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Sexual and Reproductive Health Instrument for Temporary Marriage Wives: Development and Psychometric Properties.

Farzaneh Valizadeh1, Haniyeh Abbassinia2, Zahra Motaghi3

  • 1Deputy of Health, Mazandaran University of Medical Sciences ,Sari, Iran.

Iranian Journal of Nursing and Midwifery Research
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Summary

A new questionnaire was developed to assess the sexual and reproductive health needs of temporary marriage wives. This 43-item instrument demonstrates strong validity and reliability for use in research and clinical settings.

Keywords:
Iranpsychometricsreproductive healthtemporary marriage

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Area of Science:

  • Reproductive Health
  • Psychometrics
  • Sociology

Background:

  • Temporary marriage (TM) is practiced in some regions, and understanding the specific reproductive health needs of TM wives is crucial.
  • Existing tools may not adequately address the unique sexual and reproductive health requirements of this population.
  • There is a need for a culturally relevant and psychometrically sound instrument to assess these needs.

Purpose of the Study:

  • To identify the sexual and reproductive health needs of temporary marriage wives.
  • To design and develop a questionnaire to assess these needs.
  • To evaluate the psychometric properties (validity and reliability) of the developed questionnaire.

Main Methods:

  • A qualitative study informed the initial item generation for the questionnaire.
  • Face, content, and construct validity were assessed using methods like Content Validity Ratio (CVR) and Content Validity Index (CVI).
  • Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were employed to evaluate construct validity, alongside Cronbach's alpha and intraclass correlation for reliability.

Main Results:

  • An initial 44-item instrument was refined to a 43-item questionnaire after validity assessments.
  • Factor analysis revealed eight underlying factors explaining 64.895% of the variance.
  • Confirmatory Factor Analysis indicated a good model fit, with strong convergent and divergent validity, and excellent reliability (above 0.7).

Conclusions:

  • The developed 43-item Sexual and Reproductive Health Instrument is a valid and reliable measure.
  • This questionnaire can be effectively used to assess the sexual and reproductive health needs of temporary marriage wives in Iran.
  • The findings support the use of this instrument for research and improving healthcare services for this population.