypertension have reported various levels of adherence to their medications. Flexible and practical methods of measuring adherence are the use of surveys, scales and interviews. There is a scarcity in Arabic tools and scales that measure levels of adherence to antihypertensive treatments in the Arabic speaking context.

Design and Methods:

A cross-sectional study was conducted among 110 individuals diagnosed with hypertension and from an Arabic speaking country. The Hill-Bone scale includes three subscales that measure salt intake, medication adherence and appointment keeping. Given the focus on the pharmacological management of hypertensive patients, only items related to medication adherence and appointment keeping subscales were used. The scale was translated by following a comprehensive and accepted method of translation.


Instrument reliability was tested by identifying the Cronbach’s alpha coefficient. The subscale for medication adherence in the Hill-Bone scale reported an acceptable level of reliability (Cronbach’s alpha =0.76). Compared with other translated versions of the Hill-Bone scale, the scale also reported good reliability and validity.


Results indicate that the Arabic translated version of the Hill-Bone scale has an acceptable level of reliability and validity and therefore can be used in Arabic speaking populations.

Impact and interest:

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ID Code: 62520
Item Type: Journal Article
Refereed: Yes
Keywords: Hypertension, Medication, Adherence, Arabic
ISSN: 1839-0188
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Primary Health Care (111717)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2013 MediWorld International
Deposited On: 15 Sep 2013 23:09
Last Modified: 20 Nov 2014 02:11

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