Psychometric properties of satisfaction with the childbirth education class questionnaire for Iranian population

Abstract Background: Childbirth preparation classes can reduce pregnant women’s anxiety and fear for their childbirth. However, to evaluate women’s feedback and their satisfaction with these classes, there is a need for a standard instrument that is suitable for Iranian context. This study is aimed to translate and conduct a psychometric analysis of the Satisfaction with the Childbirth Education Class Questionnaire (SCECQ) for Iranian population. Methods: The questionnaire was translated from English into Persian through the forward-backward translation method. The cluster sampling method was employed to select 205 pregnant women with gestational age of 35-37 weeks from all health complexes of Tabriz, Iran. The face, content, and construct validity of the research instrument were assessed through exploratory and confirmatory factor analyses. Internal consistency and test-retest reliability were measured to evaluate the overall reliability of the questionnaire.Results: The impact scores of all items were above 1.5. The content validity index (CVI) and content validity ratio (CVR) of the questionnaire were 0.88 and 0.94, respectively. The convergent construct validity of the whole questionnaire and those of its three subscales were confirmed through the exploratory factor analysis (EFA). The factor loadings of no items were below 0.3, and the X2⁄df ratio was smaller than 5. The overall model validity was confirmed by having the Root Mean Square Error of Approximation (RMSEA) smaller than 0.08. Cronbach’s alpha and intraclass correlation coefficient (ICC) were 0.93 and 0.96, respectively, indicating the acceptable reliability of the questionnaire.Conclusion: The Persian version of this questionnaire, entitled SCECQ is a valid and reliable instrument for measuring Iranian women’s satisfaction with childbirth education classes.

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Psychometric properties of women’s satisfaction with the childbirth education class questionnaire for Iranian population

10.21203/rs.3.rs-21349/v4 ◽

2020 ◽

Author(s):

Robab Hassanzadeh ◽

Mohammad Asghari Jafarabadi ◽

Fatemeh Abbas-Alizadeh ◽

Shahla Meedya ◽

Sakineh Mohammad-Alizadeh-Charandabi ◽

...

Keyword(s):

Construct Validity ◽

Content Validity ◽

Intraclass Correlation ◽

Iranian Population ◽

Cluster Sampling ◽

Confirmatory Factor Analyses ◽

Childbirth Education ◽

Education Class ◽

Iranian Context ◽

The Impact

Abstract Background: Childbirth preparation classes can reduce pregnant women’s anxiety and fear for their childbirth. However, to evaluate women’s feedback and their satisfaction with these classes, there is a need for a standard instrument that is suitable for Iranian context. This study is aimed to translate and conduct a psychometric analysis of the Satisfaction with the Childbirth Education Class Questionnaire (SCECQ) for Iranian population. Methods: The questionnaire was translated from English into Persian through the forward-backward translation method. The cluster sampling method was employed to select 205 pregnant women with gestational age of 35-37 weeks from all health complexes of Tabriz, Iran. The face, content, and construct validity of the research instrument were assessed through exploratory and confirmatory factor analyses. Internal consistency and test-retest reliability were measured to evaluate the overall reliability of the questionnaire.Results: The impact scores of all items were above 1.5. The content validity index (CVI) and content validity ratio (CVR) of the questionnaire were 0.88 and 0.94, respectively. The convergent construct validity of the whole questionnaire and those of its three subscales were confirmed through the exploratory factor analysis (EFA). The factor loadings of no items were below 0.3, and the X2⁄df ratio was smaller than 5. The overall model validity was confirmed by having the Root Mean Square Error of Approximation (RMSEA) smaller than 0.08. Cronbach’s alpha and intraclass correlation coefficient (ICC) were 0.93 and 0.96, respectively, indicating the acceptable reliability of the questionnaire.Conclusion: The Persian version of this questionnaire, entitled SCECQ is a valid and reliable instrument for measuring Iranian women’s satisfaction with childbirth education classes.

