Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Quality of Life Questionnaire for Infertile Women with Female Factor: Development and Psychometric

In Press, (this is not the final "Version of Record"). Available online 25 January, 2024
Author(s): Zahra Kiani, Masoumeh Simbar*, Sepideh Hajian and Farid Zayeri
Published on: 25 January, 2024

Article ID: e260124226230

DOI: 10.2174/0115734048280591231221112439

Price: $95

Abstract

Background: The quality of life of infertile women is distinguished from that of men as these women face different problems at individual, social, psychological, and family levels. However, there is no tool for evaluating infertile women's quality of life.

Objective: This study aimed to develop and validate a questionnaire to evaluate infertile women's quality of life.

Methods: This was exploratory sequential research. It was performed in two phases (qualitativequantitative) on 320 infertile women who lived in Northern Iran. To confirm the validity of the questionnaire, content, face, structural, and concurrent validities were used. The reliability of the questionnaire was evaluated by assessing internal consistency and calculating Cronbach's alpha coefficient, as well as using stability assessment by test-retest and Intra-cluster correlation coefficient (ICC) calculation.

Results: Following psychometric assessment, a questionnaire was developed with 25 items in seven factors, including psychological effects, sexual life with infertility, family and social effects, infertility- related concerns, physical effects, adaptive approaches, and inhibitory factors/factors preventing adaptation), which explained 51.86% of the variance. The Cronbach's alpha coefficient and ICC of the questionnaire were 0.87 and 0.97, respectively.

Conclusion: This questionnaire with 25 items is a valid and reliable questionnaire to assess the quality of life of infertile women with the female factor that can be used to find needs for improving the client's quality of life.

