Psychometrics properties of the Iranian version of fertility quality of life tool: a cross- sectional study

Hekmatzadeh, Seyedeh Fatemeh, Bazarganipour, Fatemah, Hosseini, Nazafarin, Allan, Helen T. ORCID logoORCID:, Jalali, Somayeh, Abbasian, Zahra, Barani, Akhram, Balochi, Fereshteh, Khademi, Saeideh, Mahmoudi, Tahereh, Niknam, Roghayeh, Khashavi, Zahra and Taghavi, Seyed-Abdolvahab (2018) Psychometrics properties of the Iranian version of fertility quality of life tool: a cross- sectional study. International Journal of Reproductive BioMedicine, 16 (3) . pp. 191-198. ISSN 2476-4108 [Article] (doi:10.29252/ijrm.16.3.191)

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Background: Clinical measurement of quality of life for assessing reproductive problems should be considered as a standard investigation at the initial and continuing medical consultations with infertile people.

Objective: The purpose of this study was comprehensive testing the psychometric properties of the Iranian version of fertility quality of life (FertiQol) as its use could be considerable due to the prevalence of infertility in Iran and the importance of evaluation of QoL in patients with infertility.

Method and material: This was a psychometric properties study of 300 women referred to infertility clinic, Hormozgan, Iran. After linguistic validation of the Iranian version of MPCOSQ, a semi-structured interview was conducted to assess face validity. Consequently exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to indicate the scale constructs. Discriminant validity was assessed using the known groups comparison. Convergent validity was evaluated by assessing the correlation between similar content on the 12-Item Short Form Health Survey, Hospital Anxiety and Depression Scale and FertiQol. In addition, reliability analysis was carried out with internal consistency.

Results: The reliability of the Iranian version of the FertiQol questionnaire was satisfactory in all dimensions (Cronbach’s alpha ranging from 0.77 to 0.83 ). Six factors (emotional, mind/body, relational, social, environmental and tolerability) were extracted from the results of EFA with factor loading of the more than 0.3. Discrimination validity showed that FertiQol can differentiate between female patients with differing duration of infertility and number of children; this indicates favorable discrimination validity. Moreover, the results of convergent validity showed a favorable correlation between the related dimensions of 12-Item Short Form Health Survey (correlation ranging from 0.43 to 0.68 ), Hospital Anxiety and Depression Scale(correlation ranging from 0.47 to 0.52 ) and FertiQol.

Conclusion: The Iranian version of FertiQol is valid and reliable for assessing infertility problems and the effects of treatment on quality of life of infertile patients referred for diagnosis and treatment at an Iranian infertility clinic. The clinical use of this measure is recommended for Iranian infertility clinics.

Item Type: Article
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 22989
Notes on copyright: Copyright Policy ( This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
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Depositing User: Helen Allan
Date Deposited: 21 Nov 2017 11:53
Last Modified: 29 Nov 2022 20:09

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