scholarly journals Development and administration of a postural and ergonomic assessment tool: a pilot study

2015 ◽  
Vol 28 (3) ◽  
pp. 509-523
Author(s):  
Renata Chlalup Silveira ◽  
Marcelo La Torre ◽  
Isabel Guglielmone
Keyword(s):  
Content Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Sitting Posture ◽  
Prevention And Health Promotion ◽  
Quantitative Descriptive ◽  
High Degree

AbstractIntroduction Prevention of occupational diseases depends on the identification of risk factors, which can be complemented by the functional assessment of workers.Objective The aim of this study was to develop a postural and ergonomic assessment tool for the analysis of subjects’ sitting posture at the computer workstation.Materials and methods This is a quantitative, descriptive, observational, cross-sectional study. Eighty-two employees in the administrative sector of FIERGS were invited to participate in the study. The mean age was 32.8 ± 7.7 years. The IAPE (Instrumento de Avaliação Postural Ergonômica [Postural and Ergonomic Assessment Tool]) development and administration process was performed in four stages: 1) observation of the most commonly adopted postures by employees in the workplace; 2) development of the first version of the IAPE; 3) content validation by two ergonomics experts and content validity index (CVI) calculation; 4) inter-evaluator reproducibility assessment. Reproducibility was assessed by Wilcoxon test and intraclass correlation coefficient (ICC) (p < 0.05).Results The results obtained from the calculation of the CVI showed that the IAPE possesses a high degree of content validity (CVI = 1). Inter-evaluator reproducibility assessment showed no differences between evaluators (p < 0.05) and ICC values above 0.80 (p < 0.05). This shows an adequate inter-evaluator reproducibility of the tool.Conclusion Based on the results of the IAPE development process, it can be concluded that the tool has content validity and adequate inter-evaluator reproducibility. This tool can aid in the development of occupational disease prevention and health promotion strategies.

scholarly journals Does Intramedullary Nailing for Distal Fibular Fractures Restore Anatomic Parameters and Syndesmotic Relationship?

2020 ◽  
Vol 5 (2) ◽  
pp. 2473011420S0000
Author(s):  
Natalio R. Cuchacovich Mikenberg ◽  
Francisco J. Bravo Gallardo ◽  
Esteban Giannini ◽  
Claudia Astudillo ◽  
Manuel J. Pellegrini ◽  
...  
Keyword(s):  
Statistical Power ◽  
Intraclass Correlation ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Medium Size ◽  
Control Group ◽  
Cross Sectional ◽  
Rotation Length ◽  
Paired Control

Category: Trauma; Ankle Introduction/Purpose: Fibular nailing (FN) is a method of fixation that has proven to be useful for the treatment of distal fibular fractures (DF). FN minimizes soft tissue complications, provides similar stability compared to plating with less hardware related symptoms. Nevertheless, FN has been associated with syndesmotic malreduction and incapacity of restoring length and rotation of the fibula. We aimed to evaluate the fibular and syndesmotic reduction after fixation with FN compared to the uninjured ankle. Methods: Prospective cohort, cross-sectional study with a paired control group. Patients with DF fractures treated with FN between January 2017 and July 2019 were included. Immediate postoperative bilateral Ankle CT was obtained in all cases. Two independent radiologists performed all the measurements on both ankles (fibular rotation, length, translation, and syndesmotic diastasis. Statistical analysis was made using the Wilcoxon Test and Intraclass correlation coefficient (ICC). Considering a medium size sample effect, 95% confidence with .05 alpha error, a total sample of 26 subjects were needed to achieve a .80 of statistical power (G-Power 3.1). All analyses were performed using SPSS V20. Results: Twenty-six patients were included (14 Women). The mean age was 47 years (18-91). No statistically significant differences were identified considering fibular rotation (p:0,694), fibular length (p:0,585) and syndesmotic diastasis (p:0,078) between the injured and uninjured ankle. Fibular translation has statistical differences (p:0,043). The ICC shows an excellent concordance between radiologists except for Fibular translation (ICC 0,47) Conclusion: In this cohort, fixation of DF fractures with FN allows restoration of anatomical parameters of the ankle in terms of fibular rotation, length, and syndesmotic diastasis. However, Fibular translation had significant differences compared with the uninjured ankle.

scholarly journals Design and Psychometric Analysis of the COVID-19 Prevention, Recognition and Home-Management Self-Efficacy Scale

