Volume 16, Issue 1 (January 2018)                   IJRM 2018, 16(1): 41-50 | Back to browse issues page

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Sadat Z, Ghofranipour F, Azin S A, Montazeri A, Goshtasebi A, Bagheri A et al . Development and psychometric evaluation of the sexual knowledge and attitudes scale for premarital couples (SKAS-PC): An exploratory mixed method study. IJRM 2018; 16 (1) :41-50
URL: http://ijrm.ir/article-1-948-en.html
Development and psychometric evaluation of the sexual knowledge and attitudes scale for premarital couples (SKAS-PC): An exploratory mixed method study
Zohreh Sadat1 , Fazlollah Ghofranipour * 2, Seyed Ali Azin3 , Ali Montazeri4 , Azita Goshtasebi5 , Azam Bagheri6 , Elham Barati7
1- Department of Midwifery, Nursing Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
2- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran , ghofranf@modares.ac.ir
3- Department of Health Promotion, Institute for Health Sciences Research, ACECR, Tehran, Iran
4- Health Metrics Research Center, Institute for Health Sciences Research, ACECR, Tehran, Iran.
5- Department of Family Health, Institute for Health Sciences Research, ACECR, Tehran, Iran.
6- Department of Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
7- Student Research Committee, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
Abstract:   (3938 Views)
Background: Designing a valid and reliable questionnaire that allows a fair evaluation of sexual knowledge and attitudes and develop a proper sexual educational program is necessary.
Objective: The present study was designed to develop and psychometric evaluation of the sexual knowledge and attitudes scale for premarital couples.
Materials and Methods: An exploratory mixed method study was conducted in two phases; in the first, in order to develop a questionnaire an item pool was generated on sexual knowledge and attitudes through focus group discussions and individual interviews. In the second phase, the psychometric properties of the questionnaire were examined. For this purpose, face validity, content validity as well as construct validity were conducted. Reliability was assessed by the Cronbach’s alpha coefficient to assess internal consistency and test-retest reliability.
Results: In the first phase an item pool with 88 questions was generated (sexual knowledge 45 items and sexual attitudes 43 items). In the second phase, the number of final items reduced to 33 and 34 items of sexual knowledge and sexual attitudes respectively, through exploratory factor analysis (EFA). Five factors for sexual knowledge and six factors for sexual attitudes identified by EFA. The Cronbach’s alpha coefficient for two sections was 0.84 and 0.81 respectively. The test- retest correlations for sexual knowledge and sexual attitude was 0.74 and 0.82 respectively.
Conclusion: The findings suggest that the Sexual Knowledge and Attitudes Scale for Premarital Couples is a valid and reliable instrument. Further studies are needed to establish stronger psychometric properties for the questionnaire.
Keywords: Sexual health, Knowledge, Attitudes, Psychometrics. 
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Type of Study: Original Article |
References
1. Biri A, Korucuoglu U, Ilhan M, Bingol B, Yilmaz E, Biri H. Turkish women's level of knowledge on and attitude toward sexual health. Maturitas 2007; 58: 236-240. [DOI:10.1016/j.maturitas.2007.08.010]
2. WHO. Sexual health-a new focus for WHO. Progress in reproductive health research. 2004; 67: 1-8.
3. Roudi-Fahimi F, Ashford L, Khalil K. Advancing research to inform reproductive health policies: the Middle East and North Africa. Washington DC, Population Reference Bureau; 2008: 1-8.
4. Farnam F, Pakgohar M, Mir-mohammadali M. Effect of pre-marriage counseling on marital satisfaction of Iranian newlywed couples: a randomized controlled trial. Sex Culture 2011; 15: 141-152. [DOI:10.1007/s12119-010-9086-6]
5. DeJong J, Jawad R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reprod Health Matters 2005; 13: 49-59. [DOI:10.1016/S0968-8080(05)25181-9]
6. Khoei EM, Whelan A, Cohen J. Sharing beliefs: What sexuality means to Muslim Iranian women living in Australia. Cult Health Sex 2008; 10: 237-248. [DOI:10.1080/13691050701740039]
