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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Fertility | Research article

Psychometric properties of fertility desire scale (FDS) developed for Iranian parents

Authors: Seyed Abolhassan Naghibi, Maryam Khazaee-Pool, Mahmood Moosazadeh

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Fertility choice is a critical women’s right. Although researchers have studied the positive effects of fertility desire, its different components have, unfortunately, been neither established nor implemented for parents. A reliable and valid scale is required to measure this vital aspiration of a couple. This study aims to develop and evaluate the psychometric properties of the Fertility Desire Scale (FDS), which is designed to assess fertility desire among Iranian parents.

Methods

A multi-phase instrument developmental approach was used to develop this scale in 2017. The items for the questionnaire were generated using three approaches: a qualitative study, an interview with an expert panel, and a comprehensive literature review. To provide a draft form of the questionnaire, we performed face and content validity analyses. The questionnaire validation was conducted on a sample of married women and men, recruited from public places affiliated with the Mazandaran province. Finally, measurement and analyses of exploratory and confirmatory factors, internal consistency reliability, item-scale correlation, and test-retest reliability of the questionnaire were performed to complete the validation process.

Results

Thirty-five items were initially developed on the basis of the interviews with the expert panel and the literature review. The questionnaire was subsequently reduced to include 27 items after performing the content and face validity testing. The exploratory factor analysis (EFA) identified four factors (positive childbearing motivations, preferences, childbearing worries, and social beliefs) comprising 19 items that jointly accounted for 55.44% of the observed variance. The confirmatory factor analysis (CFA) also revealed the suitable model fit for the data. The Cronbach’s alpha coefficient for the subscales ranged from .83 to .86, and the intraclass correlation coefficient (ICC) ranged from .88 to .92; these coefficients are well above the acceptable thresholds.

