Development of Diabetes Mellitus Medication Compliance Instrument
Abstract
Medication adherence is an important factor in the management of type 2 DM. Non-adherence in taking medication can worsen the patient's health condition, increase glycated hemoglobin (HbA1c) levels , and increase the risk of complications such as neuropathy, nephropathy, and cardiovascular disease. Research shows that only about 50-60% of patients comply with prescribed medication.The aim of this research is to develop a research instrument on medication adherence in Diabetes Mellitus patients. The type of research used is Research and Development . To produce a research instrument product on compliance with taking diabetes mellitus medication and to test its effectiveness, the research process is carried out through two main stages, namely the content validity stage and the validity and reliability test stage. Content validity is evaluated by 10 expect panels. While the validity and reliability tests were carried out on 30 respondents, namely Type 2 Diabetes Mellitus patients aged 19-40 years who are outpatients in Mardhatillah Hospital Pemalang, Central Java. Validity test analysis using Pearson Product Moment correlation (r) by looking at the output results of Corrected Item Total Correlation , while the Reliability Test is measured by the Cronbach Alpha statistical test. The results of this study indicate that all items in the diabetes mellitus medication adherence instrument meet the content validity criteria based on the assessment. for expert (I-CVI ≥ 0.75). Furthermore, based on the validity test of 15 question items, it is known that for statements 1 to 15, the lowest calculated r is 0.436 and the highest calculated r is 0.779, so that the 15 statements of the DM medication adherence questionnaire are valid. Meanwhile, the results of the reliability test on the 15 items of this research questionnaire have a total Cronbach's Alpha value per variable > 0.60, so that the research questionnaire is reliable (consistent). The research instrument in the form of a questionnaire on adherence to taking DM medication consisting of 15 questions was declared to meet the criteria of content validity , validity and reliability , so it can be used as a research instrument. With valid and reliable instruments, health workers can monitor patient compliance more effectively, support the success of therapy and improve the quality of life of patients with diabetes mellitus.
References
Almira, N., Arifin, S., & Rosida, L. (2019). Faktor-faktor yang berhubungan dengan perilaku kepatuhan minum obat anti diabetes pada penderita diabetes melitus tipe 2 di Puskesmas Teluk Dalam Banjarmasin. Homeostasis, 2(1), 9–12
Eliza, D., Susanti, H., & Marlina, L. (2023). Hubungan kepatuhan minum obat dengan kualitas hidup pasien DM tipe 2 di Puskesmas Kecamatan Kuranji. Jurnal Sains Farmasi & Klinis, 10(2), 120–129. https://jsfk.ffarmasi.unand.ac.id/index.php/jsfk/article/view/1369
Haikal, H., Martini, M., & Sediyono, E. (2019). Pengembangan instrumen RDQA untuk surveilans epidemiologi DBD di Dinas Kesehatan Kota Tarakan. Jurnal Manajemen Kesehatan Indonesia, 7(1), 16-23.
Hamid, A., Maliga, I., & Rafi'ah, R. A. (2022). Analisis Pengetahuan Pasien Diabetes Mellitus Tipe II Dengan Kepatuhan Minum Obat di Dusun Batu Bangka Kabupaten Sumbawa Tahun 2020. Jurnal ILKES (Jurnal Ilmu Kesehatan), 13(1), 1-9.
Krisdiyanto, J., Fitriani, A., & Sahayati, S. (2022, September). Pengembangan instrumen kesehatan mental pada remaja sebagai dasar penyusunan digital support system application. In Jurnal Formil (Forum Ilmiah) Kesmas Respati (Vol. 7, No. 3, pp. 306-316).
Larsson, H., Tegern, M., Monnier, A., Skoglund, J., Helander, C., Persson, E., ... & Aasa, U. (2015). Content validity index and intra-and inter-rater reliability of a new muscle strength/endurance test battery for Swedish soldiers. PloS one, 10(7), e0132185.
Marito, R., & Lestari, I. C. (2021). Hubungan Antara Tingkat Pengetahuan Dengan Tingkat Kepatuhan Minum Obat Pasien Diabetes Melitus Tipe 2. Jurnal Kedokteran Ibnu Nafis, 10(2), 122-127.
Meidikayanti, W., & Wahyuni, C. U. (2017). Hubungan dukungan keluarga dengan kualitas hidup Diabetes melitus tipe 2 di puskesmas pademawu. Jurnal Berkala Epidemiologi, 5(2), 240-252.
Ningrum, D. K. (2020). Kepatuhan minum obat pada penderita diabetes mellitus tipe II. HIGEIA Journal of Public Health Research and Development, 4(Special 3). https://doi.org/10.15294/higeia.v4iSpecial%203/36213
Putri, S. R., Rahardjo, B. B., Yuniastuti, A., & Budiono, I. (2025). Pengembangan dan Validasi Postpartum Partner Support Scale (PPSS) sebagai Faktor Protektif terhadap Depresi Postpartum di Indonesia. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 15(3), 545-554.
Soraya, S., Widia, I. N., & Oktarina, L. (2023). Analisis faktor-faktor yang memengaruhi kepatuhan minum obat pasien diabetes mellitus tipe 2 di Jakarta. Pharmacy Science Review, 9(2), 101–110. https://scholarhub.ui.ac.id/psr/vol9/iss2/4
Suryadi, T., Alfiya, F., Yusuf, M., Indah, R., Hidayat, T., & Kulsum, K. (2023). Content validity for the research instrument regarding teaching methods of the basic principles of bioethics. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 12(2), 186-202.
Sugiyono. Metode Penelitian Kuantitatif, Kualitatif dan R&D.Bandung: Alvabeta; 2019
Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J. 2019;11(2):49–54.
Zairina, E., Nugraheni, G., Sulistyarini, A., Mufarrihah, Setiawan, C. D., Kripalani, S., & Lestari, S. I. (2022). Factors related to barriers and medication adherence in patients with type 2 diabetes mellitus: a cross-sectional study. Journal of Diabetes & Metabolic Disorders, 21(1), 219-228.
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