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Psychometric properties of satisfaction with the childbirth education class questionnaire for Iranian population

10.21203/rs.3.rs-21349/v2 ◽

2020 ◽

Author(s):

Robab Hassanzadeh ◽

Mohammad Asghari Jafarabadi ◽

Fatemeh Abbas-Alizadeh ◽

Shahla Meedya ◽

Sakineh Mohammad-Alizadeh-Charandabi ◽

...

Keyword(s):

Construct Validity ◽

Content Validity ◽

Intraclass Correlation ◽

Iranian Population ◽

Cluster Sampling ◽

Confirmatory Factor Analyses ◽

Childbirth Education ◽

Education Class ◽

Iranian Context ◽

The Impact

Abstract Background: Childbirth preparation classes can reduce pregnant women’s anxiety and fear for their childbirth. However, to evaluate women’s feedback and their satisfaction with these classes, there is a need for a standard instrument that is suitable for Iranian context. This study is aimed to translate and conduct a psychometric analysis of the Satisfaction with the Childbirth Education Class Questionnaire (SCECQ) for Iranian population. Methods: The questionnaire was translated from English into Persian through the forward-backward translation method. The cluster sampling method was employed to select 205 pregnant women with gestational age of 35-37 weeks from all health complexes of Tabriz, Iran. The face, content, and construct validity of the research instrument were assessed through exploratory and confirmatory factor analyses. Internal consistency and test-retest reliability were measured to evaluate the overall reliability of the questionnaire.Results: The impact scores of all items were above 1.5. The content validity index (CVI) and content validity ratio (CVR) of the questionnaire were 0.88 and 0.94, respectively. The convergent construct validity of the whole questionnaire and those of its three subscales were confirmed through the exploratory factor analysis (EFA). The factor loadings of no items were below 0.3, and the X2⁄df ratio was smaller than 5. The overall model validity was confirmed by having the Root Mean Square Error of Approximation (RMSEA) smaller than 0.08. Cronbach’s alpha and intraclass correlation coefficient (ICC) were 0.93 and 0.96, respectively, indicating the acceptable reliability of the questionnaire.Conclusion: The Persian version of this questionnaire, entitled SCECQ is a valid and reliable instrument for measuring Iranian women’s satisfaction with childbirth education classes.

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Psychometric properties of women’s satisfaction with the childbirth education class questionnaire for Iranian population

10.21203/rs.3.rs-21349/v1 ◽

2020 ◽

Author(s):

Robab Hassanzadeh ◽

Mohammad Asghari Jafarabadi ◽

Fatemeh Abbas-Alizadeh ◽

Shahla Meedya ◽

Sakineh Mohammad-Alizadeh-Charandabi ◽

...

Keyword(s):

Construct Validity ◽

Content Validity ◽

Cluster Sampling ◽

Confirmatory Factor Analyses ◽

Childbirth Education ◽

Education Class ◽

Convergent Construct Validity ◽

The Face ◽

Childbirth Preparation ◽

The Impact

Abstract Background: Childbirth preparation classes can reduce pregnant women’s anxiety and fear levels by providing them with training supports. The importance of mothers’ participation in these classes, evaluation of their satisfaction with these classes, and lack of a standard instrument in Iran led to the necessity of conducting this study for the translation and psychometric analysis of the women’s satisfaction with the childbirth education class questionnaire for the population of Iranian women. Methods: The questionnaire was translated from English into Persian through the forward-backward translation method. The cluster sampling method was employed to select 205 pregnant women with gestational age of 35-37 weeks from all health complexes of Tabriz, Iran. The face, content, and construct validity of the research instrument were assessed through exploratory and confirmatory factor analyses. Internal consistency and test-retest reliability were measured to evaluate the overall reliability of the questionnaire. Results: The impact scores of all items were above 1.5. The content validity index (CVI) and content validity ratio (CVR) of the questionnaire were 0.88 and 0.94, respectively. The convergent construct validity of the whole questionnaire and those of its three subscales were confirmed through the exploratory factor analysis (EFA). The factor loadings of no items were below 0.3, and the X2⁄df ratio was smaller than 5. In addition, the RMSEA was smaller than 0.08; therefore, the overall model validity was confirmed. Cronbach’s alpha and intra-class correlation coefficient (ICC) were 0.93 and 0.96, respectively, indicating the acceptable reliability of the questionnaire. Conclusion: The Persian version of this questionnaire, entitled "Women’s Satisfaction with Childbirth Education Class" is a valid and reliable instrument for measuring Iranian women’s satisfaction with childbirth education classes.

