Volume 20, Issue 3 (10-2024)
J Health Syst Res 2024, 20(3): 212-222 |
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Research code: 6304
Ethics code: IR.ARAKMU.REC.1399.298
Clinical trials code: IRCT20210202050228N1
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Moradi A, Soltani R, Shamsi M, Moradzadeh R. Design and Psychometrics of a Tool to Measure the Performance of Mothers with Infants in the Field of Otitis Media Infection Prevention Behaviors Based on the PRECEDE Model. J Health Syst Res 2024; 20 (3) :212-222
URL: http://hsr.mui.ac.ir/article-1-1564-en.html
URL: http://hsr.mui.ac.ir/article-1-1564-en.html
1- MSc Student, Student Research Committee AND Department of Health Education, School of Health, Arak University of Medical Sciences, Arak, Iran
2- Assistant Professor, Department of Health Education, School of Health, Arak University of Medical Sciences, Arak, Iran
3- Professor, Department of Health Education, School of Health, Arak University of Medical Sciences, Arak, Iran
4- Associate Professor, Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
2- Assistant Professor, Department of Health Education, School of Health, Arak University of Medical Sciences, Arak, Iran
3- Professor, Department of Health Education, School of Health, Arak University of Medical Sciences, Arak, Iran
4- Associate Professor, Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
Abstract: (379 Views)
Background: Otitis media is one of the most common childhood diseases and a frequent reason for children to visit a doctor and receive antibiotics. However, there is no standard questionnaire in the field of otitis media prevention behaviors in infants based on the Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation (PRECEDE) model. Therefore, the present study aimed to design and psychometrically measure the performance of mothers with breastfed children in preventing otitis media.
Methods: This cross-sectional study was conducted in 2022 using a random sampling method on 240 mothers with infants who visited health centers in Arak City, Iran. The design and face validity of the primary objectives were assessed qualitatively and quantitatively through text reviews and experts’ opinions. Face validity was evaluated both qualitatively and quantitatively. The instrument's content validity index and ratio were calculated based on the qualitative judgments of a panel of 10 experts. Reliability was determined by assessing internal consistency (Cronbach's alpha coefficient) and content validity was confirmed by experts' opinions. Data were analyzed using SPSS software.
Findings: The average age group of children in this study was 11.40 ± 6.05 months, ranging from 1 to 24 months. The mean content validity index of the tool was 0.88, with each item ranging from 0.85 to 0.93. The average content validity ratio for the entire tool was 0.81, with each item ranging from 0.75 to 0.89. In the reliability assessment, the overall Cronbach's alpha coefficient of the tool was calculated as 0.81, and the intraclass correlation coefficient (ICC) was 0.83. To assess the stability of each scale, a test-retest was conducted in two stages: initially and two weeks later, yielding a correlation coefficient of r = 0.89 (P < 0.001).
Conclusion: The results of this study provide compelling evidence regarding the robustness of the factor structure and the reliability of the instrument for assessing the performance of mothers with breastfed children in the context of otitis media prevention behaviors, following the PRECEDE model. It is recommended that the developed tool be utilized in other educational intervention studies.
Methods: This cross-sectional study was conducted in 2022 using a random sampling method on 240 mothers with infants who visited health centers in Arak City, Iran. The design and face validity of the primary objectives were assessed qualitatively and quantitatively through text reviews and experts’ opinions. Face validity was evaluated both qualitatively and quantitatively. The instrument's content validity index and ratio were calculated based on the qualitative judgments of a panel of 10 experts. Reliability was determined by assessing internal consistency (Cronbach's alpha coefficient) and content validity was confirmed by experts' opinions. Data were analyzed using SPSS software.
Findings: The average age group of children in this study was 11.40 ± 6.05 months, ranging from 1 to 24 months. The mean content validity index of the tool was 0.88, with each item ranging from 0.85 to 0.93. The average content validity ratio for the entire tool was 0.81, with each item ranging from 0.75 to 0.89. In the reliability assessment, the overall Cronbach's alpha coefficient of the tool was calculated as 0.81, and the intraclass correlation coefficient (ICC) was 0.83. To assess the stability of each scale, a test-retest was conducted in two stages: initially and two weeks later, yielding a correlation coefficient of r = 0.89 (P < 0.001).
Conclusion: The results of this study provide compelling evidence regarding the robustness of the factor structure and the reliability of the instrument for assessing the performance of mothers with breastfed children in the context of otitis media prevention behaviors, following the PRECEDE model. It is recommended that the developed tool be utilized in other educational intervention studies.
Type of Study: Research |
Subject:
education health and promotion
Received: 2023/05/28 | Accepted: 2024/01/28 | Published: 2024/10/6
Received: 2023/05/28 | Accepted: 2024/01/28 | Published: 2024/10/6
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