Development and Validation of the Hypertension Awareness, Exercise, and Motivation Questionnaire (HAEM-Q) Using the Delphi Technique
DOI:
https://doi.org/10.47144/phj.v57i4.2815Abstract
Objectives: This study presents the development of the Hypertension Awareness, Exercise, and Motivation Questionnaire (HAEM-Q) using the Delphi technique. The primary objective was to create a tool that addresses key aspects of awareness and motivation related to exercise in individuals with systemic hypertension, with the ultimate goal of enhancing the effectiveness of exercise therapy in hypertension management.
Methodology: The HAEM-Q was meticulously developed through the Delphi method, involving iterative consultations with a panel of experts. Over three rounds, these experts provided critical feedback and suggestions to refine the questionnaire, ensuring its clarity, relevance, and comprehensiveness.
Results: The final HAEM-Q questionnaire consists of two domains: Domain A (Awareness of the Effects of Exercise on Hypertension) and Domain B (Motivation for Exercise in Hypertension). Each domain includes six carefully crafted questions. In Domain A, revisions focused on refining Q1 to emphasize awareness, adjusting the options for Q2 and Q3, and expanding Q4 with two additional questions. Questions Q5 and Q6 remained unchanged. Domain B underwent similar refinements, with significant revisions including the rephrasing of Q2 to incorporate awareness about the interplay between exercise and medication and the addition of a "Not Applicable" option to Q3 for non-exercising patients. Questions Q1, Q4, Q5, and Q6 in this domain were retained as initially designed.
Conclusion: The HAEM-Q questionnaire represents a significant advancement in the management of systemic hypertension by providing a comprehensive tool to assess the interrelationships among awareness, exercise, and motivation. This instrument has the potential to improve treatment outcomes and alleviate the burden of hypertension on both patients and healthcare systems. Future studies are needed to validate its psychometric properties and evaluate its clinical utility.
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