Validation of A Pregnancy Planning Measure for Arabic-Speaking Women. Open Access

Almaghaslah, Eman (2017)

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Background: The planning status of pregnancy has been widely evaluated, but less in Arabic speaking countries. In particular, The London Measure of Unplanned Pregnancy (LMUP) has been applied and validated in many regions and languages, but not to Arabic.

Objective: To conduct a psychometric evaluation study of the Arabic version of the London Measure of Unplanned Pregnancy (LMUP).

Methods: We conducted a self-administered online survey that included 796 ever-married Saudi women aged 20-49 years. We evaluated the psychometric properties including content validity using the content validity index (CVI), structural validity using exploratory factor analysis (EFA), and substantive validity using hypothesis testing, contextual stability for the test-retest using weighted Kappa, and internal consistency using by Cronbach's alpha.

Results: The Arabic LMUP version psychometric analysis exhibited valid and reliable properties. The CVIs for individual items and at scale level were > 0.7. EFA confirmed a unidimensional extraction of the scale item. Hypothesis testing confirmed expected associations. The tool was stable with weighted kappa = 0.78, and Cronbach's alpha = 0.88.

Conclusion and recommendations: In this study, the validity and reliability of the Arabic version of the LMUP were confirmed according to internationally-accepted psychometric criteria. This LMUP version can be used in research studies among Arabic-speaking women to measure unplanned pregnancy and investigate correlates and outcomes related to pregnancy planning.

Table of Contents

Abstract III

Acknowledgments. V

Table of Contents. VI

List of Figures. VII

List of Tables. VII

List of Abbreviations. VIII

List of Appendixes. IX

Chapter 1. Introduction. 1

1.1 Background of the Problem.. 1

1.2 Statement of the Problem.. 2

1.3 Statement of Purpose. 3

1.4 Significance Statement 4

1.5 Terms and Definitions. 4

Chapter 2. Literature Review.. 5

2.1 Introduction. 5

2.2 Maternal Negative Outcomes and Economic Cost of Unintended Pregnancy. 5

2.3 Infant negative outcomes. 8

2.4 Correlates and Risk Factors of Unintended Pregnancy. 9

2.5 Pregnancy Planning/Intention Tools. 10

2.6 London Measure of Unplanned Pregnancy (LMUP) construction and implementation. 12

2.7 Items of LMUP. 13

2.8 Unplanned pregnancy in Saudi Arabia. 17

Chapter 3. A- Methodology. 18

3.1 Introduction. 18

3.2 Population and sample 
. 18

3.3 Research design. 19

3.4 Instrument 19

3.5 Procedures. 20

3.6 Validity assessment and statistical analysis. 23

Chapter 3. B- Results. 27

Pilot, main sample and retest sample characteristics: 27

LMUP Score. 27

Validity Measures. 29

Chapter 4 Findings. 33

Discussion. 33

Conclusion and Recommendations. 39

References. 42

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