Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study

Abstract Background There is no standard and comprehensive questionnaire for reproductive health assessment among women shift workers. This study aimed at the development and psychometric evaluation of the Women Shift Workers’ Reproductive Health Questionnaire. Methods This sequential exploratory mi...

Full description

Bibliographic Details
Main Authors: Maryam Nikpour, Aram Tirgar, Fatemeh Ghaffari, Abbas Ebadi, Hamid Sharif Nia, Fatemeh Nasiri-Amiri
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Reproductive Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12978-020-00994-9
_version_ 1818526977745747968
author Maryam Nikpour
Aram Tirgar
Fatemeh Ghaffari
Abbas Ebadi
Hamid Sharif Nia
Fatemeh Nasiri-Amiri
author_facet Maryam Nikpour
Aram Tirgar
Fatemeh Ghaffari
Abbas Ebadi
Hamid Sharif Nia
Fatemeh Nasiri-Amiri
author_sort Maryam Nikpour
collection DOAJ
description Abstract Background There is no standard and comprehensive questionnaire for reproductive health assessment among women shift workers. This study aimed at the development and psychometric evaluation of the Women Shift Workers’ Reproductive Health Questionnaire. Methods This sequential exploratory mixed-method study was conducted in a qualitative (item generation) and a quantitative (psychometric evaluation) phase. In the qualitative phase, the primary item pool of the questionnaire was generated based on the findings of the qualitative content analysis of 21 interviews held with 21 women shift workers as well as the findings of a literature review. In the quantitative phase, the face, content, construct, convergent, and discriminant validity and the reliability of the questionnaire were assessed. For construct validity assessment through exploratory and confirmatory factor analyses, 620 women shift workers were conveniently selected to fill out the questionnaire. Reliability assessment was done through assessing internal consistency, stability, and composite reliability. Results The primary item pool contained 88 items. During face and content validity, item number was reduced to 55. Construct validity assessment through factor analysis revealed that 56.50% of the total variance was explained by five factors with 34 items. The factors were named motherhood, general health, sexual relationships, menstruation, and delivery. Confirmatory factor analysis confirmed the fit of the five-factor model. The Cronbach’s alpha and the composite reliability value of the questionnaire were more than 0.7. Conclusion The Women Shift Workers’ Reproductive Health Questionnaire is a valid and reliable instrument and can be used for reproductive health assessment among women shift workers.
first_indexed 2024-12-11T06:30:12Z
format Article
id doaj.art-145750dd0b424ba9941bfce5da2e3628
institution Directory Open Access Journal
issn 1742-4755
language English
last_indexed 2024-12-11T06:30:12Z
publishDate 2020-09-01
publisher BMC
record_format Article
series Reproductive Health
spelling doaj.art-145750dd0b424ba9941bfce5da2e36282022-12-22T01:17:33ZengBMCReproductive Health1742-47552020-09-0117111010.1186/s12978-020-00994-9Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method studyMaryam Nikpour0Aram Tirgar1Fatemeh Ghaffari2Abbas Ebadi3Hamid Sharif Nia4Fatemeh Nasiri-Amiri5PhD of Health Science, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical SciencesPhD of Occupational Health, Professor of Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesPhD of Nursing, Associated of Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical SciencesProfessor of Behavioral Sciences Research Center, Life style institute, Baqiyatallah University of Medical SciencesPhD of Nursing, Assistant Professor, School of Nursing and Midwifery Amol, Mazandaran University of Medical SciencesPhD of Reproductive Heath, Associated of Professor, Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical SciencesAbstract Background There is no standard and comprehensive questionnaire for reproductive health assessment among women shift workers. This study aimed at the development and psychometric evaluation of the Women Shift Workers’ Reproductive Health Questionnaire. Methods This sequential exploratory mixed-method study was conducted in a qualitative (item generation) and a quantitative (psychometric evaluation) phase. In the qualitative phase, the primary item pool of the questionnaire was generated based on the findings of the qualitative content analysis of 21 interviews held with 21 women shift workers as well as the findings of a literature review. In the quantitative phase, the face, content, construct, convergent, and discriminant validity and the reliability of the questionnaire were assessed. For construct validity assessment through exploratory and confirmatory factor analyses, 620 women shift workers were conveniently selected to fill out the questionnaire. Reliability assessment was done through assessing internal consistency, stability, and composite reliability. Results The primary item pool contained 88 items. During face and content validity, item number was reduced to 55. Construct validity assessment through factor analysis revealed that 56.50% of the total variance was explained by five factors with 34 items. The factors were named motherhood, general health, sexual relationships, menstruation, and delivery. Confirmatory factor analysis confirmed the fit of the five-factor model. The Cronbach’s alpha and the composite reliability value of the questionnaire were more than 0.7. Conclusion The Women Shift Workers’ Reproductive Health Questionnaire is a valid and reliable instrument and can be used for reproductive health assessment among women shift workers.http://link.springer.com/article/10.1186/s12978-020-00994-9Reproductive healthWomen shift workersInstrument developmentPsychometric evaluation
spellingShingle Maryam Nikpour
Aram Tirgar
Fatemeh Ghaffari
Abbas Ebadi
Hamid Sharif Nia
Fatemeh Nasiri-Amiri
Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
Reproductive Health
Reproductive health
Women shift workers
Instrument development
Psychometric evaluation
title Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
title_full Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
title_fullStr Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
title_full_unstemmed Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
title_short Development and psychometric evaluation of the women shift workers’ reproductive health questionnaire: a sequential exploratory mixed-method study
title_sort development and psychometric evaluation of the women shift workers reproductive health questionnaire a sequential exploratory mixed method study
topic Reproductive health
Women shift workers
Instrument development
Psychometric evaluation
url http://link.springer.com/article/10.1186/s12978-020-00994-9
work_keys_str_mv AT maryamnikpour developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy
AT aramtirgar developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy
AT fatemehghaffari developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy
AT abbasebadi developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy
AT hamidsharifnia developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy
AT fatemehnasiriamiri developmentandpsychometricevaluationofthewomenshiftworkersreproductivehealthquestionnaireasequentialexploratorymixedmethodstudy