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Development and Psychometric Properties of The Delayed Childbearing Questionnaire (DCBQ-55)

1
Department of Midwifery & Reproductive Health, Medical Sciences Faculty, Tarbiat Modares University, 14115-111 Tehran, Iran
2
Department of Biostatistics, Medical Sciences Faculty, Tarbiat Modares University, 14115-111 Tehran, Iran
3
National Population Studies & Comprehensive Management Institute, 1531635711 Tehran, Iran
4
Faculty of Nursing and Health Sciences, Nord University, 8049 Bodø, Norway
*
Author to whom correspondence should be addressed.
Healthcare 2018, 6(4), 120; https://doi.org/10.3390/healthcare6040120
Received: 23 August 2018 / Revised: 18 September 2018 / Accepted: 21 September 2018 / Published: 23 September 2018
(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
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Abstract

The comprehensive assessment of delayed childbearing needs a valid and reliable instrument. Therefore, the aim of the present study was to develop an instrument to evaluate factors influencing delayed childbearing among women and to assess its psychometric properties. The current methodological study was performed in two phases of (i) qualitative instrument development, and (ii) quantitative psychometric assessment of the developed instrument. Face and content validity of the instrument was assessed by eligible women and a panel of experts. Construct validity was assessed using the exploratory factor analysis (EFA). For reliability, internal consistency reliability and intra-rater reliability analysis were used. The initial instrument developed from the qualitative phase consisted of 60 items, which were reduced to 55 items after the face and content validity processes. EFA (n = 300) using the Kaiser criteria (Eigenvalues > 1) and the scree plot led to a six-factor solution accounting for 61.24% of the observed variance. The Cronbach’s alpha coefficient, Spearman’s correlation, test–retest and intra-class correlation coefficients for the whole instrument were reported as 0.83, 0.86 and 0.81, respectively. The final instrument entitled the delayed childbearing questionnaire (DCBQ-55) included 50 items with six domains of ‘readiness for childbearing’, ‘stability in the partner relationship’, ‘awareness about the adverse outcomes of pregnancy in advanced maternal age’, ‘attitude toward delayed childbearing’, ‘family support’, and ‘social support’ on a five-point Likert scale. The DCBQ-55 as a simple, valid and reliable instrument can assess factors influencing delayed childbearing. It can be used by reproductive healthcare providers and policy makers to understand factors influencing delayed childbearing and devise appropriate strategies. View Full-Text
Keywords: delayed childbearing; fertility; postponement; psychometric properties; questionnaire; reproductive health; women health delayed childbearing; fertility; postponement; psychometric properties; questionnaire; reproductive health; women health
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Behboudi-Gandevani, S.; Ziaei, S.; Kazemnejad, A.; Khalajabadi Farahani, F.; Vaismoradi, M. Development and Psychometric Properties of The Delayed Childbearing Questionnaire (DCBQ-55). Healthcare 2018, 6, 120.

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