Title of article :
Development and Psychometric Properties of the Decision Making on the Type of Delivery Questionnaire in Iranian Women
Author/Authors :
Latifnejad Roudsari, Robab Department of Midwifery - School of Nursing and Midwifery - Mashhad University of Medical Sciences - Mashhad, Iran , Zakerihamidi, Maryam Department of Midwifery - School of Medicine - Tonekabon Branch - Islamic Azad University - Tonekabon, Iran , Merghati Khoei, Effat Iranian National Center for Addiction Studies (INCAS) - Institution of Risk Behavior Reduction - Tehran University of Medical Sciences - Tehran, Iran , Kazemnejad, Anoshirvan Department of Biostatistics - School of Medicine - Tarbiat Modares University - Tehran, Iran
Abstract :
A tool which can help to decide on the determinants in selecting the delivery type is
an effective step towards the goals of the World Health. This study aimed to develop and evaluate the
psychometric properties of a scale based on Iranian culture to make decision on the type of delivery.
Methods: This is a methodological study using a questionnaire proposed by Schneider. The following
steps were used to design the project. In the first step, perceptions and experiences of 45 pregnant
women, postpartum women, midwives, gynecologists and non-pregnant women were determined
based on interviews and observations using focused ethnography. In the second stage, the terms in the
questionnaire based on qualitative study was assessed. Then, in the third stage, psychometric testing of
the decision making on the type of delivery scale (DMTDS) based on the cultural concepts of decision
making towards the type of delivery and its influencing factors based on focused ethnography using
face validity, content validity, construct validity, internal consistency and reliability was done on400
pregnant and postpartum women.
Results: The initially developed scale consisted of 60 items on a 5-point Likert scale, which reduced
to 43 items following measurement of the face and content validity. The results of the exploratory
factor analysis elicited 36 items and a seven-factor structure including motivational beliefs on vaginal
delivery, social beliefs towards childbirth, motivational beliefs on cesarean delivery, personal beliefs,
sources of information, catastrophic thinking and child birth experiences. Cronbach’s alpha coefficient
(0.80) confirmed the high internal consistency of the scale.
Conclusion: The developed questionnaire appears to be a valid and reliable tool for health care
providers to measure the women’s decision making towards type of delivery. Therefore, this tool can
be used in the Iranian community. The scale may help the midwives and obstetricians to be aware of
the women’s decision regarding their choice of delivery and as a result to plan appropriately in order to
reduce unnecessary cesarean sections.
Keywords :
Iran , delivery , Scale , Decision making , Psychometrics
Journal title :
International Journal of Community Based Nursing and Midwifery