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Measuring contraceptive self-efficacy in women: the Turkish validity and reliability study
Aliye Dogan Gangal1, Ayten Senturk Erenel2
1Faculty of Nursing, Department of Gynaecology and Obstetrics Nursing, Gazi University, Ankara, Türkiye.
Primary Health Care Research & Development
|May 6, 2025
Summary
The Turkish version of the Contraceptive Self-Efficacy in Women in Sub-Saharan Africa (CSESSA) scale is a valid and reliable tool. It accurately measures contraceptive self-efficacy in women of reproductive age.
Area of Science:
- Reproductive Health
- Psychometrics
- Global Health
Background:
- Contraceptive self-efficacy is vital for modern contraceptive use.
- Existing assessment tools for contraceptive self-efficacy are limited.
- This study addresses the need for a culturally adapted and validated scale.
Purpose of the Study:
- To evaluate the validity and reliability of the Turkish version of the Contraceptive Self-Efficacy in Women in Sub-Saharan Africa (CSESSA) scale.
- To provide a culturally relevant instrument for assessing contraceptive self-efficacy in Turkish women.
- To enhance understanding of factors influencing contraceptive use.
Main Methods:
- Methodological study involving 510 reproductive-age female participants.
- Translation and cultural adaptation of the CSESSA scale.
- Assessment of content validity, construct validity, test-retest reliability, Cronbach's alpha, and item-total correlations.
Main Results:
- The Turkish CSESSA scale demonstrated acceptable fit with a three-factor model.
- High reliability was confirmed with an overall Cronbach's alpha of 0.867 (subscales: 0.77–0.84).
- Strong test-retest reliability (r = 0.83) and item-total correlations (0.495–0.646) were observed.
Conclusions:
- The Turkish version of the CSESSA scale is a valid and reliable instrument.
- It can be used to measure contraceptive self-efficacy in women of reproductive age in Turkey.
- The scale offers a comprehensive assessment of various dimensions of contraceptive self-efficacy, aiding in targeted interventions.
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