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

2019 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

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

2020 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women's 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's beliefs about the 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 from 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). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. 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. The IR-TBICS scale had no floor and ceiling effect in the total score or any of the dimensions. Conclusion: The belief-based cesarean section scale appears to be a reliable instrument and now is suitable and can be applied in other researches in Iran. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

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.


2020 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

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 .609 to .843, and the ICC value ranged from .71 to .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.Conclusion: 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.


2020 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

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 .609 to .843, and the ICC value ranged from .71 to .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.Conclusion: 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.


2020 ◽  
pp. 003022282093013
Author(s):  
Mahmut Akbolat ◽  
Özgün Ünal ◽  
Bilge Güneş Karakaya

The aim of the research was to conduct the Turkish validity and reliability study of the Frommelt Attitude toward Care of the Dying Scale. The study used a cross-sectional research design. The sample of the study consists of 236 intensive care nurses. The data were analyzed using SPSS 22.0 and SPSS AMOS 22.0 programs. Descriptive statistical methods, reliability analysis, exploratory and confirmatory factor analyses were used in the analysis of the data. According to the findings of the exploratory factor analysis, the scale was divided into six factors as in its original. According to results of the confirmatory factor analysis showed that the goodness of fit of the scale was acceptable level. Cronbach’s alpha coefficients of the Frommelt Attitude toward Care of the Dying and subdimensions were found to be between 0.606 and 0.800. These results showed that the Turkish form of scale was valid and reliable and it had the necessary conditions for using Turkish form.


2021 ◽  
Vol 4 (1) ◽  
pp. p1
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta ◽  
Zahra Abbaspoor ◽  
Aziz Kassani

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.


2020 ◽  
Author(s):  
Hanieh Jormand ◽  
Saeed Bashirian ◽  
Majid Barati ◽  
Salman Khazaei ◽  
Ensiyeh Jenabi ◽  
...  

UNSTRUCTURED The quick-developing media technology in our daily life and the global outbreak of COVID-19 in time, there is a crucial need to explore the effects of this pandemic on the use of media, the harms of cyberspace and the acquiring of media literacy related to COVID-19 for critical analysis of media messages. This cross-sectional validation work was aimed to evaluate the psychometric features of the COVID-19 Media Literacy Scale (C-19MLS) in Students. The study was conducted on 330 Students of Hamadan, Iran, participated via a stratified cluster random sampling technique. Intraclass Correlation Coefficient (ICC) and internal consistency were used to assess the reliability. Moreover, CFA (Confirmatory Factor Analyses) and EFA (Exploratory Factor Analyses) were carried out to examine construction validity. CVI (Content Validity Index) and CVR (Content Validity Ratio) were used to examine the content validity. According to the factor analysis, it was indicated that the C-19MLS included 23 items measuring six dimensions for an explanation of 62.19% of the prevalent variance. The average scores for the CVI and CVR were respectively 0.94 and 0.77. Further analyses represented acceptable findings for the values of internal consistency reliability with 0.88 of Cronbach’s alpha. The whole results proved that the C-19MLS is a reliable and valid tool and it is suitable and acceptable now and can be utilized in forthcoming investigations. This highlights for educators and stakeholders to realize the importance of participating individuals in the new media ecology and new ‘Infomedia’ ecosystems for enabling people, in the current digital society.


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e049211
Author(s):  
Vanesa Cantón-Habas ◽  
María del Pilar Carrera-González ◽  
María Teresa Moreno-Casbas ◽  
Manuel Rich-Ruiz

ObjectivesThe aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish.DesignCross-sectional observational study.SettingTwo health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated to the care of patients with dementia.ParticipantsA total of 100 older people, with a medical diagnosis of dementia and a score on the Global Deterioration Scale between 5 and 7 were assessed using the PAINAD scale.Primary and secondary outcome measuresPsychometric properties including content validity, construct validity and reliability of the scale have been tested.ResultsThe overall Item Content Validity Index was excellent (0.95). Regarding construct validity, it was confirmed that a lower use of analgesics implied a lower score on the PAINAD scale (p<0.05). The internal consistency of the scale was 0.76 and it increases to 0.81 if we remove the breathing item. Furthermore, the intraclass correlation coefficient (ICC) used to assess interobserver reliability was 0.94, whereas the ICC used to assess temporary stability was 0.55.ConclusionsThe Spanish version of the PAINAD scale is a valid tool to assess pain in patients with dementia and inability to communicate verbally.


2021 ◽  
pp. 026010602098235 ◽  
Author(s):  
Panchali Moitra ◽  
Preeti Verma ◽  
Jagmeet Madan

Background: Development of culturally appropriate and psychometrically sound instruments that measure knowledge and health behaviors of children will help to inform appropriate interventions. Aim: To develop and test the validity and reliability of a questionnaire measuring knowledge, attitudes, and practices to healthy eating and activity patterns in school children in India. Methods: Review of literature, focus-group discussions, and theoretical constructs of the Health Belief Model guided the development of an item pool. Face and content validity were assessed by children and a panel of experts and the item content validity, item difficulty, and discrimination indices were calculated. Construct validity was determined using the principal axis method of exploratory factor analysis among a cross-sectional sample of children ( n=252). Internal consistency (Cronbach α values >0.7) and test-retest reliability (intraclass correlation coefficient values >0.75) were estimated. Results: Item content validity index for clarity and relevance were satisfactory (>0.80) and internal consistency for knowledge (Kuder-Richardson 20 = 0.832), attitude (Cronbach’s α = 0.912), and practice items (Cronbach’s α = 0.769) were good. Four factors (children’s eating habits, family dietary practices, and consumption of healthy and unhealthy foods) and two factors (moderate to vigorous activities and sedentary activities) explained 67.7% and 48.2% of the total variance in practice items. Intraclass correlation coefficient estimates ranged from good to excellent (0.72–0.99). Conclusions: The results of the validity and reliability of the 84-item knowledge, attitudes, and practices to healthy eating and activity patterns in schoolchildren questionnaire were promising. The detailed description of the methodology employed may prove useful to researchers conducting similar studies in children.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Janiny Lima e Silva ◽  
Matheus de Sousa Mata ◽  
Saionara Maria Aires Câmara ◽  
Íris do Céu Clara Costa ◽  
Kleyton Santos de Medeiros ◽  
...  

Abstract Background The Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity. The PSEQ is a tool used in various countries and has been translated into Portuguese; however, it needs to be validated in Brazil. This study aimed to analyze the validity and reliability of the PSEQ in Brazilian pregnant women. Method This methodological validity study investigated internal consistency and reliability using Cronbach’s alpha and intraclass correlation coefficients. Construct validity was assessed using Pearson’s correlation between domains and confirmatory factor analysis. To assess concurrent validity, Pearson’s correlation between the different domains of the PSEQ and Prenatal Psychosocial Profile-Portuguese Version (PPP-VP) was determined. The level of significance was set at 5%. Results This study included 399 pregnant women in the northeastern region of Brazil. The internal consistency and reliability of the total PSEQ score were high (Cronbach's alpha = 0.89; intraclass correlation coefficient = 0.95). Validity analysis showed positive and significant correlations between all PSEQ domains, ranging from 0.14 to 0.56. Confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.05, SRMR = 0.08, CFI = 0.61, χ2/df = 1.77. The discriminant and concurrent validities of the PSEQ were confirmed. Conclusions The Portuguese version of the PSEQ has adequate psychometric properties and is a valid and reliable tool to evaluate psychosocial adaptation to pregnancy in Brazilian pregnant women.


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