Development and psychometric properties of a questionnaire to assess the Iranian women’s sexual self-efficacy
Abstract
Background & Aim: It is necessary to have a valid, reliable and socio-cultural appropriate questionnaire for evaluation of women' sexual self-efficacy. Therefore, the objective of the study was the development and psychometric evaluation of the context-based questionnaire for women' sexual self-efficacy.
Methods & Materials: The study was conducted during two phases on clients visiting the healthcare centers of Tehran university of medical sciences in 2018. In the first phase, Iranian women' sexual self-efficacy, and its dimensions was explored through a thematic analysis and it was compiled in 24 items by deductive-inductive method. In the second phase, the psychometric properties of the questionnaire were tested using face, content, construct, and criterion validity and reliability of the questionnaire was assessed by intra correlation and intraclass correlation coefficient.
Results: Iranian women' sexual self-efficacy was defined as "women' ability to make sexual relationship which leads to mutual orgasm or sexual satisfaction". Sexual relationship, proper level of sexual self-expression, women' ability in management of her and husband' sexual response cycle and having necessary skills to make a delightful sexual relationship were explored as the dimensions of definition of women’s sexual self-efficacy. Questionnaires were prepared with 24 items. The content validity index and content validity ratio (CVI and CVR) were found as 0.92 and 0.84, respectively. The results of qualitative and quantitative face validity and criterion validity were acceptable. Construct validity through exploratory factor analysis led to identifying four factors explained 66.68% of the variance. The items of questionnaire were reduced from 24 to 21 after construct validity. The results of Cronbach’s alpha coefficient (0.94) and ICC (0.50) supported to the acceptable stability of the questionnaire.
Conclusion: The psychometric properties of developed sexual self-efficacy questionnaire-women (SSEQ-W) has good validity and reliability. Therefore, it can be used as useful tool in future studies.
2. Vaziri SH, Lotfi Kashani F. Sexual self-efficacy and sexual satisfaction. Conference on Psychology and Consultation: 2008: Rudehen, Iran.
3. Reissing ED, Laliberté GM, Davis HJ. Young women's sexual adjustment: The role of sexual self-schema, sexual self-efficacy, sexual aversion and body attitudes. The Canadian Journal of Human Sexuality. 2005 Jul 1;14(3/4):77.
4. Reissing ED, Laliberté G M, Davis HJ. Young women's sexual adjustment: The role of sexual self-schema, sexual self-efficacy, sexual aversion and body attitudes. The Canadian Journal of Human Sexuality 2005; 14(3/4): 77-85.
5. Powwattana A, Ramasoota P. Differences of sexual behavior predictors between sexually active and nonactive female adolescents in congested communities, Bangkok metropolis. Journal of the Medical Association of Thailand= Chotmaihet thangphaet. 2008 Apr;91(4):542-50.
6. Schick VR, Zucker AN, Bay-Cheng LY. Safer, better sex through feminism: The role of feminist ideology in women's sexual well-being. Psychology of Women Quarterly. 2008 Sep;32(3):225-32.
7. Alirezaee S, Ozgoli G, Majd HA. Comparison of sexual self-efficacy and sexual function in fertile and infertile women referred to health centers in Mashhad in 1392. Pajoohandeh Journal. 2014 Aug 15;19(3):131-6.
8. Bailes SC, Fichten CS, Libman E, Brender W, Amsel R. Sexual self-efficacy scale for female functioning. Handbook of Sexuality-Related Measures.3rd ed. New York: Syracuse;2013.
9. Steinke EE, Wright DW, Chung ML, Moser DK. Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders. Heart & Lung. 2008 Sep 1;37(5):323-33.
10. Nappi RE, Cucinella L, Martella S, Rossi M, Tiranini L, Martini E. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas. 2016 Dec 1;94:87-91.
11. Wolpe RE, Zomkowski K, Silva FP, Queiroz AP, Sperandio FF. Prevalence of female sexual dysfunction in Brazil: a systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017 Apr 1;211:26-32.
12. Sepehrian F. Hosseinpoor. Female sexual dysfunction and its related factors in urmia. Urmia medical journal. 2012;23(2):148-54.
13. Jaafarpour M, Khani A, Khajavikhan J, Suhrabi Z. Female sexual dysfunction: prevalence and risk factors. Journal of clinical and diagnostic research: JCDR. 2013 Dec;7(12):2877.
