The psychometric properties of the respectful maternity care (RMC) for an Iranian population
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(2020) 20:894
RESEARCH ARTICLE
Open Access
The psychometric properties of the respectful maternity care (RMC) for an Iranian population Khadije Hajizadeh1, Mohammad Asghari Jafarabadi2, Maryam Vaezi3, Shahla Meedya4, Sakineh Mohammad-Alizadeh-Charandabi5 and Mojgan Mirghafourvand6*
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. Keywords: Respectful, Maternity care, Validity, Reliability, Psychometric, Iran
Background Maternal and neonatal health is one of the high priorities for the World Health Organization to reduce maternal mortality and morbidity. Having a skilled birth attendant (SBA) is part of maternal mortality prevention programs [1]. According to the UNICEF reports, only 68% of all women worldwide have an SBA during * Correspondence: [email protected] 6 Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Full list of author information is available at the end of the article
childbirth. In developed countries, nearly all women have access to SBAs before and during childbirth and in the postpartum period, while only 55% of women have access to SBAs in developing countries [2, 3]. According to sustainable development goal three, a key strategy for reducing the high rate of maternal and neonatal morbidity and mortality is to increase deliveries by SBAs [4]. However, mistreatment of patients by healthcare personnel is an issue has been reported in both highand low-income countries [5]. Women’s sa
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