[1]
Zegers-Hochschild, F.; Adamson, G.D.; Dyer, S. The international glossary on infertility and fertility care, 2017. Hum. Reprod., 2017, 32(9), 1786-1801.
[http://dx.doi.org/10.1093/humrep/dex234] [PMID: 29117321]
[2]
Zhang, X.; Guan, Q.; Yu, Q. Estimating the effects of policies on infertility prevalence worldwide. BMC Public Health, 2022, 22(1), 1378.
[http://dx.doi.org/10.1186/s12889-022-13802-9] [PMID: 35854262]
[3]
Kiani, Z.; Fakari, F.R.; Hakimzadeh, A.; Hajian, S.; Fakari, F.R.; Nasiri, M. Prevalence of depression in infertile men: A systematic review and meta-analysis. BMC Public Health, 2023, 23(1), 1972.
[http://dx.doi.org/10.1186/s12889-023-16865-4] [PMID: 37821902]
[4]
Saei Ghare Naz, M.; Ozgoli, G.; Sayehmiri, K. Prevalence of infertility in iran: A systematic review and meta-analysis. Urol. J., 2020, 17(4), 338-345.
[PMID: 32281088]
[5]
Akhondi, M.M.; Ranjbar, F.; Shirzad, M.; Behjati Ardakani, Z.; Kamali, K.; Mohammad, K. Practical difficulties in estimating the prevalence of primary infertility in Iran. Int. J. Fertil. Steril., 2019, 13(2), 113-117.
[PMID: 31037921]
[6]
Kiani, Z.; Simbar, M.; Hajian, S.; Zayeri, F. Quality of life among infertile women living in a paradox of concerns and dealing strategies: A qualitative study. Nurs. Open, 2021, 8(1), 251-261.
[http://dx.doi.org/10.1002/nop2.624] [PMID: 33318833]
[7]
Abhar Zanjani, F.; Khajeh-Mirza, V.; Seyyedi, M.; Shahabizadeh, F.; Dastjerdi, R.; Bahreinian, A. Assessment on relationship beliefs and marital burnout among fertile and infertile couples. J Fund Mental Hea, 2015, 17(2), 81-86.
[8]
Maroufizadeh, S.; Ghaheri, A.; Almasi-Hashiani, A. The prevalence of anxiety and depression among people with infertility referring to Royan Institute in Tehran, Iran: A cross-sectional questionnaire study. Middle East Fertil. Soc. J., 2018, 23(2), 103-106.
[http://dx.doi.org/10.1016/j.mefs.2017.09.003]
[9]
Hazlina, N.H.; Norhayati, M.N.; Bahari, I.S.; Arif, N.A. Worldwide prevalence, risk factors and psychological impact of infertility among women: A systematic review and meta-analysis. BMJ Open, 2022, 12(3), 057132.
[http://dx.doi.org/10.1136/bmjopen-2021-057132]
[10]
Galic, I.; Negris, O.; Warren, C.; Brown, D.; Bozen, A.; Jain, T. Disparities in access to fertility care: Who’s in and who’s out. F & S Reports, 2021, 2(1), 109-117.
[11]
Kiani, Z.; Simbar, M.; Hajian, S.; Zayeri, F. Development and psychometric evaluation of a quality of life questionnaire for infertile women: A mixed method study. Reprod. Health, 2020, 17(1), 140.
[http://dx.doi.org/10.1186/s12978-020-00988-7] [PMID: 32912240]
[12]
Kiani, Z.; Simbar, M. Infertility’s hidden and evident dimensions: A concern requiring special attention in iranian society. Iran. J. Public Health, 2019, 48(11), 2114-2115.
[PMID: 31970121]
[13]
Taebi, M.; Kariman, N.; Montazeri, A.; Alavi Majd, H. Infertility stigma: A qualitative study on feelings and experiences of infertile women. Int. J. Fertil. Steril., 2021, 15(3), 189-196.
[PMID: 34155865]
[14]
Taebi, M.; Ebadi, A.; Ozgoli, G.; Kariman, N. Translation and psychometric evaluation of the infertility stigma consciousness questionnaire. Majallah-i Danishkadah-i Pizishki-i Isfahan, 2019, 36(506), 1457-1462.
[15]
Gerrits, T.; Van Rooij, F.; Esho, T. Infertility in the global south: Raising awareness and generating insights for policy and practice. Facts Views Vis. ObGyn, 2017, 9(1), 39-44.
[PMID: 28721183]
[16]
Kiani, Z.; Simbar, M.; Hajian, S.; Zayeri, F. RashidiFakari F, Chimeh FJ. Investigating different dimensions of infertile women’s quality of life: A descriptive cross-sectional study. BMC Public Health, 2022, 22(1), 2436.
[http://dx.doi.org/10.1186/s12889-022-14924-w] [PMID: 34983455]
[17]