7. UNFPA: Adolescent sexual and reproductive health toolkit for humanitarian settings. New York: UNFPA. 2009.
8. Marván ML, Catillo-López RL, Alcalá-Herrera V, Callejo DD. The decreasing age at menarche in Mexico. J Pediatr Adolesc Gynecol 2016; 29: 454-457. [DOI:10.1016/j.jpag.2016.02.006]
9. 11 million singles ready for marriage. Tasnim News; 2017. Avilable at: https://www.tasnimnews.com/fa/ news/1396/03/12/1425942/. (in Persian)
10. Farahani FK, Cleland J, Mehryar AH. Associations between family factors and premarital heterosexual relationships among female college students in Tehran. International perspectives on sexual and reproductive health. 2011 Mar 1:30-9. Associations between family factors and premarital heterosexual relationships among female college students in Tehran. Int Perspect Sex Reprod Health 2011; 37: 30-39. [DOI:10.1363/3703011]
11. Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet 2006; 368: 1595-1607. [DOI:10.1016/S0140-6736(06)69478-6]
12. Aninanya GA, Debpuur CY, Awine T, Williams JE, Hodgson A, Howard N. Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial. PloS One 2015; 10: e0125267. [DOI:10.1371/journal.pone.0125267]
13. Nezhad MZ, Goodarzi AM. Sexuality, intimacy, and marital satisfaction in Iranian first-time parents. J Sex Marital Ther 2011; 37: 77-88. [DOI:10.1080/0092623X.2011.547336]
14. Vural BK, Temel AB. Effectiveness of premarital sexual counselling program on sexual satisfaction of recently married couples. Sex Health 2009; 6: 222-232. [DOI:10.1071/SH08065]
15. Raisi F, Yekta ZP, Ebadi A, Shahvari Z. What are Iranian married women's rewards? Using interpersonal exchange model of sexual satisfaction: a qualitative study. Sex Relat Ther 2015; 30: 475-489. [DOI:10.1080/14681994.2015.1024218]
16. Jahanfar SH, Molaeenezhad M. [Textbook of sexual disorders]. 2nd Ed. Tehran, Salemi and bizhe publication; 2014. (in Persian)
17. Pourmarzi D, Rimaz Sh. Sexual and Reproductive Health Educational Needs in Engaged Couples in Tehran in 2010. Sex Res Social Policy 2014; 11: 225-232. [DOI:10.1007/s13178-014-0159-4]
18. Moodi M, Miri MR, Reza Sharifirad G. The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes. J Educ Health Promot 2013; 2: 52. [DOI:10.4103/2277-9531.119038]
19. Mohebbi P, Malekpour P, Kamalifard M, Atri SB, Safaeiyan A, Alizadeh K. Clients" viewpoints about the quality of services in the premarital counseling classes in Tabriz health centers. Int J Prev Med 2014; 5: 365-369.
20. Bostani Khalesi Z, Simbar M. Challenges of Premarital Education Program in Iran. J Holist Nurs Midwifery 2017; 27: 9-18. [DOI:10.18869/acadpub.hnmj.27.1.9]
21. Barati M, Soltanian A, Emdadi S, Zahiri B, Barzeghar N. Analyzing sexual health-related beliefs among couples in marriage based on the health belief model. J Educ Community Health 2014; 1: 36-45. [DOI:10.20286/jech-010136]
22. Esmalivand N, Hasanvand B. [The relationship between marital sexual knowledge, forgiveness and Sadat et al mental health of married women]. Health Educ Health Promot 2015; 2: 270-280. (in Persian)
23. Rahimi E, Shafiabadi A, Yunesi F. [The Effect of Sexual Cognitive-Behavioral Therapy on Females' Sexual Knowledge, Sexual Attitude, and Sexual Self-Confidence. A Case Study in Shiraz, Iran]. Armaghan Danesh 2009; 14: 103-111. (In Persian).
