Shiva Khayatimotlagh; Elham Ebrahimi; Seyed Moayed Alavian; Maryam Hassani; Masud Yunesian; Afsaneh Keramat; Marjan Hassani; Nahid Bolbolhaghighi
Volume 22, Issue 2 , 2020
Abstract
Background: Hepatitis B is a problematic condition which can affect both patients and health systems. The fetus health effect, transmissibility of infection, disease screening during pregnancy and confronting the disease during pregnancy as a new diagnosis case have made this disease close to the ...
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Background: Hepatitis B is a problematic condition which can affect both patients and health systems. The fetus health effect, transmissibility of infection, disease screening during pregnancy and confronting the disease during pregnancy as a new diagnosis case have made this disease close to the reproductive health domain. A health need assessment is a first step in designing an equality health service, the aim of this study was the development and validation of the health need questionnaire of hepatitis B affected women in the reproductive health domain.
Methods: Based on the specific design, this study had two phases. At the first step to develop the instrument, we conducted some qualitative interviews with hepatitis B affected women and reproductive health care providers. After analyzing, we developed a health need questionnaire, the psychometric characteristics of which were determined in the second phase.
Results: After analyzing the data, we received 88 codes and 186 items. The research team removed 9 items during the face and content validity based on the cut off point of Impact Score, content validity ratio (CVR) and the content validity index(CVI). To elucidate, the questionnaire with 79 items developed in the psychometric evaluation phase. Internal consistency of the total scale was good with Cronbach alpha coefficient 0.87, and Spearman correlation coefficient of 0.84 that indicated good stability. In the construct validity by exploratory factor analysis, the Kaiser-Meyer-Olkin (KMO) index was higher than 0.90 and also the Bartlett test of sphericity was significant (P < 0.001). Concerning the cumulative percentage of the variance, the 4 factors determined 54.99% of the total variance.
Conclusions: This study lead to development and validation of a questionnaire to evaluate the health needs of hepatitis B affected women in the reproductive health domain
Forough Rafii; Seyedeh Fatemeh Vasegh Rahimparvar; Afsaneh Keramat; Neda Mehrdad
Volume 19, Issue 5 , May 2017, , Pages 1-8
Abstract
Background: Women with previous gestational diabetes mellitus (GDM) are at elevated risk for developing Type 2 diabetes. Despite the recommendation for postpartum diabetes screening for these women, the rate of screening is low.Objectives: The present study aimed at conducting an in-depth exploration ...
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Background: Women with previous gestational diabetes mellitus (GDM) are at elevated risk for developing Type 2 diabetes. Despite the recommendation for postpartum diabetes screening for these women, the rate of screening is low.Objectives: The present study aimed at conducting an in-depth exploration of the experiences of Iranian women with recent GDM in the process of diabetes screening.Methods: This grounded theory qualitative study was conducted in Tehran, Iran, from 2013 to 2016. In this study, 22 women with recent GDM, who gave birth at least 6 months before the interview, were selected by purposeful sampling method; then, to achieve saturation, the participants were followed using theoretical sampling method. The participants were asked about their postpartum experiences, specially about the process of attendance/not attendance in diabetes screening at 6 weeks to 6 months after child birth, using semi-structured interviews. Data were analyzed using Corbin and Strauss method (2008).Results: Three main categories were extracted as postpartum diabetes screening process in women with a recent GDM: to be aware, to be sensitive, and to perceive severity of the threat. Also, the outcomes have been classified into 4 levels: selective screening, accidental screening, primary lack of screening, and secondary lack of screening. In our study, the participants had a range of procrastination in screening, from no procrastination in selective screening to high procrastination in secondary lack of screening. Sometimes, the participants had the intention to be screened but they took no action, did not do the screening due to self-deception, or perceived screening as lacking immediate reward (3 main features of procrastination). Thus, due to procrastination, they did not do the screening. Screening in the range of procrastination, as the core category, was the most obvious concept that implicitly existed in all the data.Conclusions: Even when sensitivity and perceiving a threat about diabetes were activated in women with recent GDM, they did not undertake screening due to procrastination. Procrastination is an important and missed factor in screening. Conducting further studies is recommended to develop evidence-based strategies to decrease women’s procrastination in screening.
