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Published in: BMC Geriatrics 1/2024

Open Access 01-12-2024 | Hypertension | Research

Psychometric properties of the Chinese version of the Hypertension Belief Assessment Tool

Authors: Xue Yang, Yujin Mei, Yuqing Li, Xiaoyun Zhang, Jiaofeng Gui, Ying Wang, Wenyue Chen, Mingjia Chen, Changjun Liu, Lin Zhang

Published in: BMC Geriatrics | Issue 1/2024

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Abstract

Background

Hypertension is prevalent in China. Hypertensive patients suffer from many health problems in life. Hypertension is a common chronic disease with long-term and lifelong characteristics. In the long run, the existence of chronic diseases will affect the patient’s own health beliefs. However, people’s health beliefs about Hypertension are not explicit. Therefore, it is vital to find a suitable instrument to comprehend and improve the health beliefs of hypertensive patients, thus, better control of blood pressure and improvement of patient’s quality of life are now crucial issues. This study aimed to translate the Hypertension Belief Assessment Tool (HBAT) into Chinese and examine the psychometric properties of the Chinese version of the Hypertension Belief Assessment Tool in hypertensive patients.

Methods

This is a cross-sectional study. We translated the HBAT into Chinese and tested the reliability and validity of the Chinese version among 325 hypertensive patients.

Results

The Chinese version of the scale contains 21 items. The Exploratory Factor Analysis (EFA) revealed six factors and explained 77.898% of the total variation. A six-factor model eventually showed acceptable fit indices in the Confirmatory Factor Analysis (CFA). With modified Confirmatory Factor Analysis, the fit indices were Chi-square/Degree of Freedom (CMIN/DF) = 2.491, Comparative Fit Index (CFI) = 0.952, Incremental Fit Index (IFI) = 0.952, Root-mean-square Error of Approximation (RMSEA) = 0.068, Tucker Lewis Index (TLI) = 0.941. The HBAT exhibits high internal consistency reliability (0.803), and the scale has good discriminant validity.

Conclusion

The results suggest that the HBAT is a reliable and valid instrument for assessing the beliefs of Chinese hypertensive patients.
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Metadata
Title
Psychometric properties of the Chinese version of the Hypertension Belief Assessment Tool
Authors
Xue Yang
Yujin Mei
Yuqing Li
Xiaoyun Zhang
Jiaofeng Gui
Ying Wang
Wenyue Chen
Mingjia Chen
Changjun Liu
Lin Zhang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2024
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-024-04853-1

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