طراحي پرسشنامه ارزيابي سطح آگاهي و رفتار جنسي ايمن، ابزاري براي استفاده در بيماران شديد روانپزشكي

Development of the “safe sex knowledge and behavior questionnaire”,a tool for use in patients with severe mental illnesses

اين مطالعه به منظور ساخت و توسعه «پرسشنامه ارزيابي سطح آگاهي و رفتار جنسي ايمن در بيماران با بيماري هاي شديد روانپزشكي» طراحي شده است. روش بررسي مطالعه حاضر در پنج مرحله انجام گرفته است. ابتدا با استفاده از مطالعات مشابه و نظرات متخصصان، آيتم هاي پرسشنامه انتخاب و استخر گويه ها تشكيل شد. سپس ويژگي هاي روانسنجي پرسشنامه با بهره گيري از روايي محتوا، روايي صوري، پايايي و روايي سازه مورد بررسي قرار گرفت. روايي محتوا با استفاده از شاخص روايي محتوا و نسبت روايي محتوا و پايايي با استفاده از روش بازآزمايي با فاصله دو هفته در 70 بيمار و روايي سازه با تحليل عاملي اكتشافي در 265 بيمار مورد آزمايش قرار گرفت. ثبات دروني نيز با استفاده از شاخص آلفاي كرونباخ محاسبه شد. ﯾﺎﻓﺘﻪﻫﺎ: ﭘﺲ از ﺗﺄﯾﯿﺪ رواﯾﯽ، اﺑﺰاري ﺑﺎ 16 ﮔﻮﯾﻪ در ﺑﺨﺶ آﮔﺎﻫﯽ ﺑﻪ ﺷﮑﻞ ﺻﺤﯿﺢ/ﻏﻠﻂ و 16 ﮔﻮﯾﻪ ﺑﺎ ﻣﻘﯿﺎس ﻟﯿﮑــﺮت ﭘــﻨﺞ درﺟﻪاي ﺟﻬﺖ ﺳﻨﺠﺶ رﻓﺘﺎر ﺣﺎﺻﻞ ﺷﺪ. ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﻧﻤﺮات در دو ﺑﺎر اﺟﺮاي اﺑﺰار در ﺑﺨﺶﻫﺎي آﮔــﺎﻫﯽ و رﻓﺘــﺎر ﺑﻪﺗﺮﺗﯿﺐ 0/880 )0/001

Patients with severe mental illnesses are more prone to experience sexual health problems. Herein, we developed a "Safe Sex Knowledge and Behavior Questionnaire for Patients with Severe Mental Illnesses"(SSKBQ-SMI). Methods The present study was conducted in the form of methodological research in 4 stages. In the first stage, items of the questionnaire were selected and the item pool was formed by using similar studies and experts' opinions. During the next steps, the psychometric properties of the questionnaire were assessed using content validity, face validity, reliability and construct validity. The content validity was tested using the Content Validity Index and Content Validity Ratio. The charts of content validity were given to 13 specialists expert in sexual health including psychiatrists, clinical psychologists, gynecologists, urologists, and infectious disease specialists. The reliability was tested by using the test-retest method in 70 patients with two-week intervals. The construct validity was tested using exploratory factor analysis in 265 patients. The internal consistency was calculated by using Cronbach's alpha index. Results After determining the content and face validity, a tool was obtained with 16 True/False items in the knowledge section (with one score for each correct answer and the total score range from 0 to 16) and 16 five-point Likert scale items in the behavior section (with each question score range from 0 to 3 and the total behavior score range from 0 to 48, the lower score defined safer behavior). The correlation coefficient of the scale scores in the test-retest method was calculated to be 0.880 (P<0.001) and 0.951 (P<0.001) in the sections of knowledge and behavior, respectively. The Cronbach's alpha coefficient was 0.809 for the section of knowledge, 0.756 for the section of behavior, and 0.782 for the whole questionnaire. Exploratory factor analysis confirmed the existence of 4 factors in the knowledge section and 3 factors in the behavior section. Conclusion The present 32-item questionnaire was designed based on experts' opinions and important statements of patients about sexual health, simple scoring, good reliability and validity, is a suitable tool for assessing the safe sex knowledge and behavior in patients with severe mental illnesses.