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Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study

BACKGROUND: Assessment of well-being in high-risk pregnancy (HRP) is the key to achieve positive maternal and fetal outcomes. Although there are a wide range of instruments for well-being assessment, none of them is comprehensive for well-being assessment in HRP. The present study aimed at the devel...

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Autores principales: Mirzakhani, Kobra, Khadivzadeh, Talat, Faridhosseini, Farhad, Ebadi, Abbas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714023/
https://www.ncbi.nlm.nih.gov/pubmed/36457135
http://dx.doi.org/10.1186/s12978-022-01529-0
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author Mirzakhani, Kobra
Khadivzadeh, Talat
Faridhosseini, Farhad
Ebadi, Abbas
author_facet Mirzakhani, Kobra
Khadivzadeh, Talat
Faridhosseini, Farhad
Ebadi, Abbas
author_sort Mirzakhani, Kobra
collection PubMed
description BACKGROUND: Assessment of well-being in high-risk pregnancy (HRP) is the key to achieve positive maternal and fetal outcomes. Although there are a wide range of instruments for well-being assessment, none of them is comprehensive for well-being assessment in HRP. The present study aimed at the development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index (HRPWBI). METHODS: This methodological study was conducted using the Waltz’s four-step method. The dimensions of well-being in HRP were determined based on a conceptual model and the blueprint and the item pool of HRPWBI were developed. Then, the face and the content validity were assessed and item analysis was performed. Construct validity was also assessed through exploratory factor analysis with principal component analysis on the data obtained from 376 women with HRP in Mashhad, Iran. Finally, internal consistency, test–retest stability, sensitivity, and interpretability of HRPWBI were assessed. RESULTS: The scale- content validity index (SCVI) of HRPWBI was 0.91. In factor analysis, 33 items were loaded on seven factors which explained 53.77% of the total variance. Internal consistency, relative stability, absolute stability, sensitivity, and interpretability of HRPWBI were confirmed with a Cronbach’s alpha of 0.84, a test–retest intraclass correlation coefficient of 0.97, a standard error of measurement of 0.92, a minimal detectable change of 8.09, and a minimal important change of 2.92, respectively. CONCLUSION: HRPWBI is a valid and reliable instrument for well-being assessment among women with HRP. It can be used to assess well-being and the effects of well-being improvement interventions on well-being among women with HRP.
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spelling pubmed-97140232022-12-02 Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study Mirzakhani, Kobra Khadivzadeh, Talat Faridhosseini, Farhad Ebadi, Abbas Reprod Health Research BACKGROUND: Assessment of well-being in high-risk pregnancy (HRP) is the key to achieve positive maternal and fetal outcomes. Although there are a wide range of instruments for well-being assessment, none of them is comprehensive for well-being assessment in HRP. The present study aimed at the development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index (HRPWBI). METHODS: This methodological study was conducted using the Waltz’s four-step method. The dimensions of well-being in HRP were determined based on a conceptual model and the blueprint and the item pool of HRPWBI were developed. Then, the face and the content validity were assessed and item analysis was performed. Construct validity was also assessed through exploratory factor analysis with principal component analysis on the data obtained from 376 women with HRP in Mashhad, Iran. Finally, internal consistency, test–retest stability, sensitivity, and interpretability of HRPWBI were assessed. RESULTS: The scale- content validity index (SCVI) of HRPWBI was 0.91. In factor analysis, 33 items were loaded on seven factors which explained 53.77% of the total variance. Internal consistency, relative stability, absolute stability, sensitivity, and interpretability of HRPWBI were confirmed with a Cronbach’s alpha of 0.84, a test–retest intraclass correlation coefficient of 0.97, a standard error of measurement of 0.92, a minimal detectable change of 8.09, and a minimal important change of 2.92, respectively. CONCLUSION: HRPWBI is a valid and reliable instrument for well-being assessment among women with HRP. It can be used to assess well-being and the effects of well-being improvement interventions on well-being among women with HRP. BioMed Central 2022-12-01 /pmc/articles/PMC9714023/ /pubmed/36457135 http://dx.doi.org/10.1186/s12978-022-01529-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mirzakhani, Kobra
Khadivzadeh, Talat
Faridhosseini, Farhad
Ebadi, Abbas
Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title_full Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title_fullStr Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title_full_unstemmed Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title_short Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study
title_sort development and psychometric evaluation of the high-risk pregnancy well-being index in mashhad: a methodological study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714023/
https://www.ncbi.nlm.nih.gov/pubmed/36457135
http://dx.doi.org/10.1186/s12978-022-01529-0
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