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PP67 Validity Of A Questionnaire Assessing Patient Medication Experiences

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462318002258 ◽

2018 ◽

Vol 34 (S1) ◽

pp. 93-93

Author(s):

Merel Kimman ◽

Marlies Wijsenbeek ◽

Remy Mostard ◽

Nelleke Tak ◽

Adrienne Rotteveel ◽

...

Keyword(s):

Decision Making ◽

Side Effects ◽

Construct Validity ◽

Content Validity ◽

Atypical Hemolytic Uremic Syndrome ◽

Intraclass Correlation ◽

Patient Experiences ◽

Validity And Reliability ◽

Generic Module ◽

The Impact

Introduction:The Patient Experiences and Satisfaction with Medications (PESaM) questionnaire was recently developed. It consists of two disease-specific modules for evaluating drug treatment of idiopathic pulmonary fibrosis (IPF) and atypical hemolytic uremic syndrome (aHUS): (i) a generic module applicable to any medication, and (ii) a patient expectations module. This study assessed the validity and reliability of the generic module in a large sample of patients in the Netherlands.Methods:In 2017, the PESaM-questionnaire was sent out to IPF patients on pirfenidone or nintedanib, aHUS patients receiving eculizumab, and patients using advagraf after kidney transplantation. The generic module consists of 16 items related to the domains effectiveness, side-effects and ease of use, and assesses patient experiences regarding the impact of the medication on daily life and health, and satisfaction. Mean scores for each domain were calculated using a scoring algorithm. Content validity, construct validity, and reliability were assessed using recommended methods.Results:Patients (n=188) completed the generic module of whom 48 percent used pirfenidone, 36 percent nintedanib, 11 percent advagraf, and 5 percent eculizumab. Content validity was established. Expected associations between patient experiences, satisfaction, and quality of life (QoL) were generally confirmed, demonstrating construct validity. For example, a moderate to strong positive association was found between patient experiences and satisfaction with side-effects (correlation coefficient 0.625, p < 0.05), and low (positive) associations were found between patient experiences and QoL. Importantly, the PESaM-questionnaire was able to discriminate between patients using different medications. Intraclass correlation coefficients, for test-retest reliability, ranged between good and excellent for most domains.Conclusions:The PESaM questionnaire is a promising tool to provide scientific evidence regarding the patient's perspective in health technology assessments and reimbursement decision-making regarding (expensive) medications, but can also support shared decision-making and appropriate use of medication at the individual patient level. Further research will assess the questionnaire's responsiveness and generalizability of results to other patient populations.

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The Iranian version of theory-based intention for cesarean section (IR-TBICS) scale: development and first evaluation

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03498-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Cesarean Section ◽

Content Validity ◽

Intraclass Correlation ◽

Quality Criteria ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Northern Iran ◽

Cross Sectional ◽

Confirmatory Factor Analyses

Abstract Background The rate at which mothers experience a cesarean section in the absence of medical signs is growing worldwide. Women’s beliefs and intentions play an essential role in the request or choice of a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women’s beliefs about cesarean section in the Iranian population. This study was performed to develop and assess the validity and reliability of the intention-based cesarean section scale using the theory of reasoned action (TRA) constructs as a theoretical framework for measuring intention toward the selection of a delivery method. Methods In this cross-sectional validation study, 480 pregnant women were recruited from Sari, in northern Iran, through a multistage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and the intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. Results The results obtained from the factor analysis showed that the data were fit to the model (χ2 = 2298.389, P < 0.001). The TRA comprised 24 items assessing five domains, which described 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from 0.609 to 0.843, and the ICC value ranged from 0.71 to 0.84, which is within the satisfactory range. The IR-TBICS scale had no floor or ceiling effect on the total score or any of the dimensions. Conclusions The belief-based cesarean section scale appears to be a reliable instrument. It is considered suitable and can be applied in other research in Iran.

