Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

Online
ISSN
2191-0278
See all formats and pricing
More options …
Ahead of print

Issues

Development and psychometric properties of the female adolescents’ sexual reproductive self-care scale

Zainab AlimoradiORCID iD: https://orcid.org/0000-0001-5327-2411
  • Qazvin University of Medical Sciences, Social Determinants of Health Reseasrch Center (SDH), Qazvin, Iran
  • Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Science, Qazvin, Iran
  • orcid.org/0000-0001-5327-2411
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Nourossadat Kariman
  • Corresponding author
  • Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Fazlollah Ahmadi / Masoumeh Simbar
  • Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Hamid AlaviMajd
Published Online: 2019-04-11 | DOI: https://doi.org/10.1515/ijamh-2018-0116

Abstract

Introduction

The aim of this study was to design and evaluate the psychometric properties of an instrument for understanding female adolescents’ reproductive and sexual self-care behaviors.

Methods

A methodological study was conducted. In the qualitative phase, individual in-depth interviews were performed to develop the initial questionnaire. In the quantitative part, the psychometric properties of the questionnaire were evaluated.

Findings

The initial questionnaire with 128 items was reviewed by the research team and taking into account the cut-off point 1.5 for the item impact and 0.62 for the content validity ratio (CVR), the number of questions fell to 82 items. S-CVR and S-content validity index (CVI) rations were 0.83 and 0.91, respectively. Exploratory factor analysis led to 74 items in seven dimensions. The alpha Cronbach’s coefficient for the whole questionnaire was 0.895 and the intra-cluster correlation coefficient was 0.91.

Conclusion

The questionnaire developed in this study is reliable and valid for assessing female adolescents’ sexual and reproductive self-care.

Keywords: female adolescents; self-care; sexual and reproductive health; tool development

References

  • [1]

    Star KL. The relationship between self-care practices, burnout, compassion fatigue, and compassion satisfaction among professional counselors and counselors-in-training. Ohio, USA: Kent State University; 2013.Google Scholar

  • [2]

    Godfrey CM, Harrison MB, Lysaght R, Lamb M, Graham ID, Oakley P. Care of self – care by other – care of other: the meaning of self-care from research, practice, policy and industry perspectives. Intern J Evidence-based Healthcare. 2011;9(1):3–24.CrossrefGoogle Scholar

  • [3]

    Lee J, Miller S. A self-care framework for social workers: building a strong foundation for practice. Families in Society: J Contemp Soc Serv. 2013;94(2):96–103.CrossrefGoogle Scholar

  • [4]

    Orem DE. Nursing: concepts of practice, 6th ed. St. Louis, MO: Mosby; 2001.Google Scholar

  • [5]

    Saakvitne KW, Pearlman LA. Transforming the pain: a workbook on vicarious traumatization. New York, NY: W.W. Norton & Company; 1996.Google Scholar

  • [6]

    Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health. 1979;2(1):25–34.CrossrefPubMedGoogle Scholar

  • [7]

    Geden E, Taylor S. Construct and empirical validity of the Self-As-Carer Inventory. Nurs Res. 1991;40(1):47–50.PubMedGoogle Scholar

  • [8]

    Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabet Care. 2000;23(7):943–50.CrossrefGoogle Scholar

  • [9]

    Sousa VD, Hartman SW, Miller EH, Carroll MA. New measures of diabetes self-care agency, diabetes self-efficacy, and diabetes self-management for insulin-treated individuals with type 2 diabetes. J Clin Nurs. 2009;18(9):1305–12.PubMedCrossrefGoogle Scholar

  • [10]

    Vellone E, Riegel B, Cocchieri A, Barbaranelli C, D’Agostino F, Antonetti G, et al. Psychometric testing of the self-care of heart failure index version 6.2. Res Nurs Health. 2013;36(5):500–11.PubMedGoogle Scholar

  • [11]

    Boss BJ, Barlow D, McFarland SM, Sasser L. A self-care assessment tool (SCAT) for persons with a spinal cord injury: an expanded abstract. Axone (Dartmouth, NS). 1996;17(3):66–7.Google Scholar

  • [12]

    Slusher IL. Self-care agency and self-care practice of adolescents. Issues Comprehensive Pediatr Nurs. 1999;22(1):49–58.CrossrefGoogle Scholar

  • [13]

    Maleki A, Delkhoush M, Amini ZH, Ebadi A, Ahmadi K, Ajali A. Effect of puberty health education through reliable sources on health behaviors of girls. J Behav Sci. 2010;4(2):155–61.Google Scholar

  • [14]

    Alimoradi Z, Kariman N, Ahmadi F, Simbar M. Preparation for sexual and reproductive self-care in Iranian adolescent girls: a qualitative study. Intern J Adolesc Med Health. 2017;30(1):1–11.Google Scholar

