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An inventory for assessment of the health needs of Iranian female adolescents.

Health needs assessment is a first step to planning adolescent health programmes but it needs to be socioculturally relevant to the target population. This study aimed to develop an instrument to assess the health needs of Iranian female adolescents and evaluate its psychometric properties. Content...

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Publicado en:Eastern Mediterranean Health Journal Vol. 18; no. 8; pp. 850 - 857
Autores principales: Shahhosseini, Z., Simbar, M., Ramezankhani, A., Majd, H. A.
Formato: research tables/charts Journal Article
Publicado: World Health Organization Aug2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: An inventory for assessment of the health needs of Iranian female adolescents.
      aug:
        au:
          Shahhosseini, Z.
          Simbar, M.
          Ramezankhani, A.
          Majd, H. A.
        affil: Department of Midwifery, Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, Islamic Republic of Iran.
      sug:
        subj:
          Health Services Needs and Demand Evaluation
          Iran
          Human
          Female
          Adolescence
          Psychometrics
          Focus Groups
          Descriptive Statistics
          Data Analysis Software
          Content Analysis
          Interviews
          Thematic Analysis
          Content Validity
          Factor Analysis
          Instrument Validation
          Coefficient alpha
          Test-Retest Reliability
          Intraclass Correlation Coefficient
          Questionnaires
          Cultural Competence
          Methodological Research
          Multimethod Studies
          Exploratory Research
          Adolescent Psychology
          Cluster Sample
          Midwives
          Audiorecording
          Field Notes
          Reliability and Validity
          Purposive Sample
          Summated Rating Scaling
          Wilcoxon Rank Sum Test
          Funding Source
          Adolescent: 13-18 years
          Female
      ab:
        Health needs assessment is a first step to planning adolescent health programmes but it needs to be socioculturally relevant to the target population. This study aimed to develop an instrument to assess the health needs of Iranian female adolescents and evaluate its psychometric properties. Content analysis was applied to explore the health needs of female adolescents through focus group discussions with adolescents and in-depth interviews with key informants. Five themes were identified: educational needs, and emotional, social, physical and spiritual health needs. A scale-level content validity index of 0.92 was obtained. The factor structure was identified by principal component analysis; 5 factors were extracted which accounted for 44.89% of the variance. Reliability of the instrument was demonstrated with a Cronbach alpha of 0.90 for the entire scale. Consistency was established with test-retest reliability with an interval of 2 weeks (intracluster correlation coefficient = 0.984, P < 0.001). There was a negative correlation with the Pediatric Quality of Life Inventory (r = -0.66, P < 0.001). The instrument is culturally sensitive with satisfactory validity and reliability and could be used for planning of adolescent health services.
        L'évaluation des besoins sanitaires est la première étape vers des programmes de santé de l'adolescent. Toutefois, ces programmes doivent être socialement et culturellement adaptés à la population ciblée. La présente étude visait à mettre au point un instrument d'évaluation des besoins sanitaires des adolescentes iraniennes et à en mesurer ses propriétés psychométriques. Une analyse de contenu a été menée sur les besoins sanitaires des adolescentes au moyen de groupes de discussions thématiques avec ces dernières et d'entretiens approfondis avec des informateurs clés. Cinq thèmes ont été dégagés : les besoins en matière d'éducation, et les besoins sanitaires d'ordre émotionnel, social, physique et spirituel. Un indice de validité de contenu de l'échelle de 0,92 a été obtenu. La structure factorielle a été identifiée par une analyse des composantes principales ; cinq facteurs ont été extraits, représentant 44,89 % de la variance. La fiabilité de l'instrument a été démontrée par un coefficient alpha de Cronbach de 0,90 pour l'ensemble de l'échelle. La cohérence a été établie à l'aide de la fiabilité de test-retest à deux semaines d'intervalle (coefficient de corrélation dans les groupes = 0,984, P < 0,001). Il existait une corrélation négative avec le Pediatric Quality of Life Inventory (r = -0,66, P < 0,001). L'instrument est culturellement adapté, doté d'une validité et d'une fiabilité satisfaisantes et peut être utilisé pour la programmation de services sanitaires dédiés aux adolescentes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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