14. Ranjbaran M, Chizary M, Matory P. Prevalence of female sexual dysfunction in Iran: Systematic review and Meta-analysis. Journal of Sabzevar University of Medical Sciences. 2016;22(7):117-25.
15. Masters W.H, Johnson V.E. Human Sexual Response. Baltimore. Lippincott Williams &Wilkins.1966
16. Basson R. The female sexual response: A different model. Journal of Sex &Marital Therapy. 2000 Jan 1;26(1):51-65.
17. Foley S, Kope SA, Sugrue DP. Sex matters for women: A complete guide to taking care of your sexual self. Guilford Press; 2011 Dec 13.
18. Rajabi G, Jelodari A. Validity and Reliability of the Persian Sexual Self-Efficacy Scale Functioning in Female. Practice in Clinical Psychology. 2015 Oct 15;3(4):267-72.
19. Schwarzer R, Baessler J, Kwiatek P, Schroder K, Zhang JX. The assessment of optimistic self-beliefs: Comparison of the German Spanish and Chinese versions of the general self-efficacy Scale. Applied Psychology. An International Review 1997;46(1): 69-88.
20. Vaziri SH, Lotfi Kashani F. Investigating the Factor Structure, Reliability and Validity of Sexual Self-efficacy Questionnaire. Jornal of Clinical Psychology Andishe Va Raftar.2013; 29(8):47-56.[Persian]
21. Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC medical research methodology. 2010 Dec;10(1):13.
22. DeVon HA, Block ME, Moyle‐Wright P, Ernst DM, Hayden SJ, Lazzara DJ, Savoy SM, Kostas‐Polston E. A psychometric toolbox for testing validity and reliability. Journal of Nursing scholarship. 2007 Jun;39(2):155-64.
23. Masoumi R, Lamieiyan M, Montazeri A, Haji Zadeh A. Hatch on paradigms and tools for measuring sexual quality of life.Tehran: Mashqe Shab Publications; 2016.P. 17-25.[Persian]
24. Arrington R, Cofrancesco J, Wu AW. Questionnaires to measure sexual quality of life. Quality of Life Research. 2004 Dec 1;13(10):1643-58.
25. Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. Handbook of Research Methods in Health Social Sciences. 2019:843-60.
26. Hajizadeh I .Asghari M. [Methods and statistical analysis by looking at the research method in biotechnology and health sciences].Tehran:Jahad University Publications; 2015.[Persian]
27. Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. Oxford University Press, USA; 2015.
28. Lawshe CH. A quantitative approach to content validity. Person- nel Psychology. 1975;28(4):563-75.
29. Taghizadeh Z, Ebadi A, Montazeri A, SHahvari Z, Tavousi M, Bagherzade R. [Psychometric properties of health related measures. Part 1: Translation, development, and content and face validity]. Payesh.2017;16(3):343-357.[Persian]
30. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. Measures in health psychology: A user’s portfolio. Causal and control beliefs. 1995;1(1):35-7.
31. Delavar A, Najafi M, Rezaei A, Dabir S, Rezaei N. The psychometric properties of the general self efficacy among university staff. Educational Measurement 2013; 3(12): 78-114
32. Ebadi A,Taghizadeh Z, Montazeri A, SHahvari Z, Tavousi M, Bagherzade R. [Translation, development and psychometric properties of health related measures-Part 2: construct validity, reliability and responsiveness]. Payesh.2017; 16(4):445-455. [Persian]
33. Epstein J, Santo RM, Guillemin F. A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus. Journal of clinical epidemiology. 2015 Apr 1;68(4):435-41.
34. Ortiz-Gutiérrez S, Cruz-Avelar A. Translation and Cross-Cultural Adaptation of Health Assessment Tools. Actas Dermo-Sifiliográficas.2018Apr, 109(3):202-206.
35. Maasoumi R, Taket A, Zarei F. How Iranian Women Conceptualize the Role of Cultural Norms in Their Sexual Lives. Sexuality & Culture. 2018 Dec 1; 22(4):1376-90.
36. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Publications; 2013.Reichenheim ME, Moraes CL. Operationalizing the cross-cultural adaptation of epidemological measurement instruments. Revista de saúde pública. 2007 Aug; 41(4):665-73.
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Issue | Vol 6 No 4 (2019): Autumn | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/npt.v6i4.1940 | |
Keywords | ||
sexual self-efficacy women questionnaire validity reliability |
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