Psychometric Properties of Maternal Self-Efficacy Questionnaire in a Population of Iranian Mothers

Self-efficacy is an important indicator of a woman’s successful transition to her maternal role and an important predictor of a mother’s infant care behavior. This study aimed to evaluate the validity of the maternal self-efficacy scale in Iranian mothers. This cross-sectional study was conducted on 437 newly delivered mothers who were referred to health care centers in Bonab, Iran. A simple random sampling was performed. The research instrument included maternal self-efficacy. Translation validity was performed using the forward and backward translation method. Content validity was determined in qualitative (assessment of experts’ opinions) and quantitative areas using the content validity ratio (CVR) and Content Validity Index (CVI). Face validity was determined on 30 newly delivered mothers. To determine the construct validity, exploratory factor analysis was used. The reliability was determined in terms of reproducibility via Intra-class correlation coefficient (ICC) by test–retest and internal consistency (Cronbach’s alpha). CVI and CVR were 0.91 and 0.94 respectively. Further, the reliability was approved both in terms of reproducibility (ICC = 0.98) and internal consistency (α = 0.89). Construct validity was confirmed using exploratory factor analysis (KMO = 0.90, Bartlett’s test p < 0.001) for the scale. The findings supported the validity and reliability of the research instrument. Therefore, it is recommended that the instrument can be used in both clinical practice and research.     

Research in Emergency and Critical Care Settings: Debates,Obstacles and Solutions

Research is an integral part of evidence-based practice in the emergency department and critical care unit that improves patient management. It is important to understand the need and major obstacles for conducting research in emergency settings. Herein, we review the literature for the obligations, ethics and major implications of emergency research and the associated limiting factors influencing research activities in critical care and emergency settings. We reviewed research engines such as PubMed, MEDLINE, and EMBASE for the last two decades using the key words “emergency department”, “critical care”, “research”, “consent”, and “ethics” as the search terms. Research within emergency settings is slow or non-existent due to time and financial constraints as well as the lack of a research tradition. There are several barriers to conducting research studies in emergency situations such as who, what, when, and how to obtain patient consent. The emergency environment is highly pressurized, emotional, and overburdened. The time taken for research is a particular risk that could delay the desired immediate interventions. Ethical issues abound, particularly relating to informed consent. Research in emergency settings is still in its infancy. Thus, there is a strong need for extensive research in the emergency setting through community awareness, resource management, ethics, collaborations, capacity building, and the development of a research interest for the improvement of patient care and outcomes. We need to establish a well-structured plan to assess and track the decision-making capacity, consider a multistep enrolment and consent strategy, and develop an integrated approach for recruitment into studies.     

Predictors of Health-Related Quality of Life in Iranian Women of Reproductive Age

Introduction

Quality of life, one of the major concerns of health professionals, is the main indicator for measuring health status. The present study aimed to assess the quality of life and its predictors in women of reproductive age in Tabriz (Iran).

Methods & Materials

This cross-sectional study was conducted on 532 married women of reproductive age using a two-stage cluster random sampling method. A self-administered questionnaire was used for data collection. It included questions on demographic characteristics, quality of life (SF-36), female sexual function index (FSFI), and ENRICH marital satisfaction. The general linear model in SPSS-13 was used to determine the predictors of quality of life.

Results

The mean (standard deviation, SD) score of physical and mental health was 62.2 (17.1) and 60.3 (18.5), respectively (from an attainable score range of 0–100). The highest mean (SD) score [69.5 (25.7)] was obtained for “physical functioning,” while the lowest [52.9 (24.4)] was for “role limitations due to emotional problems.” There was a significant positive correlation between the quality of life and its sub-domains with sexual function (r?=?0.15–0.33) and marital satisfaction (r?=?0.15 to 0.49). Higher sexual function and marital satisfaction, higher educational level, and no prior history of depression were predictors of physical and mental components of health-related quality of life.

Conclusion

Physical and mental components of quality of life among women were moderate. Relieving sexual problems and dysfunction and improving marital satisfaction may improve women's quality of life and help to achieve a strong family life.

     

Association of intimate partner violence with sociodemographic factors in married women: a population-based study in Iran

Intimate partner violence (IPV) is a neglected public health issue in Iran. This study was conducted among married women residing in urban Rasht (northern Iran), to estimate the prevalence and frequency of different forms of IPV from husband and their associations with socio-demographic factors. We carried out a population-based cross-sectional survey with cluster sampling design from February to October 2015. The samples consisted of married women aged ≥ 18 years with total household in Rasht city (north Iran) as the sample frame. We administered the Revised Conflict Tactics Scale (CTS-2) to estimate prevalence of past-year IPV. Of 2091 women, 57.1% had suffered psychological aggression, 27.6% physical abuse, 26.6% sexual abuse, and 6.9% injury. A significant association with IPV was found for women with, age ≤ 40 years, unemployed, low education, husband’s addiction and rented-householders. Women who experienced physical abuse, had less age at marriage than women without violence. Also women with sexual coercion had less length of marriage than other non-abused women. On logistic regression, the strongest predictor of psychological, physical and sexual abuse was unemployment of spouse, whereas for injury it was low educational level (<12 years) of women. Our findings suggest that risk of IPV is high in our population. There is an obvious need of preventive and treatment activities. Our findings point at that various forms of abuse are different from each other in terms of differing characteristics of the perpetrators and it might be that also different strategies are needed to reduce and prevent these violence. Confirmation by further research is needed.     

