Highlights
- •The scale consists of 18 items and 4 subscales.
- •A highly reliable scale was developed.
- •Validity and reliability studies can be conducted in various languages.
- •Knowledge of preconception care affects the health behaviours of women positively in this period.
Abstract
Objectives
This study aims to develop a health behaviour scale for the preconception period and
assess the preconception health behaviours of women who have applied to the municipality
for marriage and are planning a pregnancy within a year.
Method
This is a methodological and descriptive study. While the exploratory and confirmatory
factor analysis, the test-retest method and Cronbach’s alpha internal consistency
methods were used for data analysis in the methodological stage. The Mann-Whitney
U test and Kruskal-Wallis test were used in the descriptive stage. Statistical significance
was accepted as p < 0.05. In total, 260 women were enrolled in the study during the
scale development stage. Upon completion of the scale development stage, for the evaluation
of preconception health behaviours was conducted with 331 women who were planning
pregnancy within one year.
Results
The Preconception Health Behaviours Scale consists of 18 items and 4 subscales. The
Cronbach’s alpha value was 0.867. The subscales “Preparation”, “Coping Skills”, “High-Risk
Behaviours” and “Nutrition and Sleep” were found to be reliable. The mean score obtained
from the scale was 29.50 ± 6.57. It was determined that level of education and level
of knowledge on preconception care affected the preconception health behaviours of
the women who have applied for marriage.
Conclusion
The Preconception Health Behaviours Scale is valid and highly reliable. Furthermore,
a high level of education and high knowledge on preconception care affect preconception
health behaviours positively.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Obstetrics and Gynecology and Reproductive BiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Preconception care to reduce maternal and childhood mortality and morbidity: policy brief.in: No. WHO/FWC/MCA/13.02.. World Health Organization, 2013
- Development and validation of preconception care improvement scale (PCIS) in a resource-limited setting.BMC Pregnancy Childb. 2022; 22: 1-12
- Preconception care.Aust J Gen Pract. 2018; 47: 424-429
- Barriers and facilitators to the provision of preconception care by healthcare providers: a systematic review.Int J Nurs Stud. 2018; 87: 113-130
- Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health.Lancet. 2018; 391: 1830-1841
- Women’s knowledge and associated factors in preconception care in adet, west gojjam, northwest Ethiopia: a community based cross sectional study.Reprod Health. 2017; 14: 15
- Güvenli Annelik Eğitim ve Danışmanlık Beceri Rehberi.Nobel Tıp Kitabevleri, Istanbul2016
- Improving preconception health and care: a situation analysis.BMC Health Serv Res. 2017; 17: 595
- The future of preconception care: a clinical perspective.Womens Health Issues. 2008; 18: S19-S25
- Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom.Eur J Contracept Reprod Health Care. 2015; 20: 77-87
- Prekonsepsiyonel Sağlık Hizmetleri.Turkiye Klinikleri J Obstet Womens Health Dis Nurs-Special Topics. 2017; 3: 204-412
- Üreme çağındaki bireylerde prekonsepsiyonel beslenme.Int Peer-Reviewed J Nutr Res. 2018; 5: 79-105
- Women’s knowledge and associated factors on preconception care at Public Health Institution in Hawassa City, South Ethiopia.BMC Res Notes. 2018; 11: 841
- Preconception care for women with type 2 diabetes mellitus: a mixed-methods study of provider knowledge and practice.Diabetes Res Clin Pract. 2017; 129: 105-115
- The effect of a preconception care outreach strategy: the Healthy Pregnancy 4 All study.BMC Health Serv Res. 2019; 19: 60
- Preconception health behaviors associated with pregnancy planning status among Brazilian women.Rev Esc Enferm USP. 2016; 50: 208-216
- Development of preconception health behavior scale.Korean J Women Health Nurs. 2019; 25: 31-45
- Measurement of preconception health knowledge: a systematic review.Am J Health Promot. 2019; 33: 941-954
- Validation of an internet questionnaire for risk assessment in preconception care.Public Health Genomics. 2010; 13: 89-94
- The behavior-attitude relationship and satisfaction in proenvironmental behavior.Environ Behav. 2019; 51: 1106-1132
- Preconceptional care: a systematic review of the current situation and recommendations for the future.Facts Views Vis Obgyn. 2013; 5: 13-25
- Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health.Reprod Health. 2014; 11: S1
- Reproductive health policy in China: a study of preconception care in rural China.Int J Womens Health Reprod Sci. 2015; 3: 13-20
- Effect of women’s nutrition before and during early pregnancy on maternal and infant outcomes: a systematic review.Paediatr Perinat Epidemiol. 2012; 26: 285-301
- Pre-pregnancy body mass index and gestational weight gain and their effects on pregnancy and birth outcomes: a cohort study in West Sumatra, Indonesia.BMC Womens Health. 2017; 17: 102
- The practice of nursing research: conduct, critique, and utilization.3rd ed. W.B. Saunders Company, Philadelphia1997
- Tutumların Ölçülmesi ve SPSS ile Veri Analizi. Nobel Yayıncılık, Ankara2010
- Sosyal Bilimler için Veri Analizi El Kitabı.Pegem A Yayıncılık, Ankara2007
- Leuven Kemoterapi Hasta Bilgi Ölçeğinin Türkçe Geçerlik ve Güvenirliğinin Değerlendirilmesi.Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2020; 7: 232-239
- Psychometric properties in instruments evaluation of reliability and validity.Epidemiol Serv Saude. 2017; 26: 649-659
- Preconception health behaviors and associated factors of Bhutanese pregnant women attending antenatal care clinic of national referral hospital.Thai Pharm Health Sci J. 2017; 12: 45-56
- Knowledge of preconception healthcare and associated factors: a study among mothers in Jinka Town, Southern Region, Ethiopia.ScientificWorldJournal. 2021; 2021: 7529805
- Preconception health behaviors among women with planned pregnancies.Rev Bras Enferm. 2019; 72: 17-24
- A systematic review of factors utilized in preconception health behavior research.Health Educ Behav. 2011; 38: 603-616
Article Info
Publication History
Published online: October 03, 2022
Accepted:
September 25,
2022
Received in revised form:
September 15,
2022
Received:
December 14,
2021
Identification
Copyright
© 2022 Elsevier B.V. All rights reserved.
