Development and the Validity and Reliability Study of the Birth Health Belief Scale

Year 2023, Volume: 13 Issue: 4, 823 - 828, 29.12.2023

Birnur Yeşildağ Çelik , Zehra Gölbaşı

https://doi.org/10.33808/clinexphealthsci.1087678

Cited By: 1

Abstract

Objective: This study aims to develop a measurement tool based on the Health Belief Model to assess pregnant women’s attitudes and beliefs about the mode of delivery.
Methods: A 65-item draft scale consisting of five sub-scales was used for the development of the Birth Health Belief Scale (BHBS). The draft scale was administered to 336 pregnant women. Data were analyzed using SPSS 18.0. Analyses included Kendall’s W test, Cronbach’s alpha, Kaiser Meyer Olkin (KMO) Test, Bartlett’s Test, and Exploratory Factor analysis (Principal component analysis).
Results: Analysis results showed that the 5-point Likert scale consisted of 34 items and five factors. Cronbach’s alpha coefficient was calculated as 0.974. Item analysis results revealed that the item-total and item-remainder correlations were significant (p<0.001).
Conclusion: The Birth Health Belief Scale was determined to be a valid and reliable measurement tool.

Keywords

Attitude, Birth, Belief, Health Belief Model, Scale

References

• Yeşildağ Çelik B, Gölbaşı Z. Birinci basamakta çalışan ebe ve hemşirelerin doğum şekli ve sezaryen sonrası vajinal doğuma yönelik tutumları. Gevher Nesibe Journal of Medical and Health Sciences 2022;7(17):85-92. http://dx.doi.org/10.46648/gnj.392 (Turkish)
• Karabel MP, Demirbaş M, İnci MB. Türkiye’de ve Dünya’da değişen sezaryen sıklığı ve olası nedenleri. Sakarya Med J. 2017;7(4):158-163. DOI: 10.31832/smj.368600 (Turkish)
• Zare Z, Yaghobi Z, Mohaddes Hakkak HR, Tavakoli Ghoochani H, Joveini H, Hosseini SH. The impact of an educational intervention based on theory of planned behavior on selecting mode of delivery in primigravidae women with intention of elective cesarean section. Journal of Midwifery and Reproductive Health 2021;9(2):2652-2660. DOI: 10.22038/jmrh.2021.53294.1656.
• Coatesa D, Thirukumarb P, Speard V, Browna G, Henryb A. What are women’s mode of birth preferences and why? A systematic scoping review. Women and Birth 2020;33(4):323-333. DOI:10.1016/j.wombi.2019.09.005.
• Levinea EM, Delfinadob LN, Lochera S, Ginsberg NA. Reducing the cesarean delivery rate. Eur J Obstet Gynecol Reprod Biol. 2021;262:155-159. DOI:10.1016/j.ejogrb.2021.05.023.
• Moghadam SH, Alijani F, Afrakoti NB, Bazargan M, Ganji J. Assessment of strategies for the reduction of cesarean section rate in Iranian and foreign studies: A Narrative Review. IJWHR. 2021;9(4):238-248. DOI:10.15296/ijwhr.2021.45.
• Korkut S, Kaya N. Sezaryen doğum kararına ebe farkındalığı ile etik yaklaşım. HSP. 2019;6(1):144-152. DOI:10.17681/hsp.442171 (Turkish)
• Casella C, Capasso E, Bianco C, Saccone G, Guida M, Graziano V, Paternoster M. Elective cesarean section on maternal request: Ethical and Legal Considerations. Perinatal Journal 2020;28(3):154-156. DOI:10.2399/prn.20.0283007.
• Elnakib S, Abdel-Tawab N, Orbay D. Medical and non-medical reasons for cesarean section delivery in Egypt: A Hospital-Based Retrospective Study. BMC Pregnancy Childbirth 2019; 19: 411. DOI:10.1186/s12884-019-2558-2.
• Arslantaş H, Çoban A, Dereboy F, Sarı E, Şahbaz M, Kurnaz, (2020). Son trimester gebelerde doğum korkusunu etkileyen faktörler ve doğum korkusunun postpartum depresyon ve maternal bağlanma ile ilişkisi. Cukurova Med J. 2020;45(1):239-250. DOI:10.17826/cumj.647253 (Turkish)
• Kahsay ZH, Hiluf MK, Shamie R. Tadesse Y. Bazzano AN. Pregnant women’s intentions to deliver at a health facility in the pastoralist communities of afar, Ethiopia: An Application of the Health Belief Model. Int. J. Environ. Res. Public Health 2019;16(5):888. DOI:10.3390/ijerph16050888
• Ma GX, Gao W, Fang CY, Tan Y, Feng Z, Ge S. Nguyen, JA. Health beliefs associated with cervical cancer screening among Vietnamese Americans. Journal of Women's Health 2013;22(3):276-288. DOI: 10.1089/jwh.2012.3587.
• Moradi M, Fazeli N, Khadivzadeh T, Esmaily H. Application of health belief model to assess knowledge and attitude of women regarding preconception care. JMRH. 2020;8(2):2146-2154. DOI: 10.22038/jmrh.2019.34318.1390.
• Demirgöz Bal M. Kadınların pap smear testi yaptırma durumlarının sağlık inanç modeli ölçeği ile değerlendirilmesi. MÜSBED. 2014;4(3):133-138. DOI: 10.5455/musbed.20140711031132 (Turkish)
• Nourian M, Askari G, Golshiri P, Miraghajani M. Shokri S, Arab A. Effect of lifestyle modification education based on health belief model in overweight/obese patients with non-alcoholic fatty liver disease: A Parallel Randomized Controlled Clinical Trial. Clinical Nutrition ESPEN. 2020;38:236-241. DOI:10.1016/j.clnesp.2020.04.004.
• Al-Battawi JA, Ibrahim WA. Applying health belief model to predict factors influencing women decision regarding mode of delivery. J Nurs Heal Sci. 2017;6(6):44-56. DOI:10.9790/1959-0606054456.
• Loke AY, Davies L, Li SF. Factors influencing the decision that women make on their mode of delivery: The Health Belief Model. BMC Health Serv Res. 2015;15(1):1-12. DOI 10.1186/s12913-015-0931-z.
• Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife‐led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;(4):1-3. DOI: 10.1002/14651858.CD004667.pub5.
• Esin MN. Veri toplama yöntem ve araçları ve veri toplama araçlarının güvenirlik ve geçerliği. Erdoğan S, Nahcivan N, Esin MN (Editors). Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik. İstanbul: Nobel Tıp Kitabevleri; 2014.p.215-231. (Turkish)
• Erkuş A. Psikolojide ölçme ve ölçek geliştirme-1: Temel Kavramlar ve İşlemler. 4th Edition. Ankara: Pegem Academy Publishing; 2016.p.178. (Turkish)
• Tavşancıl E. Tutumların ölçülmesi ve SPSS ile veri analizi. 5. Edition. Ankara: Nobel Akademik Yayıncılık; 2014.p.230. (Turkish)
• Özdamar K. Eğitim, sağlık ve davranış bilimlerinde ölçek ve test geliştirme yapısal eşitlik modellemesi: IBM SPSS, IBM SPSS AMOS ve MINITAB Uygulamalı. 1. Edition. Ankara: Nisan Bookstore Publications; 2016.p.286. (Turkish)
• Şencan H. Sosyal ve davranışsal ölçümlerde güvenirlilik ve geçerlilik. 1. Edition. Ankara: Seçkin Yayıncılık; 2005.p.786. (Turkish)
• Hassani L, Aghamolaei T, Ghanbarnejad A, Dadipoor S. The effect of an instructional program based on health belief model in decreasing cesarean rate among primiparous pregnant mothers. J Educ Health Promot. 2016;5:1-5. DOI:10.4103/2277-9531.184558.