Sexual and Reproductive Health Instrument for Temporary Marriage Wives: Development and Psychometric Properties

Abstract

Background: This study was conducted with the aim to identify their reproductive health needs, and design the sexual and reproductive health needs questionnaire for Temporary Marriage (TM) wives and assess its psychometric properties. Materials and Methods: This study evaluated the psychometric properties of the Sexual and Reproductive Health Needs Questionnaire for Iranian TM wives in Persian. The initial items of the questionnaire were extracted based on a qualitative study. Then the face, content, and construct validity, and reliability of the questionnaire were assessed in a cross‑sectional study. To evaluate the content construct validity, and reliability of the questionnaire, Content Validity Ratio (CVR) and Content Validity Index (CVI), Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA ), Cronbach’s alpha coefficients, and intraclass correlation coefficient were used, respectively. Results: The initial instrument contained 44 items and was prepared based on the results. CVI and CVR for all items were, respectively, higher than 0.79 and 64%, except one item that was eliminated. In face and content validity assessment was provided the instrument with 43 items. To evaluate construct validity, EFA was performed and eight hidden factors were extracted, which explained 64.895% of the total variance of the variables. Furthermore, to examine model fitness in CFA, goodness‑of‑fit indices were used in SmartPLS software. The results showed a good model fit. The convergent and divergent validity, and the reliability of the scale ranged from strong to excellent s above 0.7). Conclusion: The results showed that the Sexual and Reproductive Health Instrument with 43 items for Iranian temporary marriage wives was a valid and reliable measure.