Volume 15, Issue 4 (6-2017)
IJRM 2017, 15(4): 239-244 |
Back to browse issues page
Zahra Karimian1 
, Effat Merghati Khoei2 , Raziyeh Maasoumi * 3, Marzieh Araban4 , Mahbube Rasolzade5 , Shahrokh Aghayan6 , Seied Ali Azin7
, Effat Merghati Khoei2 , Raziyeh Maasoumi * 3, Marzieh Araban4 , Mahbube Rasolzade5 , Shahrokh Aghayan6 , Seied Ali Azin7
1- Department of Midwifery, faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
2- The Iranian National Center for Addiction Studies (INCAS), Institution for Risk Behavior Reduction, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , r_masoumi@sina.tums.ac.ir
4- Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
6- School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
7- Reproductive Biotechnology Research Center, Avicenna Research Institute (ACECR), Tehran, Iran
2- The Iranian National Center for Addiction Studies (INCAS), Institution for Risk Behavior Reduction, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , r_masoumi@sina.tums.ac.ir
4- Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
6- School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
7- Reproductive Biotechnology Research Center, Avicenna Research Institute (ACECR), Tehran, Iran
Abstract: (3083 Views)
Background: Iranian sexology researchers have emphasized the need for highquality scientific data on the dimensions of sexuality among adults, particularly withcultural considerations. Best practice and the delivery of sexual health services relyon rigorous facts extracted from surveys, but often those facts cannot be availabledue to the lack of culturally-sensitive questionnaires.
Objective: The aim of this study was to show the validity and reliability of thePersian version of the Acquisition of Sexual Information Test (ASIT), a measureselected due to its assemblages with Iranian culture.
Materials and Methods: Forward-backward procedure was applied to translate the50 items-Acquisition of Sexual Information Test from English into Persian. Afterlinguistic validation, a cross-sectional study was carried out and psychometricproperties of the Iranian version of five-dimension questionnaire were tested in athirty sample of reproductive-age, married, healthy and sexually active women. Facevalidity was assessed by qualitative and quantitative methods. Content validity wasalso assessed by calculating two quantitative indicators as content validity index(CVI) and content validity ratio (CVR). In the qualitative phase, experts assessed thequestionnaire from aspects such as wording, grammar, item allocation, and scaling.Reliability was assessed by test-retest analyses.
Results: Impact score was 1.5 in all questions. , the majority of participants (83.3%)stated that the overall level of content qualitative validity of the questionnaire for thetarget population was high but some of the questions were irrelevant to sexualknowledge such as questions in regard to sexual self-concept and human evolution.Many questions (90%) gained a CVR less than 0.56, and all of them gained CVIslower than 0.7. Correlation in test-retest reliability was 0.85 that was considered tobe acceptable.
Conclusion: Regardless of our initial assumptions about selecting the Acquisition ofSexual Information Test, the Persian version of sexual knowledge questionnaireseems to be culturally inappropriate for Iranian women. Although, we need surveydata for assessing the evidence-based needs for sexual health and best practice, butthe questions addressing various dimensions of sexuality such as knowledge must beculturally sensitive, comprehensive and appropriate. Our findings suggest that ASITas a well-known measure should be used in Iranian population with caution. It mustbe re-validated in different adult populations than that we selected in this study.
Objective: The aim of this study was to show the validity and reliability of thePersian version of the Acquisition of Sexual Information Test (ASIT), a measureselected due to its assemblages with Iranian culture.
Materials and Methods: Forward-backward procedure was applied to translate the50 items-Acquisition of Sexual Information Test from English into Persian. Afterlinguistic validation, a cross-sectional study was carried out and psychometricproperties of the Iranian version of five-dimension questionnaire were tested in athirty sample of reproductive-age, married, healthy and sexually active women. Facevalidity was assessed by qualitative and quantitative methods. Content validity wasalso assessed by calculating two quantitative indicators as content validity index(CVI) and content validity ratio (CVR). In the qualitative phase, experts assessed thequestionnaire from aspects such as wording, grammar, item allocation, and scaling.Reliability was assessed by test-retest analyses.
Results: Impact score was 1.5 in all questions. , the majority of participants (83.3%)stated that the overall level of content qualitative validity of the questionnaire for thetarget population was high but some of the questions were irrelevant to sexualknowledge such as questions in regard to sexual self-concept and human evolution.Many questions (90%) gained a CVR less than 0.56, and all of them gained CVIslower than 0.7. Correlation in test-retest reliability was 0.85 that was considered tobe acceptable.
