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Development and validation of Adolescent Sexual and Reproductive Health - Knowledge, Attitude, and Self-Efficacy
Ana Setiyorini1,2, Mei N Sitaresmi3,4, Wenny A Nisman5
1Doctorate Program in Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
International Journal of Adolescent Medicine and Health
|July 17, 2024
Summary
This study developed the Adolescent Sexual and Reproductive Health-Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ) for adolescents aged 12-15. The ASRH-KASeQ is a valid and reliable tool for assessing adolescent sexual and reproductive health knowledge, attitudes, and self-efficacy.
Area of Science:
- Public Health
- Adolescent Health
- Psychometrics
Background:
- Existing tools for measuring adolescent sexual and reproductive health (SRH) knowledge, attitudes, and self-efficacy are often designed for older individuals (over 15 years).
- Adolescents aged 12-15 years have distinct SRH education needs that differ from those of young adults.
- There is a need for a specific, validated instrument to assess SRH-related knowledge, attitudes, and self-efficacy in younger adolescents.
Purpose of the Study:
- To develop and validate a reliable tool to measure knowledge, attitudes, and self-efficacy concerning sexual and reproductive health (SRH) in adolescents aged 12-15 years.
- To create the Adolescent Sexual and Reproductive Health-Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ).
Main Methods:
- A 100-item questionnaire was developed based on literature reviews, focus group discussions, and expert consensus.
- The Adolescent Sexual and Reproductive Health-Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ) underwent content validity, face validity, and internal consistency reliability testing.
- The study involved adolescents aged 12-15 years in secondary schools in Yogyakarta, Indonesia, with statistical analysis performed using STATA software.
Main Results:
- The ASRH-KASeQ demonstrated strong content validity (S-CVI/Ave: 0.93-0.95) and face validity (S-FVI/Ave: 0.94-0.96) across all domains.
- Internal consistency reliability, measured by Cronbach's alpha, exceeded acceptable levels for knowledge (0.7), attitude (0.81), and self-efficacy (0.89).
- The final questionnaire comprises 100 items: 40 for knowledge, 30 for attitude, and 30 for self-efficacy.
Conclusions:
- The Adolescent Sexual and Reproductive Health-Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ) is a valid and reliable instrument.
- The ASRH-KASeQ is suitable for assessing the sexual and reproductive health knowledge, attitudes, and self-efficacy of Indonesian adolescents aged 12-15 years.
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