  • [15]

    Soltanahmadi Z, Borhani F, Kohan M. The first menstruation experience among student girls. J Qual Res Health Sci. 2012;1(2):81–91.Google Scholar

  • [16]

    Fakhri M, Hamzehgardeshi Z, Hajikhani Golchin N, Komili A. Promoting menstrual health among Persian adolescent girls from low socioeconomic backgrounds: a quasi-experimental study. BMC Public Health. 2012;12(1):193.PubMedCrossrefGoogle Scholar

  • [17]

    McMahon SA, Winch PJ, Caruso BA, Obure AF, Ogutu EA, Ochari IA, et al. ‘The girl with her period is the one to hang her head’ Reflections on menstrual management among schoolgirls in rural Kenya. BMC Intern Health Human Rights. 2011;11:7.CrossrefGoogle Scholar

  • [18]

    Sumpter C, Torondel B. A systematic review of the health and social effects of menstrual hygiene management. PLoS One. 2013;8(4):e62004.PubMedGoogle Scholar

  • [19]

    Wong CL, Ip WY, Lam LW. Self-care strategies among Chinese adolescent girls with dysmenorrhea: a qualitative study. Pain Manag Nurs. 2016;17:262–71.CrossrefPubMedGoogle Scholar

  • [20]

    Aziato L, Dedey F, Clegg-Lamptey JN. Dysmenorrhea management and coping among students in Ghana: a qualitative exploration. J Pediatr Adolesc Gynecol. 2015;28(3):163–9.CrossrefGoogle Scholar

  • [21]

    Long-Middleton ER, Burke PJ, Lawrence CA, Blanchard LB, Amudala NH, Rankin SH. Understanding motivations for abstinence among adolescent young women: Insights into effective sexual risk reduction strategies. J Pediatr Health Care. 2013;27(5):342–50.PubMedCrossrefGoogle Scholar

  • [22]

    Cha ES, Doswell WM, Kim KH, Charron-Prochownik D, Patrick TE. Evaluating the theory of planned behavior to explain intention to engage in premarital sex amongst Korean college students: a questionnaire survey. Intern J Nurs Stud. 2007;44(7):1147–57.CrossrefGoogle Scholar

  • [23]

    Fantasia HC. Late adolescents’ perceptions of factors that influenced their sexual decision making: a narrative inquiry [Ph.D.]. Ann Arbor, MA: Boston College; 2009.Google Scholar

  • [24]

    Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM. Primary dysmenorrhea in young Western Australian women: prevalence, impact, and knowledge of treatment. J Adolesc Health. 1999;25(1):40–5.PubMedCrossrefGoogle Scholar

  • [25]

    McCaleb A, Edgil A. Self-concept and self-care practices of healthy adolescents. J Pediatr Nurs. 1994;9(4):233–8.PubMedGoogle Scholar

  • [26]

    Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. Ohio, USA: Springer Publishing Company; 2010.Google Scholar

  • [27]

    Bourdeau B, Grube JW, Bersamin MM, Fisher DA. The role of beliefs in sexual behavior of adolescents: development and validation of an Adolescent Sexual Expectancies Scale (ASEXS). J Res Adolesc. 2011;21(3):639–648. DOI: .CrossrefGoogle Scholar

  • [28]

    Kahn JA, Huang B, Austin SB, Aweh GN, Colditz GA, Frazier AL. Development of a scale to measure adolescents’ beliefs and attitudes about postponing sexual initiation. J Adolesc Health. 2004;35(5):425.e1–10.PubMedGoogle Scholar

  • [29]

    Najarkolaei FR, Niknami S, Shokravi FA, Tavafian SS, Fesharaki MG, Jafari MR. Sexual behavioral abstine HIV/AIDS questionnaire: validation study of an Iranian questionnaire. J Educ Health Promot. 2014;3(10):53–8.Google Scholar

  • [30]

    Sales JM, Milhausen RR, Wingood GM, DiClemente RJ, Salazar LF, Crosby RA. Validation of a parent-adolescent communication scale for use in STD/HIV prevention interventions. Health Educ Behav. 2008;35(3):332–45.CrossrefPubMedGoogle Scholar

  • [31]

    Jaccard J, Dittus PJ, Gordon VV. Parent-teen communication about premarital sex: factors associated with the extent of communication. J Adolesc Res. 2000;15(2):187–208.CrossrefGoogle Scholar

  • [32]

    Barnes HL, Olson DH. Parent-adolescent communication and the circumplex model. Child Dev. 1985;56:438–47.CrossrefGoogle Scholar

  • [33]

