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Development of a Questionnaire to Measure Attitude Toward Birth Method Selection

BACKGROUND: The rate of mothers undergoing cesarean section in the absence of medical indication is increasing in the world. Women attitude have an essential role in the request or selecting a birth mode. This study aimed to develop a scale for measuring attitude toward birth method selection. MATER...

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Autores principales: Moghaddam-Banaem, Lida, Ahmadi, Fazlollah, Kazemnejad, Anoshirvan, Abbaspoor, Zahra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442997/
https://www.ncbi.nlm.nih.gov/pubmed/28584554
http://dx.doi.org/10.4103/ijnmr.IJNMR_147_15
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author Moghaddam-Banaem, Lida
Ahmadi, Fazlollah
Kazemnejad, Anoshirvan
Abbaspoor, Zahra
author_facet Moghaddam-Banaem, Lida
Ahmadi, Fazlollah
Kazemnejad, Anoshirvan
Abbaspoor, Zahra
author_sort Moghaddam-Banaem, Lida
collection PubMed
description BACKGROUND: The rate of mothers undergoing cesarean section in the absence of medical indication is increasing in the world. Women attitude have an essential role in the request or selecting a birth mode. This study aimed to develop a scale for measuring attitude toward birth method selection. MATERIALS AND METHODS: The study was conducted in two qualitative and quantitative parts. Data collection was conducted from June to December 2012 in Ahvaz, Iran. In the qualitative part of the study, 21 interviews were conducted with pregnant or parturient women and key informants. Consequently, content and face validity were performed to provide a pre-final version of the questionnaire. Then, in the quantitative part of the study, validity, exploratory factor analysis, and reliability were performed to assess the psychometric properties of the scale. RESULTS: A 130-item questionnaire was developed through the qualitative phase. It was reduced to an 82-item questionnaire after content and face validity. Exploratory factor analysis loaded a 68-item with an 8-factor solution (“beliefs and attitudes,” “sexual and physical attitudes,” “fear of childbirth,” “preference of convenience, health, and supporting,” “socio- cultural norms,” “confidence to the birth practitioner,” “personal and practical choice,” and “sources of motivations,” which jointly accounted for 42.97% of the observed variance. Cronbach's alpha coefficient showed excellent internal consistency (α = 0.87), and test–retest of the scale with 2-week intervals indicated an appropriate stability for the scale (0.89). CONCLUSIONS: The findings showed that the designed questionnaire was a valid and reliable instrument for indicating the pregnant womens' attitudes to their birth method selection. Also, ATBMS is an easy use questionnaire and contains the most significant factors persuading women to choose vaginal delivery or cesarean section.
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spelling pubmed-54429972017-06-05 Development of a Questionnaire to Measure Attitude Toward Birth Method Selection Moghaddam-Banaem, Lida Ahmadi, Fazlollah Kazemnejad, Anoshirvan Abbaspoor, Zahra Iran J Nurs Midwifery Res Original Article BACKGROUND: The rate of mothers undergoing cesarean section in the absence of medical indication is increasing in the world. Women attitude have an essential role in the request or selecting a birth mode. This study aimed to develop a scale for measuring attitude toward birth method selection. MATERIALS AND METHODS: The study was conducted in two qualitative and quantitative parts. Data collection was conducted from June to December 2012 in Ahvaz, Iran. In the qualitative part of the study, 21 interviews were conducted with pregnant or parturient women and key informants. Consequently, content and face validity were performed to provide a pre-final version of the questionnaire. Then, in the quantitative part of the study, validity, exploratory factor analysis, and reliability were performed to assess the psychometric properties of the scale. RESULTS: A 130-item questionnaire was developed through the qualitative phase. It was reduced to an 82-item questionnaire after content and face validity. Exploratory factor analysis loaded a 68-item with an 8-factor solution (“beliefs and attitudes,” “sexual and physical attitudes,” “fear of childbirth,” “preference of convenience, health, and supporting,” “socio- cultural norms,” “confidence to the birth practitioner,” “personal and practical choice,” and “sources of motivations,” which jointly accounted for 42.97% of the observed variance. Cronbach's alpha coefficient showed excellent internal consistency (α = 0.87), and test–retest of the scale with 2-week intervals indicated an appropriate stability for the scale (0.89). CONCLUSIONS: The findings showed that the designed questionnaire was a valid and reliable instrument for indicating the pregnant womens' attitudes to their birth method selection. Also, ATBMS is an easy use questionnaire and contains the most significant factors persuading women to choose vaginal delivery or cesarean section. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5442997/ /pubmed/28584554 http://dx.doi.org/10.4103/ijnmr.IJNMR_147_15 Text en Copyright: © 2017 Iranian Journal of Nursing and Midwifery Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Moghaddam-Banaem, Lida
Ahmadi, Fazlollah
Kazemnejad, Anoshirvan
Abbaspoor, Zahra
Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title_full Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title_fullStr Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title_full_unstemmed Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title_short Development of a Questionnaire to Measure Attitude Toward Birth Method Selection
title_sort development of a questionnaire to measure attitude toward birth method selection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442997/
https://www.ncbi.nlm.nih.gov/pubmed/28584554
http://dx.doi.org/10.4103/ijnmr.IJNMR_147_15
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