Kiani, Z.; Simbar, M.; Hajian, S. The prevalence of anxiety symptoms in infertile women: A systematic review and meta-analysis. Fertil. Res. Pract., 2020, 6(1), 7.
[http://dx.doi.org/10.1186/s40738-020-00076-1] [PMID: 32313665]
[18]
A A A, Ahmed M, Oladokun A. Prevalence of infertility in Sudan: A systematic review and meta-analysis. Qatar Med. J., 2021, 2021(3), 47.
[http://dx.doi.org/10.5339/qmj.2021.47] [PMID: 34650907]
[19]
Chachamovich, J.R.; Chachamovich, E.; Ezer, H.; Fleck, M.P.; Knauth, D.; Passos, E.P. Investigating quality of life and health-related quality of life in infertility: A systematic review. J. Psychosom. Obstet. Gynaecol., 2010, 31(2), 101-110.
[http://dx.doi.org/10.3109/0167482X.2010.481337] [PMID: 20443659]
[20]
Ashraf, D.M.; Ali, D.; Azadeh, D.M. Effect of infertility on sexual function: A cross-sectional study. J. Clin. Diagn. Res., 2015, 9(5), QC01-QC03.
[PMID: 26155520]
[21]
The Whoqol Group. The world health organization quality of life assessment (WHOQOL): Development and general psychometric properties. Soc. Sci. Med., 1998, 46(12), 1569-1585.
[http://dx.doi.org/10.1016/S0277-9536(98)00009-4] [PMID: 9672396]
[22]
Goker, A.; Yanikkerem, E.; Birge, O.; Kuscu, N.K. Quality of life in Turkish infertile couples and related factors. Hum. Fertil., 2018, 21(3), 195-203.
[http://dx.doi.org/10.1080/14647273.2017.1322223] [PMID: 28521566]
[23]
Namdar, A.; Naghizadeh, M.M.; Zamani, M.; Yaghmaei, F.; Sameni, M.H. Quality of life and general health of infertile women. Health Qual. Life Outcomes, 2017, 15(1), 139.
[http://dx.doi.org/10.1186/s12955-017-0712-y] [PMID: 28701163]
[24]
Madero, S.; Gameiro, S. GarcA-a D, Cirera D, Vassena R, RodrA-guez A. Quality of life, anxiety and depression of German, Italian and French couples undergoing cross-border oocyte donation in Spain. Hum. Reprod., 2017, 32(9), 1862-1870.
[http://dx.doi.org/10.1093/humrep/dex247] [PMID: 28854722]
[25]
Fadaei, M.; Damghanian, M.; Rahimi-Kian, F.; Tehrani, E.S.N.; Mehran, A. The effect of educating based on continuous care model on the infertility treatment related quality of life. Nursing Practice Today, 2016, 3(3), 81-90.
[26]
Yaghmaei, F.; Mohammadi, S.; Majd, H.A. Developing “quality of life in infertile couples questionnaire” and measuring its psychometric properties. J. Reprod. Infertil., 2009, 10(2)
[27]
Boivin, J.; Takefman, J.; Braverman, A. The fertility quality of life (FertiQoL) tool: Development and general psychometric properties. Hum. Reprod., 2011, 26(8), 2084-2091.
[http://dx.doi.org/10.1093/humrep/der171] [PMID: 21665875]
[28]
Pour, T.H. The effect of cognitive behavioural therapy on anxiety in infertile women. Eur. J. Exp. Biol., 2014, 4(1), 415-419.
[29]
Organization, W.H. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996; World Health Organization, 1996.
[30]
Ware, J.E., Jr; Sherbourne, C.D. The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection. Med. Care, 1992, 30(6), 473-483.
[http://dx.doi.org/10.1097/00005650-199206000-00002] [PMID: 1593914]
[31]
Streiner, D.L.; Norman, G.R.; Cairney, J. Health measurement scales: a practical guide to their development and use; Oxford University Press: USA, 2015.
[http://dx.doi.org/10.1093/med/9780199685219.001.0001]
[32]
Creswell, J.W.; Clark, V.L.P. Designing and conducting mixed methods research; Sage publications, 2019.
[33]
Campbell, S.; Greenwood, M.; Prior, S. Purposive sampling: Complex or simple? Research case examples. J. Res. Nurs., 2020, 25(8), 652-661.
[http://dx.doi.org/10.1177/1744987120927206] [PMID: 34394687]
[34]
Speziale, H.S.; Streubert, H.J.; Carpenter, D.R. Qualitative research in nursing: Advancing the humanistic imperative; Lippincott Williams & Wilkins, 2011.
[35]