The Experience of Intimate Relationships Among Homosexual Men in Malaysia

Malaysia is relatively conservative regarding topics like sex, and, especially, research on homosexual relationships is scarce. The current study aims to understand the experience of intimate relationships among homosexual men in Malaysia using a phenomenological qualitative approach. A total of 12 participants of various ethnic backgrounds (between 21 and 35 years of age) were recruited through purposive and snowball sampling via the Malaysian-based LGBT-friendly Facebook group. Thematic analysis was applied for data analysis, and themes emerged through looking into the perception and practice of intimate relationships. The findings of the current study reflect that the hetero-normative perception of intimate relationships is common among the participants, and is compatible with the cultural norms. However, in terms of sexual practices, the findings show similarities with more liberal parts of the world, as open relationships and casual sex is common among homosexual men. Hence, open relationships are being adopted as a strategy to improve the survivability of the relationship instead of just to satisfy sexual needs. The findings highlight the lack of a frame of reference for homosexual relationships in Malaysia. The current study adds to the scarce research on homosexuality in this country, which could assist professional helpers to better understand the different dynamics and beliefs of relationships among homosexual men and the challenges they may face.     

The Association Between Muslim Religiosity and Young Adult College Students’ Depression,Anxiety, and Stress

Depression, anxiety, and stress are among major psychological disorders being predominant in present day. This study proposed to analyze the role of Muslim religiosity in male students showing these mental indications. A sample including 723 Pakistani young adults enrolled at college level was randomly chosen. Muslim Religiosity Measurement Scale and Depression, Anxiety and Stress Scale were utilized to gather information. Discoveries uncover an inverse relationship between conduct and affiliation with the symptoms of mental disorders, anxiety and stress among the respondents. Results bolster the incorporation of religious dimensions in psychological wellness and mental well-being thought of young adults in Pakistan.     

Willingness to Communicate Orally: The Case of Iranian EFL Learners

This study sets out to develop a questionnaire on willingness to communicate (WTC) orally specific to English as a Foreign Language setting. It also aims to investigate the effect of three independent variables of interlocutor, age and gender on the same construct of WTC orally. Exploratory factor analysis resulted in three dimensions to WTC, namely WTC with teacher, with classmate, and stranger. Also Cronbach’s alpha of .86 indicated a high internal consistency. Mixed between–within subjects analysis of variance was used to assess the impact of interlocutors, age and gender on participants’ WTC across the three WTC subscale scores. The results showed no interaction effect between any of pairs of variables but the main effect of interlocutor on WTC orally. The results are discussed in the context of language teaching and some pedagogical implications are suggested.     

Relationships of parents’ and child’s general attributional styles to academic performance

This study examined the relationships among student academic performance and child’s and parents’ attributional styles. One hundred seventy-nine students (87 boys and 92 girls) who were enrolled in primary public schools in New South Wales, Australia, and their parents volunteered to participate in the study. Only English-speaking, two-parent families were included. Participants completed age-appropriate attributional style questionnaires. Academic performance was obtained from student records of course grades. The results indicated that both mothers’ and fathers’ attributions for their own positive and negative life events were related to their children’s attributions for their academic performance. We present implications of these results for research on attributions and academic performance.     

Genetic Counseling in Southern Iran: Consanguinity and Reason for Referral

Population based genetic counseling that promotes public health goals is an appropriate health care service. The genetic counseling center in Shiraz, southern Iran serves most of the clients in the region. During a 4-year period, 2,686 couples presented for genetic counseling. Data files revealed that 85% had consanguineous relationships (1.5% double first cousin, 74% first cousin, 8% second cousin, 1.5% beyond second cousin). Most prevalent reasons for referral were premarital counseling (80%), with 89% consanguinity, followed by preconception (12%), postnatal (7%), and prenatal counseling (1%). The most common abnormalities in probands or relatives were intellectual and developmental disabilities, hearing loss/impairment, and neuromuscular dystrophies. Family history of medical problem(s) and/or consanguinity was the main indication for referral in nearly every family. Premarital consanguinity poses unique challenges and opportunities. There is considerable opportunity for genetic counseling and education for couples in this population. The tradition of consanguinity, which is likely to persist in Iran, requires multidisciplinary agreement regarding the appropriate process of genetic counseling. Effective genetic counseling in Iran hinges on inclusion of data from genetic counseling services in national genomic and epidemiologic research programs.