The psychometric properties of the respectful maternity care (RMC) for an Iranian population

Journal article


Hajizadeh, Khadije, Asghari Jafarabadi, Mohammad, Vaezi, Maryam, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). The psychometric properties of the respectful maternity care (RMC) for an Iranian population. BMC Health Services Research. 20(1), pp. 1-7. https://doi.org/10.1186/s12913-020-05729-x
AuthorsHajizadeh, Khadije, Asghari Jafarabadi, Mohammad, Vaezi, Maryam, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh and Mirghafourvand, Mojgan
Abstract

Background: The absence of Respectful Maternity Care (RMC) deters mothers from seeking maternity care services. Given the importance of RMC and the lack of a standard tool for its assessment in Iran, the present study was conducted to translate and assess the psychometric properties of the RMC questionnaire in Iranian women.

Methods: Forward-backward method was used for translating the questionnaire from English into Persian. A total of 265 postpartum women entered the study by simple random sampling from public and private hospitals in Tabriz, Iran. The validity of the questionnaire was confirmed through the face, content and construct validity. Construct validity was assessed through exploratory and confirmatory factor analyses. The internal consistency and test-retest reliability were used to confirm the reliability of the questionnaire. Internal consistency was examined by measuring the Cronbach's alpha in a sample of 20 mothers, and test-retest stability by calculating the Intraclass Correlation Coefficient (ICC) in the same group of mothers, who had completed the questionnaire twice with a two-week interval.

Results: The exploratory factor analysis led to the extraction of one factor. Item 12 was eliminated due to its low factor loading. X2/df was less than 5, and RMSEA was less than 0.08, which confirms the validity of this model. The Cronbach's alpha coefficient was obtained as 0.93 and ICC (with 95% confidence interval) as 0.98 (0.96 to 0.99).

Conclusion: The results of the study demonstrated that the Iranian RMC scale can be used as a valid and reliable instrument to assess RMC in Iran.

KeywordsIran; Maternity care; Psychometric; Reliability; Respectful; Validity
Year01 Jan 2020
JournalBMC Health Services Research
Journal citation20 (1), pp. 1-7
PublisherBioMed Central
ISSN1472-6963
Digital Object Identifier (DOI)https://doi.org/10.1186/s12913-020-05729-x
PubMed ID32962715
PubMed Central IDPMC7510070
Web address (URL)https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05729-x
Open accessPublished as green open access
Research or scholarlyResearch
Page range1-7
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Output statusPublished
Publication dates
Print22 Sep 2020
Publication process dates
Accepted09 Sep 2020
Deposited11 Jan 2023
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© The Author(s). 2020
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

This Study was funded by Vice-chancellor for Research of Tabriz University of Medical Sciences. Funding source has not any role in the design of the study and collection, analysis and interpretation of data.
IR.TBZMED.REC.1398.202/Tabriz University of Medical Sciences

Place of publicationUnited Kingdom
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Hadian, Tahereh, Mousavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol. Reproductive Health. 16(1), p. Article 45. https://doi.org/10.1186/s12978-019-0719-4
The role of editors and reviewers [Editorial]
Stulz, Virginia, Meedya, Shahla and Sweet, Linda. (2019). The role of editors and reviewers [Editorial] Elsevier Ltd. https://doi.org/10.1016/j.wombi.2019.04.009
Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study
Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study. BMC Pregnancy and Childbirth. 19(1), pp. 1-9. https://doi.org/10.1186/s12884-019-2333-4
Exercise and dementia in nursing homes : Views of staff and family carers
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2018). Exercise and dementia in nursing homes : Views of staff and family carers. Journal of Aging and Physical Activity. 26(1), pp. 89-96. https://doi.org/10.1123/japa.2016-0368
Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary]
Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800
Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period
Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286
Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955
Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138
The health and health preparation of long-term Australian travellers
Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138
The Milky Way educational and support programme : Structure, content and strategies
Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006