    Friedrich WN, Lysne M, Sim L, Shamos S. Assessing sexual behavior in high-risk adolescents with the Adolescent Clinical Sexual Behavior Inventory (ACSBI). Child Maltreat. 2004;9(3):239–50.CrossrefPubMedGoogle Scholar

  • [34]

    Chesney MA, Tasto DL. The development of the menstrual symptom questionnaire. Behav Res Ther. 1975;13(4):237–44.PubMedCrossrefGoogle Scholar

  • [35]

    Moos RH. The development of a menstrual distress questionnaire. Psychosomatic Med. 1968;30(6):853–67.CrossrefGoogle Scholar

  • [36]

    Brooks-Gunn J, Ruble DN. The development of menstrual-related beliefs and behaviors during early adolescence. Child Dev. 1982:1567–77.PubMedGoogle Scholar

  • [37]

    Hsieh C-H, Gau M-L, Mao H-C, Li C-Y. The development and psychometric testing of a self-care scale for dysmenorrhic adolescents. J Nurs Res. 2004;12(2):119–30.PubMedCrossrefGoogle Scholar

  • [38]

    Morse JM, Kieren D, Bottorff J. The adolescent menstrual attitude questionnaire, part I: Scale construction. Health Care Women Int. 1993;14(1):39–62.CrossrefPubMedGoogle Scholar

  • [39]

    Lacasse Y, Godbout C, Series F. Health-related quality of life in obstructive sleep apnoea. Eur Res J. 2002;19(3):499–503.CrossrefGoogle Scholar

  • [40]

    Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(2):563–73.CrossrefGoogle Scholar

  • [41]

    Plichta SB, Kelvin E. Munro’s statistical methods for health care research, 6th ed. Philadelphia, USA: Wulters Kluwer Health/Lippincott Williams & Wilkins; 2013.Google Scholar

  • [42]

    DiStefano C, Zhu M, Mindrila D. Understanding and using factor scores: considerations for the applied researcher. Pract Assess Res Eval. 2009;14(20):1–11.Google Scholar

  • [43]

    Bland JM, Altman DG. Cronbach’s alpha. Br Med J. 1997;314(7080):572.CrossrefGoogle Scholar

  • [44]

    Polit DF, Beck CT. Essentials of nursing research: methods, appraisal, and utilization, Vol. 1. Philadelphia, USA: Lippincott Williams & Wilkins; 2006.Google Scholar

  • [45]

    Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.PubMedCrossrefGoogle Scholar

  • [46]

    Reise SP, Waller NG, Comrey AL. Factor analysis and scale revision. Psychol Assess. 2000;12(3):287–97.PubMedCrossrefGoogle Scholar

  • [47]

    Meschke LL, Bartholomae S, Zentall SR. Adolescent sexuality and parent-adolescent processes: promoting healthy teen choices. J Adolesc Health. 2002;31(6):264–79.CrossrefPubMedGoogle Scholar

  • [48]

    Schouten BC, Putte BVD, Pasmans M, Meeuwesen L. Parent-adolescent communication about sexuality: the role of adolescents’ beliefs, subjective norm and perceived behavioral control. Patient Educ Counsel. 2007;66:75–83.CrossrefGoogle Scholar

  • [49]

    Wang Z. Parent-adolescent communication and sexual risk-taking behaviours of adolescents. Stellenbosch: University of Stellenbosch; 2009.Google Scholar

  • [50]

    Jaccard J, Dittus PJ, Gordon VV. Parent-adolescent congruency in reports of adolescent sexual behavior and in communications about sexual behavior. Child Dev. 1998;69(1):247–61.CrossrefPubMedGoogle Scholar

  • [51]

    Tengland P-A. Empowerment: a goal or a means for health promotion? Med Health Care Philos. 2007;10(2):197–207.CrossrefGoogle Scholar

  • [52]

    Peterson ZD. What is sexual empowerment? A multidimensional and process-oriented approach to adolescent girls’ sexual empowerment. Sex Roles. 2010;62(5–6):307–13.CrossrefGoogle Scholar

  • [53]

    Berkeley D, Ross D. Strategies for improving the sexual health of young people. Cult Health Sex. 2003;5(1):71–86.CrossrefGoogle Scholar

  • [54]

    Alimoradi Z, Kariman N, Simbar M, Ahmadi F. Empowerment of adolescent girls for sexual and reproductive health care: a qualitative study. Afr J Reprod Health. 2017;21(4):80–92.CrossrefGoogle Scholar

About the article

Received: 2018-06-06

Accepted: 2018-06-15

Published Online: 2019-04-11


Funding: None.

Conflict of interest: The authors declare no conflicts of interest.


Citation Information: International Journal of Adolescent Medicine and Health, 20180116, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0116.

Export Citation

©2019 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in