The Danish version of the Medication Adherence Report Scale: preliminary validation in cancer pain patients.
OBJECTIVE
To examine the psychometric properties of the Danish version of the Medication Adherence Report Scale (DMARS-4) adapted to measure adherence to analgesic regimen among cancer patients.


METHODS
The validated English version of the Medication Adherence Report Scale was translated into Danish following the repeated back-translation procedure. Cancer patients for the study were recruited from specialized pain management facilities. Thirty-three patients responded to the DMARS-4, the Danish Barriers Questionnaire II, The Danish version of Patient Perceived Involvement in Care Scale measuring the quality of patient-physician pain communication, and the Danish Brief Pain Inventory pain severity scale.


RESULTS
A factor analysis of the DMARS-4 resulted in one factor. Mean (SD) score on the cumulative scale ranging from 4 to 20, with higher scores indicating better medication adherence, was 17.8 (0.42). The DMARS-4 scores were related to the measures of patients' concerns about pain management and patients' pain communication. The internal consistency of the DMARS-4 was 0.70.


CONCLUSIONS
The DMARS-4 seems to be a valid and reliable measure of self-reported adherence to analgesic regimen in the context of cancer pain.
Jacobsen
Ramune
R
Department of Pharmacology and Pharmacotherapy, Faculty of Pharmaceutical Sciences, University of Copenhagen, Copenhagen, Denmark. raj@farma.ku.dk
Møldrup
Claus
C
Christrup
Lona
L
Sjøgren
Per
P
Hansen
Ole Bo
OB
D000700:Analgesics / Q000627:therapeutic use*; D003142:Communication; D006801:Humans; D009369:Neoplasms / Q000150:complications*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D016903:Drug Monitoring
D000700:Analgesics