Developmental and Psychometric Properties of a Belief-based Reproductive Health Behavior Questionnaire for Female Adolescents

  • Fatemeh DARABI Dept. of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran
  • Mehdi YASERI Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Hossein SAFARI Dept. of Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  • Mohammad Hossein KAVEH Dept. of Health Education and Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Farideh KHALAJ ABADI FARAHANI Dept. of Population, Health and Family Planning, National Institute for Population Research, Tehran, Iran
  • Davoud SHOJAEIZADEH Dept. of Education Health and Promotion Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Psychometric, Questionnaire, Reliability, Validity, Reproductive health, Adolescent

Abstract

AbstractBackground: The aim of this study was to develop and evaluate the psychometric properties of a questionnaire for the measurement of reproductive health among female adolescents in Iran.Methods: This cross-sectional study was conducted among 289 female students aged 12-15 yr in Tehran, Iran from 2015-2016. The participants were selected using multi-stage random cluster sampling. In addition, the Belief-Based Reproductive Health Questionnaire (BBRHQ) was designed using the properties of the Theory of Planned Behavior (TPB).Results: Exploratory factor analysis of 104 items identified a six-factor solution. These factors jointly accounted for 67% of the observed variance of outcome variable. The confirmatory factor analysis indicated a good fit to the data. In addition, the Cronbach’s alpha coefficient showed an excellent internal consistency (alpha=0.92).Conclusion: Belief-Based Reproductive Health Questionnaire (BBRHQ) is a valid and reliable instrument for measurement of reproductive health behaviors of adolescents.  

References

Glasier A, Gülmezoglu AM, Schmid GP et al (2006). Sexual and reproductive health: a matter of life and death. Lancet, 368:1595-1607.

HIV/AIDS JUNPo (2004). 2004 report on the global AIDS epidemic: 4th global report. ed. Unaids. http://files.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2004/GAR2004_en.pdf

Mays RM, Sturm LA, Zimet GD (2004). Parental perspectives on vaccinating children against sexually transmitted infections. Soc Sci Med, 58(7):1405-13.

Statistical Centre of Iran (2011). Population and housing census. 2011 ed. https://www.amar.org.ir/Portals/1/Iran/90.pdf

Sawyer SM, Afifi RA, Bearinger LH et al (2012). Adolescence: a foundation for future health. Lancet, 379:1630-1640.

Khalajabadi-Farahani F (2014). Methodological considerations in studying sexual behaviors of young people in Iran. J Reprod Infertil, 15:171-172.

Ajzen I, Madden TJ (1986). Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. J Exp Soc Psychol, 22:453-474.

Christian J, Armitage CJ, Abrams D (2007). Evidence that theory of planned behaviour variables mediate the effects of socio-demographic variables on homeless people's participation in service programmes. J Health Psychol, 12:805-817.

Armitage CJ, Norman P, Conner M (2002). Can the Theory of Planned Behaviour mediate the effects of age, gender and multidimensional health locus of control? Br J Health Psychol, 7:299-316.

Desrichard O, Roché S, Bègue L (2007). The theory of planned behavior as mediator of the effect of parental supervision: A study of intentions to violate driving rules in a representative sample of adolescents. J Safety Res, 38:447-452.

Ajzen I (1991). The theory of planned behavior. Organizational behavior and human decision processes, http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/BehavioralChangeTheories/BehavioralChangeTheories3.html

Anderssen N, Jacobs D, Aas H, Jakobsen R (1995). Do adolescents and parents report each other's physical activity accurately? Scand J Med Sci Sports, 5:302-307.

Mohammadi MR, Mohammad K, Farahani FK et al (2006). Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect, 32:35-44.

Karimy M, Niknami S, Heidarnia AR et al (2013). Prevalence and determinants of male adolescents’ smoking in Iran: An explanation based on the theory of planned behavior. Iran Red Crescent Med J, 15:187-193.

Ajzen I (2006). Constructing a TpB questionnaire: conceptual and methodological considerations. https://pdfs.semanticscholar.org/0574/b20bd58130dd5a961f1a2db10fd1fcbae95d.pdf

Cleland J, Verrall J, Vaessen M (1983). Preferences for the sex of children and their influence on reproductive behaviour. https://www.popline.org/node/401264

Ajzen I (2011). The theory of planned behaviour: reactions and reflections. Psychol Health, 26:1113-1127.

Brown R, Ogden J (2004). Children’s eating attitudes and behaviour: a study of the modelling and control theories of parental influence. Health Educ Res, 19:261-271.

Lawshe CH (1975). A quantitative approach to content validity1. Pers Psychol, 28:563-575.

Polit DF, Beck CT (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health, 29:489-497.

Sharma S (1995). Applied Multivariate Techniques. John Wiley & Sons, Inc. New York, NY, USA.

Schneider Z, Whitehead D (2013). Nursing and midwifery research: Methods and appraisal for evidence-based practice. ed. Elsevier Australia.

Koo TK, Li BPS MY (2016). A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med, 15:2155-163.

Francis JJ, Eccles MP, Johnston M et al (2004). Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. http://openaccess.city.ac.uk/1735/1/TPB%20Manual%20FINAL%20May2004.pdf

De Bourdeaudhuij I, Klepp K, Due P et al (2005). Reliability and validity of a questionnaire to measure personal, social and environmental correlates of fruit and vegetable intake in 10–11-year-old children in five European countries. Public Health Nutr, 8:189-200.

Diamond HC (2009). The role of gender in staying smoke-free in adolescence: Using a theory of planned behavior approach. Uni-versity of Prince Edward Island, 2009. http://gradworks.umi.com/MR/49/MR49829.html.

Published
2018-08-01
How to Cite
1.
DARABI F, YASERI M, SAFARI H, KAVEH MH, KHALAJ ABADI FARAHANI F, SHOJAEIZADEH D. Developmental and Psychometric Properties of a Belief-based Reproductive Health Behavior Questionnaire for Female Adolescents. IJPH. 47(8):1192-200.
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Original Article(s)