2020 ◽  
Vol 17 (13) ◽  
pp. 4653
Author(s):  
José Manuel Hernández-Padilla ◽  
José Granero-Molina ◽  
María Dolores Ruiz-Fernández ◽  
Iria Dobarrio-Sanz ◽  
María Mar López-Rodríguez ◽  
...  
Keyword(s):  
Content Validity ◽  
Self Efficacy ◽  
Intraclass Correlation ◽  
Cross Sectional Study ◽  
Study Data ◽  
World Health ◽  
Cross Sectional ◽  
Home Management ◽  
Reliable Assessment ◽  
Test Retest Reliability

In order to control the spread of COVID-19, people must adopt preventive behaviours that can affect their day-to-day life. People’s self-efficacy to adopt preventive behaviours to avoid COVID-19 contagion and spread should be studied. The aim of this study was to develop and psychometrically test the COVID-19 prevention, detection, and home-management self-efficacy scale (COVID-19-SES). We conducted an observational cross-sectional study. Six-hundred and seventy-eight people participated in the study. Data were collected between March and May 2020. The COVID-19-SES’ validity (content, criterion, and construct), reliability (internal consistency and test-retest reliability), and legibility were studied. The COVID-19-SES’ reliability was high (Cronbach’s alpha = 0.906; intraclass correlation coefficient = 0.754). The COVID-19-SES showed good content validity (scale’s content validity index = 0.92) and good criterion validity when the participants’ results on the COVID-19-SES were compared to their general self-efficacy (r = 0.38; p < 0.001). Construct validity analysis revealed that the COVID-19-SES’ three-factor structure explained 52.12% of the variance found and it was congruent with the World Health Organisation’s recommendations to prevent COVID-19 contagion and spread. Legibility analysis showed that the COVID-19-SES is easy to read and understand by laypeople. The COVID-19-SES is a psychometrically robust instrument that allows for a valid and reliable assessment of people’s self-efficacy in preventing, detecting symptoms, and home-managing COVID-19.

scholarly journals Perfil de crianças submetidas ao tratamento de fratura de antebraço

2019 ◽  
Vol 13 (5) ◽  
pp. 1270
Author(s):  
Alexandre Lins Werneck ◽  
Rita de Cássia Helú Mendonça Ribeiro ◽  
Jessica Barana Rodrigues
Keyword(s):  
Forearm Fracture ◽  
Leisure Activities ◽  
Cross Sectional Study ◽  
Left Forearm ◽  
Cross Sectional ◽  
Fractures In Children ◽  
Prevention And Health Promotion ◽  
Inferential Analysis ◽  
Quantitative Descriptive

