Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study.

Autor: Mirzakhani K; Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.; Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran., Khadivzadeh T; Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.; Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran., Faridhosseini F; Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran., Ebadi A; Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. Ebadi1347@yahoo.com.; Research Center for Life & Health Sciences & Biotechnology of the Police, Direction oh Health, Rescue & Treatment, Police Headquarter, Tehran, Iran. Ebadi1347@yahoo.com.
Jazyk: angličtina
Zdroj: Reproductive health [Reprod Health] 2022 Dec 01; Vol. 19 (1), pp. 218. Date of Electronic Publication: 2022 Dec 01.
DOI: 10.1186/s12978-022-01529-0
Abstrakt: Background: Assessment of well-being in high-risk pregnancy (HRP) is the key to achieve positive maternal and fetal outcomes. Although there are a wide range of instruments for well-being assessment, none of them is comprehensive for well-being assessment in HRP. The present study aimed at the development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index (HRPWBI).
Methods: This methodological study was conducted using the Waltz's four-step method. The dimensions of well-being in HRP were determined based on a conceptual model and the blueprint and the item pool of HRPWBI were developed. Then, the face and the content validity were assessed and item analysis was performed. Construct validity was also assessed through exploratory factor analysis with principal component analysis on the data obtained from 376 women with HRP in Mashhad, Iran. Finally, internal consistency, test-retest stability, sensitivity, and interpretability of HRPWBI were assessed.
Results: The scale- content validity index (SCVI) of HRPWBI was 0.91. In factor analysis, 33 items were loaded on seven factors which explained 53.77% of the total variance. Internal consistency, relative stability, absolute stability, sensitivity, and interpretability of HRPWBI were confirmed with a Cronbach's alpha of 0.84, a test-retest intraclass correlation coefficient of 0.97, a standard error of measurement of 0.92, a minimal detectable change of 8.09, and a minimal important change of 2.92, respectively.
Conclusion: HRPWBI is a valid and reliable instrument for well-being assessment among women with HRP. It can be used to assess well-being and the effects of well-being improvement interventions on well-being among women with HRP.
(© 2022. The Author(s).)
Databáze: MEDLINE
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