Nasiri-Amiri Fatemeh, Bakhtiari Afsaneh, Safary Elnaz, Rahimi Esbo Sobhan
Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
BMC Womens Health. 2025 Apr 1;25(1):151. doi: 10.1186/s12905-025-03678-3.
The human papillomavirus (HPV) significantly impacts women's physical and psychological health, and there is a notable absence of specialized tools to assess its psychosocial effects comprehensively. The HPV Impact Profile (HIP) was developed to address this need. This study focuses on the translation and validation of the HIP for use among Iranian women.
This methodological study was conducted among women diagnosed with HPV from May 2022 to July 2023. A total of 300 women participated by completing an online self-administered questionnaire. The HIP was translated into Persian following standardized procedures. The psychometric properties of the Persian version were evaluated through multiple validation methods: face validity (qualitative and quantitative), content validity (qualitative and quantitative), construct validity (exploratory factor analysis and confirmatory factor analysis), convergent and divergent validity, and reliability (Cronbach's alpha and McDonald's omega).
The original HIP consisted of 29 items. Following the translation process, the Persian version underwent rigorous psychometric validation. During the face validity assessment, no items were removed. However, during the content validity evaluation, 2 items were deleted, resulting in 27 items for further analysis. Exploratory factor analysis led to the removal of an additional 2 items, reducing the number to 25 items. Three factors were extracted, which collectively explained 81.65% of the total variance. Confirmatory factor analysis confirmed a good model fit, with all indices meeting the recommended thresholds. Reliability assessments demonstrated high internal consistency and stability, with Cronbach's alpha calculated at 0.932 and McDonald's omega at 0.996.
The Persian version of the HIP-25 exhibits strong psychometric properties, including high validity and reliability. It is a robust tool for assessing the quality of life among Iranian women with HPV, and it can be effectively utilized in clinical and research settings to better understand and address the psychosocial impacts of HPV.
人乳头瘤病毒（HPV）对女性的身心健康有重大影响，且明显缺乏全面评估其社会心理影响的专门工具。开发HPV影响概况（HIP）就是为了满足这一需求。本研究聚焦于HIP在伊朗女性中的翻译和验证。
本方法学研究于2022年5月至2023年7月期间对被诊断为HPV的女性进行。共有300名女性通过完成在线自填问卷参与。HIP按照标准化程序被翻译成波斯语。通过多种验证方法评估波斯语版本的心理测量特性：表面效度（定性和定量）、内容效度（定性和定量）、结构效度（探索性因素分析和验证性因素分析）、聚合效度和区分效度以及信度（克朗巴哈系数和麦克唐纳欧米伽系数）。
原始的HIP由29个项目组成。经过翻译过程后，波斯语版本进行了严格的心理测量验证。在表面效度评估中，没有项目被删除。然而，在内容效度评估中，删除了2个项目，剩下27个项目用于进一步分析。探索性因素分析又导致另外2个项目被删除，数量减少到25个项目。提取出三个因素，它们共同解释了总方差的81.65%。验证性因素分析证实模型拟合良好，所有指标均达到推荐阈值。信度评估显示出高内部一致性和稳定性，克朗巴哈系数计算为0.932，麦克唐纳欧米伽系数为0.996。
HIP - 25的波斯语版本展现出强大的心理测量特性，包括高效度和信度。它是评估伊朗HPV感染女性生活质量的有力工具，可有效用于临床和研究环境，以更好地理解和应对HPV的社会心理影响。
