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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

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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



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.


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.


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.


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


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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.

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