Conclusion

Results from this validation study demonstrated that the FDS is a valid and reliable questionnaire for measuring fertility desire that can be used in clinical practice, as well as in similar future studies.
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Literature
2.
go back to reference Shapiro D, Gebreselassie T. Fertility transition in sub-Saharan Africa: falling and stalling. Afr Popul Stud. 2008;23(1):3–23. Shapiro D, Gebreselassie T. Fertility transition in sub-Saharan Africa: falling and stalling. Afr Popul Stud. 2008;23(1):3–23.
4.
go back to reference Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. ‘Men leave me as I cannot have children’: women’s experiences with involuntary childlessness. Hum Reprod. 2002;17(6):1663–8.CrossRef Dyer SJ, Abrahams N, Hoffman M, van der Spuy ZM. ‘Men leave me as I cannot have children’: women’s experiences with involuntary childlessness. Hum Reprod. 2002;17(6):1663–8.CrossRef
5.
go back to reference Chauduri S. The desire for sons and excess fertility: a household-level analysis of parity progression in India. Int Perspect Sex Reprod Health. 2012;38(4):178–86.CrossRef Chauduri S. The desire for sons and excess fertility: a household-level analysis of parity progression in India. Int Perspect Sex Reprod Health. 2012;38(4):178–86.CrossRef
6.
go back to reference Creanga AA, Gillespie D, Karklins S, Tsui AO. Low use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011;89(4):258–66.CrossRef Creanga AA, Gillespie D, Karklins S, Tsui AO. Low use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011;89(4):258–66.CrossRef
7.
go back to reference Kalantari S, Abbaszadeh M, Amin MF, Rakeei BN. "The sociological study of attitude to child bearing and it’s some related factors (Case study: married youth in Tabriz City)." (2010): 83–104. Kalantari S, Abbaszadeh M, Amin MF, Rakeei BN. "The sociological study of attitude to child bearing and it’s some related factors (Case study: married youth in Tabriz City)." (2010): 83–104.
8.
go back to reference it is m, ramezankhani a, manouchehri h, hajizadeh e, haghi m." The decision-making process of childbearing: a qualitative study." (2013): 505–515. it is m, ramezankhani a, manouchehri h, hajizadeh e, haghi m." The decision-making process of childbearing: a qualitative study." (2013): 505–515.
9.
go back to reference Mousavi SF, Ghafelebashi MS. A study of attitudes towards childbearing in young families of qazvin city. Woman and family studies. 2014;2:111–34 [In Persian]. Mousavi SF, Ghafelebashi MS. A study of attitudes towards childbearing in young families of qazvin city. Woman and family studies. 2014;2:111–34 [In Persian].
10.
go back to reference Hosseini H, Bagi B. Socioeconomic, cultural and demographic determinants of childbearing desires among married women attending health centers in Hamedan (2012). Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci) 2014; 18(1):35–43. [In Persian]. Hosseini H, Bagi B. Socioeconomic, cultural and demographic determinants of childbearing desires among married women attending health centers in Hamedan (2012). Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci) 2014; 18(1):35–43. [In Persian].
11.
go back to reference Abbasi Shavazi MJ, Khajesalehi Z. An assessment on the impact of Women’s autonomy, education and social participation on childbearing intention in Sirjan City. Woman in development and politics. 2013;11(1):45–64 [In Persian]. Abbasi Shavazi MJ, Khajesalehi Z. An assessment on the impact of Women’s autonomy, education and social participation on childbearing intention in Sirjan City. Woman in development and politics. 2013;11(1):45–64 [In Persian].
12.
go back to reference Shiri T, Bidarian S. A survey of the effective economic-demographic factors on the fertility of employed women aged 15-49 in education organization-Tehran’s 22 district. Social sciences bulletin. 2009;3(3):93–107. Shiri T, Bidarian S. A survey of the effective economic-demographic factors on the fertility of employed women aged 15-49 in education organization-Tehran’s 22 district. Social sciences bulletin. 2009;3(3):93–107.
13.
go back to reference Keshavarz H, Haghighatian M, Tavasoli DK. A study on the factors influencing the space between marriage and having children (case study: married women of 20-49 in Isfahan). J Appl Sociol. 2013;50(2):25–8. Keshavarz H, Haghighatian M, Tavasoli DK. A study on the factors influencing the space between marriage and having children (case study: married women of 20-49 in Isfahan). J Appl Sociol. 2013;50(2):25–8.
14.
go back to reference Mahdi SM. Fertility behaviour of Iranian women: a community-based, cross-sectional study. Archives of Iranian medicine. 2015;18(1):2. Mahdi SM. Fertility behaviour of Iranian women: a community-based, cross-sectional study. Archives of Iranian medicine. 2015;18(1):2.
15.