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Psychometric evaluation and cultural adaptation of the Spanish version of the “Scale for End-of Life Caregiving Appraisal”

Palliative & Supportive Care ◽

10.1017/s1478951518000470 ◽

2018 ◽

Vol 17 (03) ◽

pp. 314-321

Author(s):

José Manuel Hernández-Padilla ◽

Matías Correa-Casado ◽

José Granero-Molina ◽

Alda Elena Cortés-Rodríguez ◽

Tamara María Matarín-Jiménez ◽

...

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

End Of Life ◽

Exploratory Factor Analysis ◽

Content Validity ◽

Criterion Validity ◽

Spanish Version ◽

Validity Index ◽

Content Validity Index ◽

The Impact

AbstractObjectiveTo translate, culturally adapt, and psychometrically evaluate the Spanish version of the “Scale for End-of Life Caregiving Appraisal” (SEOLCAS).MethodObservational cross-sectional study. Convenience sample of 201 informal end-of-life caregivers recruited in a southern Spanish hospital. The reliability of the questionnaire was assessed through its internal consistency (Cronbach's α) and temporal stability (Pearson's correlation coefficient [r] between test-retest). The content validity index of the items and the scale was calculated. Criterion validity was explored through performing a linear regression analysis to evaluate the SEOLCAS’ predictive validity. Exploratory factor analysis was used to examine its construct validity.ResultsThe SEOLCAS’ reliability was very high (Cronbach's α = 0.92). Its content validity was excellent (all items’ content validity index = 0.8–1; scale's validity index = 0.88). Evidence of the SEOLCAS’ criterion validity showed that the participants’ scores on the SEOLCAS explained approximately 79.3% of the between-subject variation of their results on the Zarit Burden Interview. Exploratory factor analysis provided evidence of the SEOLCAS’ construct validity. This analysis revealed that two factors (“internal contingencies” and “external contingencies”) explained 53.77% of the total variance found and reflected the stoic Hispanic attitude toward adversity.Significance of resultsThe Spanish version of the SEOLCAS has shown to be an easily applicable, valid, reliable, and culturally appropriate tool to measure the impact of end-of-life care provision on Hispanic informal caregivers. This tool offers healthcare professionals the opportunity to easily explore Hispanic informal end-of-life caregivers’ experiences and discover the type of support they may need (instrumental or emotional) even when there are communicational and organizational constraints.

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Measuring advance care planning behavior in Dutch adults: translation, cultural adaptation and validation of the Advance Care Planning Engagement Survey

BMC Medical Research Methodology ◽

10.1186/s12874-021-01389-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Doris van der Smissen ◽

Agnes van der Heide ◽

Rebecca L. Sudore ◽

Judith A. C. Rietjens ◽

Ida J. Korfage

Keyword(s):

Chronic Disease ◽

Construct Validity ◽

Internal Consistency ◽

Advance Care Planning ◽

Content Validity ◽

Intraclass Correlation ◽

Criterion Validity ◽

Care Planning ◽

Validity And Reliability ◽

Advance Care

Abstract Background Advance care planning (ACP) enables people to define, discuss, and record preferences for treatment and care. Measures of ACP behavior are lacking in the Netherlands. We aimed to translate, culturally adapt and validate the 34-item ACP Engagement Survey into Dutch. Methods Following validation guidelines, we tested content validity, internal consistency, reproducibility, construct validity, interpretability and criterion validity among persons with and without chronic disease. Results Forward-backward translation indicated the need of only minor adaptations. Two hundred thirty-two persons completed baseline and retest surveys; 121 were aged ≥60 years. Persons with chronic disease (n = 151) considered the survey more valuable than those without (66 vs. 59, p < 0.001, scale of 20–100), indicating good content validity. Internal consistency (Cronbach’s alpha: 0.97) and reproducibility (intraclass correlation: 0.88) were good. Total ACP Engagement was higher among persons with chronic disease than those without (2.9 vs. 2.4, p < 0.01, scale of 1 to 5), indicating good psychometric support for construct validity and interpretability. Positive correlations of the ACP Engagement Survey and the General Self-Efficacy survey indicated good criterion validity (p < 0.05). Conclusions This study provided good psychometric support for the validity and reliability of the Dutch 34-item ACP Engagement Survey. This instrument can be used to assess involvement in ACP in adults with and without chronic disease.