24. Salimi M, Fatehinejad MS. [To evaluate the effectiveness of sex education in cognitive behavioral approach to knowledge, self-expression and sexual intimacy of married women in Mobarake Sity]. Modern Psychol Res 2012; 7: 111-128. (in Persian)
25. Hendrick C, Hendrick SS, Reich DA. The brief sexual attitudes scale. J Sex Res 2006; 43: 76-86. [DOI:10.1080/00224490609552301]
26. Karimian Z, Merghati Khoei E, Maasoumi R, Araban M, Rasolzadeh Bidgoli M, Aghayan S, et al. Gaining comprehensive data about sexual knowledge through surveys. Int J Reprod Biomed 2017; 15: 239-244. [DOI:10.29252/ijrm.15.4.239]
27. Besharat MA, Ranjbar Kelagari E. Development and validation of Sexual Knowledg and Attitude Scale. Contemp Psychol 2013; 8: 21-32. (in Persian)
28. Dehghani A, Mohamad khani P, Unosi J. [Influence of Sexy Skills Training of Attitude of Sex in Young Couples]. Knowledge Res Appl Psychol 2007; 8: 21-38. (in Persian)
29. Khajehei M, Ziyadlou S, Ghanizadeh A. Knowledge of and attitudes towards sexual and reproductive health in adults in Shiraz: a need for further education. East Mediterr Health J 2013; 19: 982-989.
30. Godia PM, Olenja JM, Hofman JJ, Van Den Broek N. Young people's perception of sexual and reproductive health services in Kenya. BMC Health Serv Res 2014; 14: 172. [DOI:10.1186/1472-6963-14-172]
31. Nezhad MZ, Goodarzi AM. Sexuality, intimacy, and marital satisfaction in Iranian first-time parents. J Sex Marital Ther 2011; 37: 77-88. [DOI:10.1080/0092623X.2011.547336]
32. Streubert HJ, Carpenter DR: Qualitative research in nursing: advancing the humanistic imperative. New York, Lippincott Williams & Wilkins; 2010.
33. Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008; 62: 107-115. [DOI:10.1111/j.1365-2648.2007.04569.x]
34. Ferguson E, Cox T. Exploratory factor analysis: a users" guide. Int J Sel Assess 1993; 1: 84-94. [DOI:10.1111/j.1468-2389.1993.tb00092.x]
35. Waltz CF, Bausell RB. Nursing research: design, statistics and computer analysis. Philadelphia, FA Davis Company; 1983.
36. Polit DF, Beck CT, Owen SV. Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. Res Nurs Health 2007; 30: 459-467. [DOI:10.1002/nur.20199]
37. Lawshe CH. A quantitative approach to content validity. Pers Psychol 1975; 28: 563-575. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
38. Nunnally JC, Bernstein IH, Berge J. Mt Psychometric theory. McGraw-Hill, New York; 1967.
39. Wang Q, Wang D, Li C, Miller RB. Marital satisfaction and depressive symptoms among Chinese older couples. Aging Ment Health 2014; 18: 11-18. [DOI:10.1080/13607863.2013.805730]
40. Thomas HN, Hess R, Thurston RC. Correlates of sexual activity and satisfaction in midlife and older women. Ann Fam Med 2015; 13: 336-342. [DOI:10.1370/afm.1820]
41. Kirby D. Mathtech questionnaires: Sexuality questionnaires for adolescents. Handbook of Sexuality-Related Measures, Thousand Oaks, CA: Sage Publications 1998: 35-46.
42. Gough HG. A 24-item version of the miller-Fisk sexual knowledge questionnaire. J Psychol 1974; 87: 183-192. [DOI:10.1080/00223980.1974.9915689]
43. Monge RH, Dusek JB, Lawless J. An evaluation of the acquisition of sexual information through a sex education class. J Sex Res 1977; 13: 170-184. [DOI:10.1080/00224497709550973]
44. Fullard W, Scheier LM. Sexual knowledge and attitude test for adolescents. In: Fisher TD, Davis CM, Yarber WL, Davis SL. Handbook of Sexuality-Related Measures. 3rd Ed. Routledge, UK; 2013: 16.
45. Montazeri A, Lamiean M, Hajizadeh E, Masoumi R, Khoie EM. Introduction to the paradigm and tools to measure sexual quality of life. 1st Ed. Tehran, Mashghe Shab; 2014. (in Persian)
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