Hajifoghaha Mahboubeh, Nahidi Fatemeh, Simbar Masoumeh, Nasiri Malihe
Student Research Committee, Department of Midwifery and Reproductive Health, School pof Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2022 Mar 9;36:19. doi: 10.47176/mjiri.36.19. eCollection 2022.
The selection of a competent prenatal care provider for women is of a major concern. The purpose of this research was to design a questionnaire for pregnant women's decision-making regarding choosing a prenatal care provider and to assess its psychometric properties. This study used an exploratory mixed method. In the qualitative phase, a semi-structured individual interview was done with 33 participants in Shiraz, Iran. Based on the outcomes of the previous step and the literature study, the items of the questionnaire were designed in the quantitative phase. Then, the Cosmin criteria were developed to consider the psychometric properties of the questionnaire. In order to examine the validity of the CPCP-60 questionnaire, an exploratory factor analysis was performed. Reliability was assessed by the Cronbach alpha coefficient test and retest. Data were analyzed using the SPSS Version 21. The CPCP-60 questionnaire included 60 items. After the exploratory factor analysis, 4 factors were extracted that expressed 60.52% of the total variance: professional and communication skills, personal traits of prenatal care providers, and characteristics of pregnancy and childbirth centers. The content validity index and the content validity ratio were 0.90 and 0.76, respectively. A Cronbach alpha of 0.941 and a test-retest of 0.951 demonstrated excellent reliability for the CPCP-60 questionnaire. The responsiveness and the interpretability were acceptable. The minimal detectable change (MDC) of the questionnaire (9.70) was less than the minimal important change (MIC) (12.91). Considering the reliability and validity of the CPCP-60 questionnaire, and its compatibility to the culture of the Iranian society, it can be used in clinical research to evaluate the decision-making of pregnant women on choosing a competent prenatal care provider in Iran.
为女性选择称职的产前护理提供者是一个主要关注点。本研究的目的是设计一份问卷，用于孕妇在选择产前护理提供者方面的决策，并评估其心理测量特性。本研究采用探索性混合方法。在定性阶段，对伊朗设拉子的33名参与者进行了半结构化个人访谈。基于上一步的结果和文献研究，在定量阶段设计了问卷项目。然后，制定了Cosmin标准以考虑问卷的心理测量特性。为了检验CPCP - 60问卷的有效性，进行了探索性因素分析。通过Cronbach阿尔法系数检验和重测评估信度。使用SPSS 21版对数据进行分析。CPCP - 60问卷包括60个项目。经过探索性因素分析，提取了4个因素，这些因素解释了总方差的60.52%：专业和沟通技能、产前护理提供者的个人特质以及妊娠和分娩中心的特征。内容效度指数和内容效度比分别为0.90和0.76。Cronbach阿尔法系数为0.941，重测系数为0.951，表明CPCP - 60问卷具有出色的信度。反应性和可解释性是可接受的。问卷的最小可检测变化（MDC）（9.70）小于最小重要变化（MIC）（12.91）。考虑到CPCP - 60问卷的信度和效度，以及其与伊朗社会文化的兼容性，它可用于临床研究，以评估伊朗孕妇在选择称职的产前护理提供者方面的决策。
