Testing Psychometrics of Healthcare Empowerment Questionnaires (HCEQ) among Iranian Reproductive Age Women Persian Version
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Abstract
BACKGROUND: Producing high quality data needs an accuratemeasurement in any fields of study. This study aimed to testpsychometrics of the Persian version Healthcare EmpowermentQuestionnaire (HCEQ) in relation to personal care among Iranianreproductive age women and to validate the instrument for futureuse.METHODS: A cross-sectional study was conducted on 549reproductive age women in a health centers affiliated to TehranUniversity of Medical Sciences producing a response rate of 100%.Content validity was established using translation and back -translation procedures, pilot testing, and getting views of expertpanel. Construct validity was measured using explanatory factoranalysis. Cronbach’s alpha was used to measure internalconsistency, and intra-class correlation coefficients were used toconfirm stability.RESULTS: The results indicated that explanatory factor analysisof 10 items in three dimensions explained 63.2% of the totalvariance. Validity and reliability of the 10-items of HCEQ with tworesponse scales (perception of control and motivation of beingempowered) assessed for internal quality showed the reliability ofinternal consistency (α=0.70; range=0.62-0.76). The correlationbetween convert (10 items) and apparent (3 factors) variables was0.5 times higher than the revealed convergent validity.CONCLUSION: The findings of this study supported the reliabilityand validity of the Persian version of HCEQ to assess the degree ofindividual empowerment in relation to personal healthcare andservices among reproductive age women. Therefore, the HCEQ-Persian version could be a useful, comprehensive, and culturallysensitive scale for assessing healthcare empowerment amongreproductive age women.