RESUMO Objetivo: traçar o perfil de crianças submetidas a tratamento cirúrgico de fratura de antebraço. Método: trata-se de estudo quantitativo, descritivo, transversal. Estudaram-se 20 crianças de 0 a 11 anos. Coletaram-se os dados diariamente, por meio de acompanhamento dos casos e aplicação de questionários. Exerceram-se, após a tabulação dos dados coletados, funções de análises estatísticas, descritiva e inferencial, com os resultados apresentados em tópicos, com números e/ou porcentagens em forma de tabelas e figura. Resultados: resultaram-se da pesquisa 13 pacientes, sendo a maioria do sexo masculino, entre sete a oito anos, sendo que o período com maior incidência de eventos foi o vespertino; 61,54% das ocorrências aconteceram durante atividades de lazer; as crianças estavam desacompanhadas, em sua maioria, e o antebraço esquerdo foi o mais acometido (53,85%). Conclusão: revela-se que as fraturas de antebraço na criança ocorrem, em sua maioria, com os meninos entre sete e oito anos, no período da tarde, durante atividades de lazer e não estando acompanhados. Torna-se o conhecimento desses dados fundamental para aperfeiçoar o processo de cuidar, com estratégias de prevenção e promoção à saúde que atendam às particularidades dessa população. Descritores: Perfil de Saúde; Criança; Procedimentos Cirúrgicos Operatórios; Fixação Interna de Fraturas; Traumatismos do Antebraço; Enfermagem.ABSTRACT Objective: to trace the profile of children submitted to surgical treatment of forearm fracture. Method: this is a quantitative, descriptive, cross-sectional study. Twenty children from zero to 11 years old were studied. The data were collected daily, through case follow-up and questionnaires. After the tabulation of the collected data, statistical, descriptive and inferential analysis functions were performed, with results presented in topics, with numbers and / or percentages in the form of tables and figures. Results: 13 patients were studied, the majority being male, between seven and eight years, and the period with the highest incidence of events was the evening; 61.54% of occurrences occurred during leisure activities; the children were mostly unaccompanied, and the left forearm was the most affected (53.85%). Conclusion: it is revealed that forearm fractures in children occur mostly with boys between the ages of seven and eight years, during the afternoon, during leisure activities and not being accompanied. It becomes the knowledge of these data fundamental to improve the process of caring, with strategies of prevention and health promotion that meet the peculiarities of this population. Descriptors: Health Profile; Child; Surgical Procedures; Internal Fixation of Fractures; Injuries to the Forearm; Nursing.RESUMEN Objetivo: trazar el perfil de niños sometidos a tratamiento quirúrgico de fractura del antebrazo. Método: se trata de un estudio cuantitativo, descriptivo, transversal. Se estudiaron 20 niños de 0 a 11 años. Se recolectaron los datos diariamente, por medio de seguimiento de los casos y aplicación de cuestionarios. Se realizaron, después de la tabulación de los datos recolectados, funciones de análisis estadístico, descriptivo e inferencial, con los resultados presentados en tópicos, con números y / o porcentajes en forma de tablas y figura. Resultados: resultaron de la investigación 13 pacientes, siendo la mayoría del sexo masculino, entre siete a ocho años, siendo que el período con mayor incidencia de eventos fue el vespertino; El 61,54% de las ocurrencias ocurrieron durante actividades de ocio; los niños estaban desacompañados, en su mayoría, y el antebrazo izquierdo fue el más afectado (53,85%). Conclusión: se revela que las fracturas de antebrazo en el niño ocurren, en su mayoría, con los niños entre siete y ocho años, durante la tarde, durante actividades de ocio y no estando acompañados. Se convierte en el conocimiento de estos datos fundamental para perfeccionar el proceso de cuidar, con estrategias de prevención y promoción a la salud que atiendan a las particularidades de esa población. Descriptores: Perfil de Salud; Niño; Procedimientos Quirúrgicos Operativos; Fijación Interna de Fracturas; Traumatismos del Antebrazo; Enfermería.

Development and Validation of the Nurse Prescribing Self-Efficacy Scale

2020 ◽  
pp. 019394592096250
Author(s):  
Teresa Galiana-Camacho ◽  
María Dolores Ruiz-Fernandez ◽  
Iria Dobarrio-Sanz ◽  
José Granero-Molina ◽  
Cayetano Fernandez-Sola ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Self Efficacy ◽  
Intraclass Correlation ◽  
Temporal Stability ◽  
Three Dimensional ◽  
Cross Sectional Study ◽  
Dimensional Structure ◽  
Cross Sectional ◽  
Nurse Prescribing

Low self-efficacy is a barrier to effective nurse prescribing. Therefore, nurses’ self-efficacy should be assessed using validated tools. We aimed to develop and psychometrically test the Nurse Prescribing Self-Efficacy Scale (NP-SES). We conducted an observational cross-sectional study with 290 nurses between January and June 2019. We studied the NP-SES’ reliability (i.e., internal consistency and temporal stability), validity (i.e., content, criterion, and construct) and legibility. The NP-SES showed good internal consistency (Cronbach’s alpha=0.958) and temporal stability (intraclass correlation coefficient=0.783). The NP-SES also showed good content validity (scale’s content validity index=0.98) and criterion validity ( r=0.75; p<0.001). Construct validity analysis revealed the NP-SES’ three-dimensional structure and showed its ability to detect significant differences between nurses with different levels of experience. Our psychometric analysis suggests that the NP-SES is a reliable and valid instrument that could be used to assess nurses’ self-efficacy in nurse prescribing.

scholarly journals Comparison of Fetal Cerebellum and Cisterna Magna Length by 2D and 3D Ultrasonography between 18 and 24 Weeks of Pregnancy

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Fernanda Silveira Bello de Barros ◽  
Luiz Cláudio de Silva Bussamra ◽  
Edward Araujo Júnior ◽  
Leonardo da Silva Valladão de Freitas ◽  
Luciano Marcondes Machado Nardozza ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Gestational Age ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Cisterna Magna ◽  
Length Measurements ◽  
The Difference

To compare the fetal cerebellum and cisterna magna length measurements by means of two- (2DUS) and three-dimensional (3DUS) ultrasonography using the three-dimensional extended imaging (3D XI), a cross-sectional study with 69 healthy pregnant women between 18 and 24 weeks was performed. For the measurements by 2DUS, the axial planes were used and for the 3DUS a sequence of adjacent axial slices (multislice view). To evaluate the difference between the two techniques, we used the Wilcoxon test. To evaluate the correlation between the cerebellum and cisterna magna length measurements and the gestational age, we used the Spearman correlation coefficient (r). For the calculation of reproducibility, we used the intraclass correlation coefficient (ICC). The mean of the transverse and anterior-posterior diameter of cerebellum and cisterna magna by 3DUS was 9.23 and 6.62 mm, respectively. It was observed that the average of the measurements obtained by 3DUS was significantly higher, 0.76 and 1.02 mm for the length of the cerebellum and cisterna magna, respectively (P<0.001). There was a high correlation between the length measurement of the cerebellum 3D (r=0.940, P<0.001), but low correlation of cisterna magna 3D (r=0.462, P=0.080) with the gestational age. There was good intra- and interobserver reproducibility for the cerebellum and cisterna magna 3D with ICC=0.792 , 0.668, 0.691, and 0.287, respectively. The measurements of the fetal cerebellum and cisterna magna length by 3DUS using the software 3D XI were significantly higher than those obtained by 2DUS.

scholarly journals Do you really get what you are looking for? Exploring the medical call writing trend in tertiary care hospitals

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Abdul Rahim Khan ◽  
Usman Mahboob ◽  
Najma Baseer
Keyword(s):  
Content Validity ◽  
Tertiary Care ◽  
Great Majority ◽  
Cross Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Creative Commons ◽  
Kappa Value ◽  
Quantitative Descriptive ◽  
Tertiary Care Hospitals

Objective: To explore the trend of medical call writing by doctors working in tertiary care hospitals. Methods: A quantitative descriptive cross-sectional study was carried out to evaluate the quality of medical calls written by the doctors at three tertiary care hospitals of Peshawar, Khyber Pakhtunkhwa between June 2016 to June 2017. An instrument was developed following AMEE Guide 87. Its content validity and reliability were established by 33 consultants from twenty specialties. A total of 198 medical calls (66 each) were collected from medicine, surgery and allied specialties and evaluated on the basis of validated instrument. Results: During instrument development, six items with content Validity Ratio of 0.78 & Kappa value of 0.70 were deemed most significant in every medical call written. Among all the calls, the great majority (96% and 84.34%) mentioned the reason for referral (item 1) and history of presenting problem (item 2), respectively, while item 6 (explicit mention of the doctor who will receive the call) was addressed the least (17.6%). Item 3 (Result of physical examination) and 4 (what tests have been done/arranged by the referring doctor and a summary of the main findings) were stated in < 30% of the calls whereas item 5 (diagnosis/provisional diagnosis) was specified in less than half of the calls. Conclusion: In this study, the written medical calls of different specialties were evaluated using specifically designed six items instrument. Unfortunately, the content of medical calls assessed was found to be inadequate probably because medical call writing is not explicitly taught at under and postgraduate levels. doi: https://doi.org/10.12669/pjms.36.4.1642 How to cite this:Khan AR, Mahboob U, Baseer N. Do you really get what you are looking for? Exploring the medical call writing trend in tertiary care hospitals. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1642 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Religion: Interrelationships and Opinions in Children and Adolescents. Interaction between Age and Beliefs

Religions ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 357
Author(s):  
Rafael López Cordero ◽  
Francisca Ruiz Garzón ◽  
Lourdes Medina Martínez ◽  
María del Carmen Olmos-Gómez
Keyword(s):  
Children And Adolescents ◽  
Current Trend ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Experimental Methodology ◽  
Cross Sectional ◽  
Younger Age ◽  
Religious Issue ◽  
Quasi Experimental ◽  
Quantitative Descriptive

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.

scholarly journals Chinesisation, adaptation and validation of the Chelsea Critical Care Physical Assessment Tool in critically ill patients: a cross-sectional observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045550
Author(s):  
Zhigang Zhang ◽  
Guoqiang Wang ◽  
Yuchen Wu ◽  
Jin Guo ◽  
Nannan Ding ◽  
...  
Keyword(s):  
Critical Care ◽  
Observational Study ◽  
Critically Ill ◽  
Content Validity ◽  
Assessment Tool ◽  
Western China ◽  
Validity Index ◽  
Cross Sectional ◽  
Physical Assessment ◽  
Content Validity Index

PurposeTo translate and adapt the Chelsea Critical Care Physical Assessment Tool (CPAx) into Chinese version (‘CPAx-Chi’), test the reliability and validity of CPAx-Chi, and verify the cut-off point for the diagnosis of intensive care unit-acquired weakness (ICU-AW).Study designCross-sectional observational study.MethodsForward and back translation, cross-cultural adaptation and pretesting of CPAx into CPAx-Chi were based on the Brislin model. Participants were recruited from the general ICU of five third-grade class-A hospitals in western China. Two hundred critically ill adult patients (median age: 53 years; 64% men) with duration of ICU stay ≥48 hours and Glasgow Coma Scale ≥11 were included in this study. Two researchers simultaneously and independently assessed eligible patients using the Medical Research Council Muscle Score (MRC-Score) and CPAx-Chi.ResultsThe content validity index of items was 0.889. The content validity index of scale was 0.955. Taking the MRC-Score scale as standard, the criterion validity of CPAx-Chi was r=0.758 (p<0.001) for researcher A, and r=0.65 (p<0.001) for researcher B. Cronbach’s α was 0.939. The inter-rater reliability was 0.902 (p<0.001). The area under the receiver operating characteristic curves of CPAx-Chi for diagnosing ICU-AW based on MRC-Score ≤48 were 0.899 (95% CI 0.862 to 1.025) and 0.874 (95% CI 0.824 to 0.925) for researcher B. The best cut-off point for CPAx-Chi for the diagnosis of ICU-AW was 31.5. The sensitivity was 87% and specificity was 77% for researcher A, whereas it was 0.621, 31.5, 75% and 87% for researcher B, respectively. The consistency was high when taking CPAx-Chi ≤31 and MRC-Score ≤48 as the cut-off points for the diagnosis of ICU-AW. Cohen’s kappa=0.845 (p=0.02) in researcher A and 0.839 (p=0.04) for researcher B.ConclusionsCPAx-Chi demonstrated content validity, criterion-related validity and reliability. CPAx-Chi showed the best accuracy in assessment of patients at risk of ICU-AW with good sensitivity and specificity at a recommended cut-off of 31.

scholarly journals Suicidal Ideation Profiles in Patients with Fibromyalgia Using Transdiagnostic Psychological and Fibromyalgia-Associated Variables

2020 ◽  
Vol 18 (1) ◽  
pp. 209
Author(s):  
Jorge L. Ordóñez-Carrasco ◽  
María Sánchez-Castelló ◽  
Elena P. Calandre ◽  
Isabel Cuadrado-Guirado ◽  
Antonio J. Rojas-Tejada
Keyword(s):  
Suicidal Ideation ◽  
High Risk ◽  
Suicide Risk ◽  
Fibromyalgia Impact Questionnaire ◽  
Cross Sectional Study ◽  
Psychological Pain ◽  
Cross Sectional ◽  
Psychological Variables ◽  
Interpersonal Needs Questionnaire ◽  
High Degree

Several studies have emphasized the heterogeneity of fibromyalgia patients. Furthermore, fibromyalgia patients are considered a high-risk suicide group. The ideation-to-action framework proposes a set of transdiagnostic psychological factors involved in the development of suicidal ideation. The present study aims to explore the existence of different subgroups according to their vulnerability to suicidal ideation through these transdiagnostic psychological variables and a set of variables typically associated with fibromyalgia. In this cross-sectional study, 151 fibromyalgia patients were assessed through the Revised Fibromyalgia Impact Questionnaire, Beck Depression Inventory-II, Plutchik Suicide Risk Scale, Interpersonal Needs Questionnaire, Defeat Scale, Entrapment Scale, Psychache Scale, and Beck Hopelessness Scale. A K-means cluster analysis identified two clusters, one (45.70%) according to a low vulnerability, and a second (54.30%) with a high vulnerability to suicidal ideation. These clusters showed statistically significant differences in suicidal ideation and suicide risk. However, no differences were observed in most socio-demographic variables. In conclusion, fibromyalgia patients who present a clinical condition characterized by a moderate-high degree of physical dysfunction, overall disease impact and intensity of fibromyalgia-associated symptoms, along with a high degree of perceived burdensomeness, thwarted belongingness, defeat, entrapment, psychological pain and hopelessness, form a homogeneous group at high risk for suicidal ideation.

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

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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