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The intention for cesarean section scale: Turkish validity and reliability study
Seçil Hür1, Sefa Karaman1, Elif Dağlı2
1Kırklareli University, Faculty of Health Sciences, Department of Midwifery - Kırklareli, Türkiye.
Objective:
In recent years, cesarean section rates have been increasing worldwide. Identifying changes in birth preferences during pregnancy is crucial for reducing cesarean section rates.
Aim:
The aim of this study was to determine the Turkish validity and reliability of the Theory-Based Intention for cesarean section scale, originally developed by Naghibi et al.
Methods:
This methodological study was conducted with 300 pregnant women. Data were collected using the Introductory Information Form and the Theory-Based Intention for cesarean section scale. Analyses were performed using IBM SPSS 25.0 and AMOS 22.0. Language validity was evaluated through translation from the original Persian into Turkish as well as from English into Turkish. Content validity was calculated with nine experts using the Davis technique, and a pilot test was conducted with 30 pregnant women. Construct validity was assessed through Exploratory Factor Analysis and Confirmatory Factor Analysis. Internal consistency was examined with Cronbach's Alpha coefficient and test-retest reliability.
Results:
Exploratory Factor Analysis revealed a five-factor structure with 24 items for the scale. According to Confirmatory Factor Analysis, the model fit indices indicated a good model fit. The Cronbach's Alpha coefficient of the scale was 0.76. The item-total correlations and test-retest reliability of the scale were found to be high.
Conclusion:
The Theory-Based Intention for cesarean section scale is a valid and reliable measurement tool for use among Turkish pregnant women.