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The Iranian Version of Theory-Based Intention for Cesarean Section (IR-TBICS) Scale: Development and First Evaluation

10.21203/rs.2.14833/v1 ◽

2019 ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Scale Development ◽

Cesarean Section ◽

Pregnant Women ◽

Content Validity ◽

Intraclass Correlation ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Cross Sectional ◽

Confirmatory Factor Analyses

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women beliefs and intentions have an essential role in the request or choosing a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women' beliefs about cesarean section in the Iranian population. This study performed to develop and assess the validity and reliability of the belief-based cesarean section scale using the theory of reason action (TRA) constructs as a theoretical framework for measuring intention toward delivery method selection. Methods: In this cross-sectional validation study, 480 pregnant women were recruited of Sari, north of Iran, through a multi-stage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and intraclass correlation coefficient (ICC). Results: Results obtained from factor analysis showed that the data were fit to the model (χ2= 2298.389, P<0.001) and TRA consisted of 24 items assessing five domains which describing 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within satisfactory ranges. Conclusion: The belief-based cesarean section scale is a reliable instrument and now is suitable and appropriate and can be applied in other researches. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women

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The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery

The American Journal of Sports Medicine ◽

10.1177/03635465211027180 ◽

2021 ◽

pp. 036354652110271

Author(s):

Mark J. Scholes ◽

Matthew G. King ◽

Kay M. Crossley ◽

Denise M. Jones ◽

Adam I. Semciw ◽

...

Keyword(s):

Construct Validity ◽

Content Validity ◽

Groin Pain ◽

Intraclass Correlation ◽

Minimal Detectable Change ◽

Global Rating ◽

Group Level ◽

Retest Reliability ◽

Outcome Tool ◽

Test Retest Reliability

Background: The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment. Purpose: To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total) score and all subscale scores in adults with hip/groin pain who were not seeking surgery. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Patients with hip/groin pain who were not seeking surgery were recruited from 2 ongoing studies in Australia. Semistructured one-on-one interviews assessed content validity. Construct validity was assessed by testing hypothesized correlations between iHOT-33 and Copenhagen Hip and Groin Outcome Score (HAGOS) subscale scores. Test-retest reliability was assessed in patients not undertaking treatment and who reported “no change” in their Global Rating of Change (GROC) score at 6-month follow-up. Scores were reliable at group and individual levels if intraclass correlation coefficients (ICCs) were ≥0.80 and ≥0.90, respectively. Scores were responsive if Spearman rank correlations (ρ) between the change in the iHOT-33 score and the GROC score were ≥0.40. Results: In total, 278 patients with hip/groin pain (93 women; mean age, 31 years) and 55 pain-free control participants (14 women; mean age, 29 years) were recruited. The iHOT-33 demonstrated acceptable content validity. Construct validity was acceptable, with all hypothesized strong positive correlations between iHOT-33 and HAGOS subscale scores confirmed ( r range, 0.60-0.76; P < .001), except for one correlation between the iHOT-Sport and HAGOS-Sport ( r = .058; P < .001). All scores were reliable at the group level, except for the iHOT-33 job subscale (iHOT-Job) (ICC range, 0.78-0.88 [95% CI, 0.60-0.93]). None of the subscales met the criteria for adequate reliability for use at the individual level (all ICCs <0.90). Minimal detectable change values (group level) ranged from 2.3 to 3.7 (95% CI, 1.7-5.0). All iHOT-33 subscale scores were responsive (ρ range, 0.40-0.58; P≤ .001), except for the iHOT-Job in patients not undertaking treatment (ρ = 0.27; P = .001). Conclusion: All iHOT-33 subscale scores were valid for use in patients with hip/groin pain who were not seeking surgery. Acceptable test-retest reliability was found for all subscale scores at the group level, except the iHOT-Job. All subscale scores, excluding the iHOT-Job, were responsive, regardless of undertaking physical therapist–led treatment or no treatment.

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