go back to reference Enayat H, Parnian L. The study of cultural globalization and tendency to fertility. Journal of woman and society. 2013;2(14):109–36 [In Persian]. Enayat H, Parnian L. The study of cultural globalization and tendency to fertility. Journal of woman and society. 2013;2(14):109–36 [In Persian].
16.
go back to reference Simbar M, Ahmadi M, Ahmadi G, Majd HR. Quality assessment of family planning services in urban health centers of Shahid Beheshti medical Science University, 2004. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2006;19(4–5):430–42.CrossRef Simbar M, Ahmadi M, Ahmadi G, Majd HR. Quality assessment of family planning services in urban health centers of Shahid Beheshti medical Science University, 2004. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2006;19(4–5):430–42.CrossRef
17.
go back to reference Nunnally J, Bernstein I. Psychometric theory. 3rd ed. Ventura, CA: Cram101 Incorporated; 2006. Nunnally J, Bernstein I. Psychometric theory. 3rd ed. Ventura, CA: Cram101 Incorporated; 2006.
18.
go back to reference Beck CT, Gable RK. Ensuring content validity: an illustration of the process. J Nurs Meas. 2001;9(2):201–15.CrossRef Beck CT, Gable RK. Ensuring content validity: an illustration of the process. J Nurs Meas. 2001;9(2):201–15.CrossRef
19.
go back to reference Newman I, Lim J. Content validity using a mixed methods approach: its application and development through the use of a table of specifications methodology. J Mixed Methods Res. 2013;7(3):243–60.CrossRef Newman I, Lim J. Content validity using a mixed methods approach: its application and development through the use of a table of specifications methodology. J Mixed Methods Res. 2013;7(3):243–60.CrossRef
20.
go back to reference Tilden VP, Nelson CA, May BA. Use of qualitative methods to enhance content validity. Nurs Res. 1990;39(3):172–5.CrossRef Tilden VP, Nelson CA, May BA. Use of qualitative methods to enhance content validity. Nurs Res. 1990;39(3):172–5.CrossRef
21.
go back to reference Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382–5.CrossRef Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382–5.CrossRef
22.
go back to reference Waltz C F, Bausell B R. Nursing research: design statistics and computer analysis. 1981: Davis FA. Waltz C F, Bausell B R. Nursing research: design statistics and computer analysis. 1981: Davis FA.
23.
go back to reference Oluwatayo J. Validity and reliability issues in educational research. Journal of Educational and Social Research. 2012;2:391–400. Oluwatayo J. Validity and reliability issues in educational research. Journal of Educational and Social Research. 2012;2:391–400.
24.
go back to reference Waltz C F, Strickland O L, Lenz E R. Measurement in nursing and health research. 2010: Springer Publishing Company. Waltz C F, Strickland O L, Lenz E R. Measurement in nursing and health research. 2010: Springer Publishing Company.
25.
go back to reference Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in nursing & health. 2006;29(5):489–97.CrossRef Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in nursing & health. 2006;29(5):489–97.CrossRef
26.
go back to reference Lawshe CH. A quantitative approach to content validity1. Pers Psychol. 1975;28(4):563–75.CrossRef Lawshe CH. A quantitative approach to content validity1. Pers Psychol. 1975;28(4):563–75.CrossRef
27.
go back to reference Gable R K, Wolf M B. Instrument development in the affective domain: Measuring attitudes and values in corporate and school settings. Vol. 36. 2012: Springer Science & Business Media. Gable R K, Wolf M B. Instrument development in the affective domain: Measuring attitudes and values in corporate and school settings. Vol. 36. 2012: Springer Science & Business Media.
28.
go back to reference Ferguson E, Cox T. Exploratory factor analysis: a users’ guide. Int J Sel Assess. 1993;1(2):84–94.CrossRef Ferguson E, Cox T. Exploratory factor analysis: a users’ guide. Int J Sel Assess. 1993;1(2):84–94.CrossRef
29.
go back to reference Comrey AL, Lee HB. A first course in factor analysis. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum; 1992. Comrey AL, Lee HB. A first course in factor analysis. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum; 1992.
30.
go back to reference Mueller R O. Basic principles of structural equation modeling: An introduction to LISREL and EQS. 1999: Springer Science & Business Media. Mueller R O. Basic principles of structural equation modeling: An introduction to LISREL and EQS. 1999: Springer Science & Business Media.
31.
go back to reference Munro B H. Statistical methods for health care research. Vol. 1. 2005: Lippincott Williams & Wilkins. Munro B H. Statistical methods for health care research. Vol. 1. 2005: Lippincott Williams & Wilkins.
32.
go back to reference Kline R B. Principles and practice of structural equation modeling, (methodology in the social sciences). 2004. Kline R B. Principles and practice of structural equation modeling, (methodology in the social sciences). 2004.
33.
go back to reference Steiger JH. Understanding the limitations of global fit assessment in structural equation modeling. Personal Individ Differ. 2007;42(5):893–8.CrossRef Steiger JH. Understanding the limitations of global fit assessment in structural equation modeling. Personal Individ Differ. 2007;42(5):893–8.CrossRef
34.
go back to reference Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. Psychology Press. 2004. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. Psychology Press. 2004.
35.
go back to reference Bernstein I. Psychometric theory. 3rd. New York, NY, US: McGraw Hill; 1994. Bernstein I. Psychometric theory. 3rd. New York, NY, US: McGraw Hill; 1994.
36.
go back to reference Fleiss JL. The design and analysis of clinical experiments. 1st ed. New York: Wiley-Interscience; 1999.CrossRef Fleiss JL. The design and analysis of clinical experiments. 1st ed. New York: Wiley-Interscience; 1999.CrossRef
37.
go back to reference SPSS S. 16.0 for windows. Chicago: SPSS Inc; 2008. SPSS S. 16.0 for windows. Chicago: SPSS Inc; 2008.
38.
go back to reference Miller WB. Childbearing motivation and its measurement. J Biosoc Sci. 1995 Oct;27(4):473–87.CrossRef Miller WB. Childbearing motivation and its measurement. J Biosoc Sci. 1995 Oct;27(4):473–87.CrossRef
39.
go back to reference Mahmoudian H, Pourrahim M. The value of the child from the perspective of young couples and its relationship with fertility: a case study of Behshahr city. Quart J Pop. 2002;41:89–103. Mahmoudian H, Pourrahim M. The value of the child from the perspective of young couples and its relationship with fertility: a case study of Behshahr city. Quart J Pop. 2002;41:89–103.
40.
go back to reference Raisi E. Studying the parenthood and positive and negative value of children. Shiraz: Shiraz University; 1997. Raisi E. Studying the parenthood and positive and negative value of children. Shiraz: Shiraz University; 1997.
41.
go back to reference Biosoc Sci J. Woldemicael. G Women's autonomy and reproductive preferences in Eritrea. 2009;41(2):161–81. Biosoc Sci J. Woldemicael. G Women's autonomy and reproductive preferences in Eritrea. 2009;41(2):161–81.
43.
go back to reference Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. J Pers Soc Psychol. 1983;45(5):1017–28.CrossRef Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. J Pers Soc Psychol. 1983;45(5):1017–28.CrossRef
44.
go back to reference Schwartz L, Toohill J, Creedy DK, Baird K, Gamble J, Fenwick J. Factors associated with childbirth self-efficacy in Australian childbearing women. BMC Pregnancy Childbirth. 2015;15:29.CrossRef Schwartz L, Toohill J, Creedy DK, Baird K, Gamble J, Fenwick J. Factors associated with childbirth self-efficacy in Australian childbearing women. BMC Pregnancy Childbirth. 2015;15:29.CrossRef
45.
go back to reference Piltan F, Rahmanian M. [Investigating factors affecting the tendency toward childbearing among married men and women (case of study: men and women aged 25 to 45 years old in Jahrom)]. Journal of Iranian Social Development Studies (JISDS). 2015; 7(2(26)): 121–134. [In Persian]. Piltan F, Rahmanian M. [Investigating factors affecting the tendency toward childbearing among married men and women (case of study: men and women aged 25 to 45 years old in Jahrom)]. Journal of Iranian Social Development Studies (JISDS). 2015; 7(2(26)): 121–134. [In Persian].
46.
go back to reference Choromzadeh R, Akhound MR, Rasekh A. Factors affecting women's birth intervals: the case of women referred to health centers in Ahwaz. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2015;20(4):35–50 [In Persian]. Choromzadeh R, Akhound MR, Rasekh A. Factors affecting women's birth intervals: the case of women referred to health centers in Ahwaz. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2015;20(4):35–50 [In Persian].
47.
go back to reference Roudsari RL, Khadivzadeh T, Bahrami M. A grounded theory approach to understand the process of decision making on fertility control methods in urban society of Mashhad. Iran Iran J Nurs Midwifery Res. 2013 Sep;18(5):408–15.PubMed Roudsari RL, Khadivzadeh T, Bahrami M. A grounded theory approach to understand the process of decision making on fertility control methods in urban society of Mashhad. Iran Iran J Nurs Midwifery Res. 2013 Sep;18(5):408–15.PubMed
48.
go back to reference Chen MF, Wang RH, Hung SL. Predicting health-promoting self-care behaviors in people with prediabetes by applying Bandura social learning theory. Appl Nurs Res. 2015 Nov;28(4):299–304.CrossRef Chen MF, Wang RH, Hung SL. Predicting health-promoting self-care behaviors in people with prediabetes by applying Bandura social learning theory. Appl Nurs Res. 2015 Nov;28(4):299–304.CrossRef
Metadata
Title
Psychometric properties of fertility desire scale (FDS) developed for Iranian parents
Authors
Seyed Abolhassan Naghibi
Maryam Khazaee-Pool
Mahmood Moosazadeh
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Fertility
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7413-x

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