Conclusion: Regardless of our initial assumptions about selecting the Acquisition ofSexual Information Test, the Persian version of sexual knowledge questionnaireseems to be culturally inappropriate for Iranian women. Although, we need surveydata for assessing the evidence-based needs for sexual health and best practice, butthe questions addressing various dimensions of sexuality such as knowledge must beculturally sensitive, comprehensive and appropriate. Our findings suggest that ASITas a well-known measure should be used in Iranian population with caution. It mustbe re-validated in different adult populations than that we selected in this study.
Type of Study: Original Article |
References
1. Ministry of Health. Canadian Guidelines for Sexual Health Education. Minister of Health Community Acquired Infections Division Centre for Infectious Disease Prevention and Control, Canada, 2008.
2. Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED Jr, et al. Definitions/Epidemiology/Risk Factors for Sexual Dysfunction. J Sex Med 2010; 4: 1598-1607. [DOI:10.1111/j.1743-6109.2010.01778.x]
3. Ramezani MA, Ahmadi K, Ghaemmaghami A, Marzabadi EA, Pardakhti F. Epidemiology of sexual dysfunction in Iran: A systematic review and metaanalysis. Int J Prevent Med 2015; 6: 883-891.
4. Naemi Mr. Sexual problems and divorce. Iran Soc Stud 2012; 2: 1-6.
5. Frotan Kaze, Milani M. [Prevalence of Sexual Dysfunction among divorce referred to family court]. Daneshvar 2009; 16: 37-42. (In Persian)
6. Gjhadiri M, Frotan K. Sexual dysfunction, hidden factor of divorce: the necessity of experts trained physicians in family counseling centers. J Fam Res 2009; 4: 585-608.
7. enayat H, Panjehband S. [The Role of Sexual Disorder in FormingDivorce Process: a Grounded Theory Study]. Armaghane Danesh 2016; 20: 1130- 1145. (In Persian)
8. Fourcroy JL. Female sexual dysfunction. Drugs 2003; 63: 1445-1457. [DOI:10.2165/00003495-200363140-00002]
9. 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.
10. Hashemi S, Khodakarami N, Sedigh S, Majd HA, Hasanzadeh M. The pattern of sexual behavior in married women. Payesh 2012; 11: 555-559.
11. Choi MS, Ha NS. A study on knowledge, attitude, and experience in sex and sexual autonomy of college students. Korean J Women Health Nurs 2004; 10: 318-330.
12. Trudel G. Sexuality and marital life: Results of a survey. J Sex Mar Ther 2002; 28: 229-249. [DOI:10.1080/009262302760328271]
13. Besharat MA, Ranjbar E. Construction and Validation of Scale knowledge and attitude. Contemp Psychol 2013; 8: 21-32.
14. Noranipour R, Besharat MA, Yosefi E. The relationship between knowledge and attitude with marital satisfaction among couples in the complexes young researchers at Shahid Beheshti University. Res Consult 2007; 6: 27-39.
15. Esmalivand N, Hasanvand B. The relationship between marital sexual knowledge, forgiveness and mental health of married women. Health Educ Promot Health Iran 2013; 2: 270-280.
16. Naderi F, AlirezaHeidari. The relationship between knowledge and attitudes regarding sexuality, love and marital satisfaction factors with wife abuse in Ahwaz married Women. Women Culture 2010; 1: 28- 45.
17. Jahanfar S, Molaeenejad M. Textbook of sexual disorders. Tehran, Salemi; 2015.
18. Reazi H, Banozadeh S, Moghimbeighi A, Amini L. [The effect of sex education on beliefs of pregnant women about sexual activity during pregnancy]. Payesh 2013; 12: 367-374. (In Persian)
19. Shakeri M, Davarnia R, Gohari S. [The effect of sex education on sexual intimacy of married women]. Ravan Parastari J 2014; 2: 34-42. (In Persian)
20. Shahsiah M, Bahrami F, Etemadi O, Mohebi S. The effect of sex education on improving marital satisfaction in Isfahan. Health System Res 2010; 6: 690-697.
21. Rahimi E, shafiabadi A, Nazari F. [The effect of cognitive- behavioral education on knowledge, attitudes and sexual confidence in women of Shiraz]. Armaghan Danesh 2009; 14: 103-111. (In Persian)
22. 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.
23. 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 Med Health J 2013; 19: 982.
24. Terri D. The handbook of sexuality related measure. 3rd Ed. New York, 2011.
25. 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]
26. Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol 2010; 10: 13. [DOI:10.1186/1471-2288-10-13]
27. Borsa JC, Damásio BF, Bandeira DR. Cross-cultural adaptation and validation of psychological instruments: Some considerations. Paidéia 2012; 22: 423-432. [DOI:10.1590/S0103-863X2012000300014]
28. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee‐Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for patient‐reported outcomes (PRO) measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005; 8: 94-104 [DOI:10.1111/j.1524-4733.2005.04054.x]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |