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Postpartum family planning attitudes among Turkish women: development of a reliable and valid scale
Zeynep Sedef Varol1, Meltem Çiçeklioğlu2
1Department of Public Health, Division of Epidemiology, Faculty of Medicine, Dokuz Eylül University, Turkey.
Aim:
The aim of this study was to develop a scale based on the Health Belief Model (HBM) to assess the family planning (FP) attitudes of postpartum women with 0- to 12-month-old infants residing in eight neighbourhoods of the Bornova province, Izmir, Turkey.
Introduction:
Family planning is an integral component of maternal and infant health during the postpartum period and is a fundamental aspect of healthcare services in the prenatal and postnatal period.
Methods:
The Postpartum Family Planning Attitude Scale (PFPAS) was developed in four stages: item pool development, content validity evaluation, pilot study, and reliability and validity assessment. The PFPAS was administered to 292 women. The developed scale comprised 27 items and six sub-dimensions. Cronbach's alpha coefficient was used to evaluate the reliability of the scale. Construct validity was evaluated using confirmatory factor analysis.
Findings:
Cronbach's alpha coefficient was 0.88, indicating good reliability. Confirmatory factor analysis validated the structural validity of the scale, with a chi-square/degree of freedom ratio of 2.24, an RMSEA value of 0.068, and a CFI value of 0.95. The lowest and highest possible scores for the PFPAS were 27 and 135, respectively, with a mean total score of 105.32 ± 11.91.
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