Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study

Abstract Background Infertility stigma is a hidden burden that overshadows the dimensions of reproductive and sexual health in infertile women. The aim of this study was to develop and evaluate the psychometric properties of the Female Infertility Stigma Instrument (ISI-F). Methods This mixed method...

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Main Authors: Mahboube Taebi, Nourossadat Kariman, Ali Montazeri, Hamid Alavi Majd, Maryam jahangirifar
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-022-02139-5
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author Mahboube Taebi
Nourossadat Kariman
Ali Montazeri
Hamid Alavi Majd
Maryam jahangirifar
author_facet Mahboube Taebi
Nourossadat Kariman
Ali Montazeri
Hamid Alavi Majd
Maryam jahangirifar
author_sort Mahboube Taebi
collection DOAJ
description Abstract Background Infertility stigma is a hidden burden that overshadows the dimensions of reproductive and sexual health in infertile women. The aim of this study was to develop and evaluate the psychometric properties of the Female Infertility Stigma Instrument (ISI-F). Methods This mixed method study with sequential exploratory design was conducted in qualitative and quantitative phases. In the first phase, the initial item pool of the Female Infertility Stigma Instrument (ISI-F) was generated using in-depth interviews. In the quantitative phase, psychometric properties of the ISI-f including content, face and construct validity, as well as reliability (internal consistency and stability) were assessed. Exploratory factor analysis was performed on the collected data from 300 infertile women for evaluation of construct validity. Data was analyzed using SPSS version 20. This study has followed the Mixed Methods Article Reporting Standards checklist. Results The final version of ISI-F had 20 items. Total CVI and CVR were 0.94 and 0.87, respectively. Explanatory factor analysis identified 3 main factors that explained 54.013% of the variance. These factors consisted of stigma profile (7 items), self-stigma (6 items) and escaping from stigma (7 items). Internal consistency and stability of the ISI-F has been approved by Cronbach’s alpha, McDonald's Omega (0.909, 0.916) and Intraclass Correlation Coefficient (ICC = 0.878). Conclusion The Female Infertility Stigma Instrument (ISI-F) is a valid and reliable tool for evaluation of the perceived female infertility stigma, that was developed in this study.
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spelling doaj.art-432d50eca60c4e7d9d72406890a8d9442023-01-01T12:26:27ZengBMCBMC Women's Health1472-68742022-12-012211910.1186/s12905-022-02139-5Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method studyMahboube Taebi0Nourossadat Kariman1Ali Montazeri2Hamid Alavi Majd3Maryam jahangirifar4Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical SciencesMidwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical SciencesHealth Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECRDepartment of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical SciencesFaculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash UniversityAbstract Background Infertility stigma is a hidden burden that overshadows the dimensions of reproductive and sexual health in infertile women. The aim of this study was to develop and evaluate the psychometric properties of the Female Infertility Stigma Instrument (ISI-F). Methods This mixed method study with sequential exploratory design was conducted in qualitative and quantitative phases. In the first phase, the initial item pool of the Female Infertility Stigma Instrument (ISI-F) was generated using in-depth interviews. In the quantitative phase, psychometric properties of the ISI-f including content, face and construct validity, as well as reliability (internal consistency and stability) were assessed. Exploratory factor analysis was performed on the collected data from 300 infertile women for evaluation of construct validity. Data was analyzed using SPSS version 20. This study has followed the Mixed Methods Article Reporting Standards checklist. Results The final version of ISI-F had 20 items. Total CVI and CVR were 0.94 and 0.87, respectively. Explanatory factor analysis identified 3 main factors that explained 54.013% of the variance. These factors consisted of stigma profile (7 items), self-stigma (6 items) and escaping from stigma (7 items). Internal consistency and stability of the ISI-F has been approved by Cronbach’s alpha, McDonald's Omega (0.909, 0.916) and Intraclass Correlation Coefficient (ICC = 0.878). Conclusion The Female Infertility Stigma Instrument (ISI-F) is a valid and reliable tool for evaluation of the perceived female infertility stigma, that was developed in this study.https://doi.org/10.1186/s12905-022-02139-5InfertilityStigmaFactor analysisReliability and validityPsychometric
spellingShingle Mahboube Taebi
Nourossadat Kariman
Ali Montazeri
Hamid Alavi Majd
Maryam jahangirifar
Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
BMC Women's Health
Infertility
Stigma
Factor analysis
Reliability and validity
Psychometric
title Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
title_full Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
title_fullStr Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
title_full_unstemmed Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
title_short Development and psychometric properties of Female Infertility Stigma Instrument (ISI-F): A sequential mixed method study
title_sort development and psychometric properties of female infertility stigma instrument isi f a sequential mixed method study
topic Infertility
Stigma
Factor analysis
Reliability and validity
Psychometric
url https://doi.org/10.1186/s12905-022-02139-5
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