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The Development and Validation of Sexual Health Education Needs Assessment Questionnaire of Iranian Engaged couples

Masoumeh Simbar, Zahra Bostani khalesi, Seyed Ali Azin

Background: Knowledge about sexual health is one of the basic needs of young couples. The present study aimed to develop and validate the Sexual Health Education Needs Assessment Questionnaire (SHENAQ). Materials and Methods: This study was a sequential explorato­ry mixed method. In the qualitative phase, In-depth interviews were conducted with 38 en­gaged and married men and women and 9 key informants. After a literature review, in the quantitative phase, validity properties of the SHENAQ were assessed. Results: Sexual health education needs consists of 4 themes “Suitable content for education “,” Characteristics of competent educators”, “Appropriate technologies in education” and” Educational convenient features”. The content validity ratio (CVR) and content validity index (CVI) of the instrument were 0.91 and0.83 respectively. SHENAQ was designed with 46 items. The instrument’s in­ternal consistency was confirmed by alpha coefficient 0.863 and stability assessment through the test-retest was 0.824. Conclusion: SHENAQ is culturally sensitive with satisfactory va­lidity and reliability and could be used to increase the effectiveness of premarital education. [GMJ.2017;6(4):302-11] DOI: 10.22086/gmj.v6i4.854

Sex Education, Reproductive Health, Scale Development, Scale Validation

Public Health Agency of Canada. Canadian Sexual Health Indicators Survey—pilot test and validation phase: a report on results from the pilot-testing and validation of the Canadian Sexual Health Indicators Survey. Ottawa (Ontario): Public Health Agency of Canada; 2012.

World Health Organization. Defining sexual health: Report of a technical consultation on sexual health. Geneva, Switzerland: World Health Organization; 2002. Cited March 28, 2007. Available at:

The World Bank. Adolescent fertility rate (births per 1,000 women ages 15- 19). 2014. Available from: http://dataworldbankorg/indicator/SP.

World Health Organization. Measuring sexual health: Conceptual and practical considerations and related indicators. Geneva, Switzerland: World Health Organization; 2010.

Bostani Khalesi Z, Simbar M, Azin SA, Zayeri F. Public sexual health promotion interventions and strategies: A qualitative study. Electron Physician. 2016; 8(6):2489-96.

Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: results from a national probability participants of men and women ages 14-94. J Sex Med. 2010; 7 Suppl 5:255-65.

Javadnoori M, Roudsari RL, Hasanpour M, Hazavehei SMM, Taghipour A. Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: A qualitative content analysis. Iran J Nurs Midwifery Res. 2012; 17(7):539-46.

Bostani Khalesi Z, Ghanbari Khanghah A. Perception and experience of married women of reproductive age about the importance of sexual health education: A content analysis study. IJOGI. 2015;18(172):7-17. [In Persian]

Geshtasbi A, Azin SA. Sexual education programs, necessity and moral considerations. Iran J Med Ethic History. 2012; 5(2):1-19. [In Persian]

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(3):365-9.

Khaleghinejad K, Abbaspour Z, Afshari P, Attari Y, Rasekh A. Educational needs in premarital counseling: Viewpoints of couples referring to health care centers in Mashhad. Iran J Med Educ. 2009; 8(2):247-52. [In Persian]

Pourmarzi D, Rimaz S, Merghati Khoei E. Sexual and Reproductive Health Educational Needs in Engaged Couples in Tehran. Sex Res Social Policy. 2014;11(3):225-32.

Glanz K, Rimer K, Viswanath K. Health Behavior and Health Education, Theory, Research and Practice. 5th edition San Francisco. 2015.

Bostani Khalesi Z, Simbar Masoume. Challenges of Premarital Education Program in Iran. J Holist Nurs Midwifery. 2017;27(1):9-18.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-12.

Guba E, Lincoln Y. Fourth generation evaluation. Newbury Park, CA: Sage, 1989.

Waltz CF BR. Nursing research: design, statistics, and computer analysis. Philadelphia, PA: FA Davis Co; . 1981.

Hyrkäs K, Appelqvist-Schmidlechner K, Oksa. Validating an instrument for clinical supervision using an expert panel. Int J Nurs Stud. 2003; 40(6):619-25.

Munro BH. Statistical methods for health care research. 7th edition Philadelphia: Lippincott, Williams & Wilkins; 2016.

Burns N, Grove SK. Understanding nursing research. W B Saunders Co, Philadelphia, Pennsylvania, U.S.A., 2013; 5th edition.

Creswell J CV, Creswell J W, Plano Clark V L. Designing and Conducting Mixed Methods Research 2011; 2th edition. Los Angeles, CA: SAGE Publications.

Lee J. Cronbach. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334.

Shahhosseini Z, Simbar M, Ramezankhani A, Alavi Majd H. An inventory for assessment of the health needs of Iranian female adolescents. East Mediterr Health J. 2012;18(8):850-6.

Zare E, Simbar M, Shahhosseini Z, Alavi Majd H. Design and Psychometric Properties of Male Adolescent Health Needs-Assessment Scale. IJCBNM. 2016;4(4):297-308.

Rubio DM, Berg-Weger M, Tebb SS, Lee ES, Rauch S. Objectifying content validity: conducting a content validity study in social work Research. Psycho J. 2003; 27:94–104.

Linn R, Gronlund N. Measurement and Teaching in Assessment. 2000, 8th ed, New Jersey: Prentice Hall


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