Strauss, A.; Corbin, J. Basics of qualitative research techniques. In: In: Techniques and Procedures for Developing Grounded Theory; SAGE Publications, Inc: USA, 2018.
[36]
Polit, D.; Beck, C. Study guide for essentials of nursing research: appraising evidence for nursing practice; Lippincott Williams & Wilkins, 2020.
[37]
Waltz, C.; Strickland, O.; Lenz, E. Measurement in nursing and health research; Springer Publishing Company: New York, US, 2010, pp. 87-89.
[38]
Lawshe, C.H. A quantitative approach to content validity 1. Person. Psychol., 1975, 28(4), 563-575.
[http://dx.doi.org/10.1111/j.1744-6570.1975.tb01393.x]
[39]
Thi Xuan Hanh, V.; Guillemin, F.; Dinh Cong, D Health related quality of life of adolescents in Vietnam: cross-cultural adaptation and validation of the Adolescent Duke Health Profile. J Adolesc, 2005, 28(1), 127-46.
[http://dx.doi.org/10.1016/j.adolescence.2003.11.016] [PMID: 15683639]
[40]
Awad, A.G.; Voruganti, L.N.P. Body weight, image and self-esteem evaluation questionnaire: Development and validation of a new scale. Schizophr. Res., 2004, 70(1), 63-67.
[http://dx.doi.org/10.1016/j.schres.2003.12.004] [PMID: 15246465]
[41]
Polit, D.F.; Beck, C.T.; Owen, S.V. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res. Nurs. Health, 2007, 30(4), 459-467.
[http://dx.doi.org/10.1002/nur.20199] [PMID: 17654487]
[42]
Polit, D.F.; Yang, F. Measurement and the measurement of change: a primer for the health professions; Wolters Kluwer Philadelphia: PA, 2017.
[43]
DiIorio, C.K. Measurement in health behavior: methods for research and evaluation; John Wiley Sons, 2016.
[44]
Rattray, J.; Jones, M.C. Essential elements of questionnaire design and development. J. Clin. Nurs., 2007, 16(2), 234-243.
[http://dx.doi.org/10.1111/j.1365-2702.2006.01573.x] [PMID: 17239058]
[45]
Nemoto, T.; Beglar, D. Likert-scale questionnaires. JALT 2013 conference proceedings2014.
[46]
Munro, BH Statistical methods for health care research: lippincott williams wilkins. Philadelphia • Baltimore • New York • London Buenos Aires • Hong Kong • Sydney • Tokyo: A Wollen Kluwer Company 2015.
[47]
Campbell, D.T.; Fiske, D.W. Convergent and discriminant validation by the multitrait-multimethod matrix. Psychol. Bull., 1959, 56(2), 81-105.
[http://dx.doi.org/10.1037/h0046016] [PMID: 13634291]
[48]
Yaghmaei, F.; Mohammadi, S.; Alavi Majd, H. Developing and measuring psychometric properties of “quality of life questionnaire in infertile couples”. Int. J. Community Based Nurs. Midwifery, 2013, 1(4), 238-245.
[49]
Mousavi, S.S.; Hasanpoor Azghady, S.B. Psychological Wellbeing in Iranian Infertile Women: A Review of the Studies in Iran. Iran J. Nurs., 2019, 32(117), 45-57.
[http://dx.doi.org/10.29252/ijn.32.117.45]
[50]
Akyaoz, A.; Gaorhan, N.; Bakir, B. Development and validation of an infertility distress scale for Turkish women. Turk Silahli Kuvvetleri Koruyucu Hekim. Bul., 2018, 7(6), 469-476.
[51]
Bernstein, J.; Potts, N.; Mattox, J.H. Assessment of psychological dysfunction associated with infertility. J. Obstet. Gynecol. Neonatal Nurs., 1985, 14(6)(Suppl.), S63-S66.
[http://dx.doi.org/10.1111/j.1552-6909.1985.tb02803.x] [PMID: 3852872]
[52]
Newton, C.R.; Sherrard, W.; Glavac, I. The fertility problem inventory: Measuring perceived infertility-related stress. Fertil. Steril., 1999, 72(1), 54-62.
[http://dx.doi.org/10.1016/S0015-0282(99)00164-8] [PMID: 10428148]
[53]
Verhaak, C.M.; Smeenk, J.M.J.; Evers, A.W.M.; van Minnen, A.; Kremer, J.A.M.; Kraaimaat, F.W. Predicting emotional response to unsuccessful fertility treatment: A prospective study. J. Behav. Med., 2005, 28(2), 181-190.
[http://dx.doi.org/10.1007/s10865-005-3667-0] [PMID: 15957573]

Rights & Permissions Print Cite
© 2025 Bentham Science Publishers | Privacy Policy