scholarly journals Content Validation through Expert Judgement of an Instrument on the Nutritional Knowledge, Beliefs, and Habits of Pregnant Women

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1136 ◽  
Author(s):  
Elisabet Fernández-Gómez ◽  
Adelina Martín-Salvador ◽  
Trinidad Luque-Vara ◽  
María Angustias Sánchez-Ojeda ◽  
Silvia Navarro-Prado ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Expert Judgement ◽  
Nutritional Knowledge ◽  
Content Validation ◽  
Psychometric Study ◽  
Significant Characteristic ◽  
High Degree ◽  
Κ Statistic

The aim of this study was to conduct content validation through expert judgement of an instrument which explores the nutritional knowledge, beliefs, and habits during pregnancy. This is a psychometric study in which 14 experts participated in the evaluation of each of the questionnaire items, which were divided into two blocks according to the characteristics of sufficiency, clarity, coherence, and relevance. Fleiss’ κ statistic was used to measure strength of agreement. A pre-test with 102 participants was conducted to measure the degree of understandability of the instrument. The strength of agreement obtained for each of the dimensions was almost perfect. For each pair of experts, strength of agreement ranged between substantial and almost perfect. Sufficiency was the characteristic of the questionnaire that obtained the highest values in the two blocks, and was also the most statistically significant (p < 0.001). Coherence was the most statistically significant characteristic in the first block (p = 0.030). Clarity was the most statistically significant characteristic in the second block (p = 0.037). The wording of five of the twenty original items was corrected. The new version of the instrument attained a high degree of understandability. The results suggest that the instrument is valid and may therefore be applied.

scholarly journals High burden of anemia among pregnant women in Tanzania: a call to address its determinants

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Bruno F. Sunguya ◽  
Yue Ge ◽  
Linda Mlunde ◽  
Rose Mpembeni ◽  
Germana Leyna ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Reproductive Age ◽  
Gis Mapping ◽  
Demographic And Health Surveys ◽  
Health Coverage ◽  
Nutritional Knowledge ◽  
Women Of Reproductive Age ◽  
Anemia In Pregnancy ◽  
In Pregnancy

Abstract Background Anemia in pregnancy is behind a significant burden of maternal mortality and poor birth outcomes globally. Efforts to address it need evidence on trends and its pertinent factors as they vary from one area to another. Methods We pooled data of 23,203 women of reproductive age whose hemoglobin levels were measured from two Tanzania Demographic and Health Surveys (TDHS). Of them, 2,194 women were pregnant. Analyses employed descriptive analyses to determine the burden of anemia, its characteristics, and severity; GIS mapping to determine the regional changes of anemia between 2005 and 2015; and logistic regression to determine the remaining determinants of anemia among pregnant women using Stata 15. Results The burden of anemia among pregnant women in Tanzania has remained unprecedently high, and varies between regions. There was no significant decline of anemia in general between the two periods after adjusting for individual, households, reproductive, and child characteristics [AOR = 0.964, 95% CI = 0.774–1.202, p = 0.747). Anemia is currently prevalent in 57% of pregnant women in Tanzania. The prevalence is more likely to be higher among women aged 15–19 years than those aged between 20–34 years. It is more likely to be prevalent among those within large families, with no formal education, food insecurity, lack of health insurance, had no antimalaria during pregnancy, and had low frequency of ANC attendance. On the other hand, delivery in a health facility may be potentially protective against anemia. Conclusions Anemia in pregnancy remained persistently high and prevalent among 57% of pregnant women in Tanzania. Efforts to address anemia are crucial and need to be focused in regions with increasing burden of anemia among pregnant women. It is imperative to address important risk factors such as food insecurity, strengthening universal health coverage, empowering women of reproductive age with education and especially nutritional knowledge and advocating for early antenatal booking, attendance, and facility delivery.

scholarly journals Effect of nutrition education by health professionals on pregnancy-specific nutrition knowledge and healthy dietary practice among pregnant women in Asmara, Eritrea: a quasi-experimental study

2021 ◽  
pp. bmjnph-2020-000159
Author(s):  
Lidia Ghirmai Teweldemedhin ◽  
Helen Gebretatyos Amanuel ◽  
Soliana Amanuel Berhe ◽  
Ghidey Gebreyohans ◽  
Zemenfes Tsige ◽  
...  
Keyword(s):  
Experimental Study ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Health Professionals ◽  
Repeated Measures ◽  
Nutritional Knowledge ◽  
Dietary Practice ◽  
Quasi Experimental ◽  
Knowledge And Practice

BackgroundHealthy pregnancy and birth outcomes are greatly influenced by the intake of adequate and balanced nutrition. Pregnant women’s nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake. The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximise pregnant women’s outcome and that of their baby by motivating them to make nutritional changes.ObjectiveTo assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.MethodologyA facility-based single-group pre–post quasi-experimental study design was employed in five health facilities providing antenatal care (ANC) service in Asmara on 226 pregnant women. A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate post-test and 6 weeks later. The practice was assessed at pre-intervention and 6 weeks later only. Repeated measures analysis of variance and paired t-test were used to make comparisons in knowledge and practice scores, respectively, using SPSS (V.22).ResultsTraining provided to pregnant women resulted in a significant increase on the mean scores of their knowledge from 29.01/47 (SE=0.35) pre-intervention to 42.73/47 (SE=0.24) immediate post-intervention. However, the score declined significantly from immediate after intervention to 6-week follow-up by 1.79 (SE=0.22). Although the score declined, knowledge at 6-week follow-up was still significantly greater than that of pre-intervention (p<0.0001). Health professionals (70.2%) were the primary source of information for pregnant women. The pregnancy-specific dietary practice score at 6-week follow-up (M=13.13/16, SE=0.09) was significantly higher than that of pre-intervention (M=12.55/16, SE=0.16). There was no significant interaction between the categories of demographic characteristics and change in practice and knowledge.ConclusionThis study has shown that the nutrition messages given to pregnant women by trained health professionals using a holistic approach in a sustained manner played a huge role in increasing their knowledge and in introducing positive dietary practices among them. Thus, ANC clinics must play a leading role in coordinating the effort of awareness creation regarding nutrition during pregnancy.

scholarly journals Content Validation of an Instrument for the Assessment of School Teachers’ Levels of Knowledge of Diabetes through Expert Judgment

2020 ◽  
Vol 17 (22) ◽  
pp. 8605
Author(s):  
Trinidad Luque-Vara ◽  
Marta Linares-Manrique ◽  
Elisabet Fernández-Gómez ◽  
Adelina Martín-Salvador ◽  
María Angustias Sánchez-Ojeda ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Expert Judgment ◽  
Educational Interventions ◽  
Content Validation ◽  
School Teachers ◽  
Psychometric Study ◽  
Four Dimensions ◽  
School Aged Children ◽  
Level Of Knowledge

The objective of this study was to describe the content validation, through expert judgment, of a questionnaire for determining the level of knowledge that school teachers have of diabetes in order to design relevant educational interventions to improve the health of school-aged children. This psychometric study involved 15 experts who assessed each of the items in the instrument. The results revealed that the strength of agreement shown by the questionnaire ranged from substantial to almost perfect in its four dimensions, with the characteristics of “sufficiency” and “relevance” having the highest scores (0.982 and 0.903, respectively) based on the judgments made by the participating experts. Regarding statistical significance, the characteristics “sufficiency”, with p < 0.001, and “relevance”, with p = 0.001, were particularly relevant. The overall degree of understandability for the new version of the instrument was high (91.54%). The psychometric results obtained from validation of the “grado de conocimientos sobre diabetes en docentes del ámbito escolar” (Spanish for “level of knowledge of diabetes in school teachers”)—GCDDaE questionnaire through expert judgment and the pre-test indicate that it is recommended for use as it is both relevant and quick and easy to administer.

scholarly journals The Nutritional Knowledge of Pregnant Women

2015 ◽  
Vol 124 (4) ◽  
pp. 191-194
Author(s):  
Piotr Książek ◽  
Joanna Kozłowiec ◽  
Monika Kozłowiec
Keyword(s):  
Pregnant Women ◽  
Fast Food ◽  
Formal Education ◽  
Health Centre ◽  
Great Influence ◽  
Nutritional Knowledge ◽  
Fresh Fish ◽  
Animal Fats ◽  
Risk Pregnancy ◽  
Brown Bread

Abstract Introduction. Rational nutrition of women during pregnancy has a great influence on the developing fetus. In the properly developing pregnancy, woman should eat 3-4 quality meals per day. What is more, for the proper development of the fetus, as well as the placenta, uterus and the mammary gland, it is necessary to consume high-value protein products. Moreover, vitamins and mineral compounds are important due to the serious implications that arise if not properly provided. Aim. The aim of the paper is to assess the nutritional practices, the level of knowledge held by pregnant women with respect to proper nourishment practices, and to define the influence of level of formal education achieved upon this issue. Material and methods. The research involved 87 pregnant women who were under the care of the outpatient women's health centre and high-risk pregnancy unit of the Regional Specialist Hospital in Biała Podlaska. Results and discussion. According to most of the female respondents, information concerning proper nutrition of pregnant women is not generally available. Because of this, in completing the questionnaire, more than half of the subjects stated that they often consume white bakery products, white rice and refined pasta - with insufficient consumption of brown bread, rice and wholemeal pasta. Furthermore, while the respondents seem to consume the proper amount of potatoes, barely 8% consume other vegetables with the advised frequency. Moreover, only 31% of the respondents take-in fruits in necessary quantities. However, a majority of them frequently consume milk, yoghurt, cheese, kefir and buttermilk; plus, more than half of the respondents drink at least 1-2 litres of various kinds of liquids per day. Our results also reveal that they very rarely consume fresh fish, poultry and red beef meat, preferring cooked products. Indeed, the respondents stated that they consume meat and fish mainly in a fried form, while 52.9% of the women take-in fast food products. Of note, the surveyed women prefer animal fats. In addition, nearly 70% of the subjects consume too many eggs. Furthermore, more than 40% consume an excessive amount of sugar and sweets. To conclude, the proper amount of meals is consumed by only 52.7% of the respondents, no matter their formal education level. Conclusions. Many abnormalities were found while verifying negatively the hypothesis, according to which, level of formal education achieved has an impact on the increase of consciousness in terms of proper nourishment during the pregnancy.

scholarly journals Analisis Determinan Faktor yang Berhubungan dengan Kejadian Kurang Energi Kronik (KEK) pada Ibu Hamil di Wilayah Gunung Sindur, Bogor

2021 ◽  
Vol 12 (1) ◽  
pp. 39-47
Author(s):  
Avliya Quratul Marjan ◽  
Antania Hermada Aprilia ◽  
Iin Fatmawati
Keyword(s):  
Pregnant Women ◽  
Energy Intake ◽  
Age Groups ◽  
Dominant Factor ◽  
Bivariate Analysis ◽  
Nutritional Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

Chronic Energi Deficiency (CED) is a nutritional problem in pregnant women with a prevalence of 17,3% based on Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) in 2018. Based on age groups, pregnant women who experienced the highest CED were 15-19 years (38,5%). So it is very important to know what factors are related to CED in pregnant women. The purpose of this study was to analyze determinants factors with the incidence of chronic energy deficiency in pregnant women at Gunung Sindur Bogor. This study was an observational study with a cross-sectional approach. Respondents in this study were 70 pregnant women who were selected by purposive sampling. Bivariate analysis was performed using the Chi-Square test and logistic regression for Multivariat analysis. The bivariate analysis showed that there were a relationship between age (p = 0.009), parity (p = 0.027) nutritional knowledge (p = 0.045), energy intake (p = 0.001), and protein intake (p = 0.007) with the incidence of CED in pregnant women. The multivariat results show that energy intake is the most dominant factor associated with the incidence of CED (p = 0.001) in pregnant women at Mount Sindur Bogor.

scholarly journals Exploration of Nutritional Knowledge Aspects of Pregnant Adolescents in Javanese Ethnicity in Ponorogo Regency, East Java

2020 ◽  
Vol 1 (6) ◽  
pp. 38-47
Author(s):  
Retno Inten Rizki P ◽  
Rahayu Indriasari ◽  
Baharuddin Bahar
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Teenage Pregnancy ◽  
Community Health Center ◽  
Sampling Technique ◽  
Snowball Sampling ◽  
Nutritional Knowledge ◽  
Pregnancy Care ◽  
Depth Interviews

Maternal health problems are one of the main indicators of health status, namely maternal mortality. Maternal mortality is still a major public health challenge around the world, including in Indonesia. The purpose of this study was to explore aspects of nutritional knowledge related to healthy food, balanced nutrition, exclusive breastfeeding and care during teenage pregnancy for Javanese ethnicity in Ponorogo, East Java. This type of research is qualitative with a phenomenological approach. This research was conducted in June - July 2020. The main informants in this study were pregnant women aged 10-19 years in the working area of ​​the Balong Community Health Center, Ponorogo Regency. The source of the informants was determined by snowball sampling. The snowball sampling technique is a form of judgment sampling. Data collection is more emphasized through in-depth interviews (in-depth interviews), namely individual dialogue with informants obtained directly from pregnant women. The results of the study of 6 informants who were teenage pregnant women in the Balong PKM work area, Ponorogo Regency, all informants had underweight nutritional status (BMI / age) and Chronic Energy Deficiency (KEK). The knowledge explored in the form of: food for pregnant women, balanced nutrition, exclusive breastfeeding, risk of teenage pregnancy and pregnancy care. Based on the results of the interview, the informant said that foods that are good for pregnant women to consume are fruits, vegetables, milk and vitamins. Regarding balanced nutrition, all informants did not know at all what balanced nutrition for care during pregnancy, the informant said there was no difference in pregnancy care except health checks at health services, treatments such as maintaining cleanliness and regular exercise.

scholarly journals Content Validation of a Semi-Structured Interview to Analyze the Management of Suffering

2021 ◽  
Vol 18 (21) ◽  
pp. 11393
Author(s):  
Carmen Sánchez-Guardiola Paredes ◽  
Eva María Aguaded Ramírez ◽  
Clemente Rodríguez-Sabiote
Keyword(s):  
Content Validity ◽  
Structured Interview ◽  
Expert Judgement ◽  
Content Validation ◽  
Scientific Review ◽  
Moderate Agreement ◽  
The Subject

This work involves the content validation of a semi-structured interview, whose objective is to learn about the management of suffering in people. The interview items have been classified into several categories that define the suffering construct. For the content validation of the instrument, in addition to initially conducting a scientific review on the subject, the procedure known as expert judgement has been used. The results obtained in terms of the content validity achieved in the dimensions and areas assessed are, in general, satisfactory. However, some of these dimensions and certain areas have not exceeded the required minimum values for content validity. Therefore, it is necessary to modify the items comprising these dimensions in the areas evaluated with the additional incorporation of the qualitative suggestions for improvement indicated by the experts. As for agreement among experts, the results point to moderate agreement, which, moreover, is not due to chance.

scholarly journals Maternal and child awareness about Covid -19 among pregnant women and their children with counseling during the pandemic to reduce Women and child infection

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Ahmed Adel ◽  
Hesham Goudah ◽  
Hossam Elshenoufy
Keyword(s):  
Pregnant Women ◽  
Virus Disease ◽  
Virus Transmission ◽  
Care Clinic ◽  
Corona Virus ◽  
Level Of Knowledge ◽  
Questionnaire Form ◽  
Living Children ◽  
High Level ◽  
High Degree

Background: Corona virus disease 2019 (covid 19) is a virus that affect the respiratory tract with a recently identified coronavirus emerged as a zoonotic virus that infect human. Objective: The aim of the study was to assess the level of awareness between pregnant women about the corona virus and how to deal with the coming new born, their children and relatives and their level of knowledge about symptoms and methods of prevention and to counsel them how to prevent the spread of the disease and when to seek a medical advice for better maternal, neonatal and child health. Patients and methods: A prospective descriptive study was made in the period from 25 march to 25 May 2020, 324 multigravida pregnant women who have previous living children were included into this study, every pregnant woman was asked questions in a questionnaire form to assess the women awareness regarding symptoms of covid 19 and how to prevent themselves and their children and relatives from infection with corona virus. Results: The questionnaire that was made to women attending antenatal care clinic revealed a high degree of knowledge about symptoms of covid-19, with the highest level for dyspnea (98.5%) in between tem, wile for cough 97.5% of the women knows that cough is one of its symptoms, Also 95.4% of these ladies are aware that fever is one of the alarming criteria of the disease. Conclusion: Pregnant women included in the present study have a high level of awareness regarding covid-19 symptoms and how to avoid virus transmission. We tried to increase the level of awareness between Pregnant women and their children, so we made a thorough counseling to these pregnant ladies regarding crucial points to follow during the pandemic to prevent their exposure and their children exposure to infection, when to seek medical help and how to follow up their pregnancy during the pandemic.

Sign in / Sign up

Export Citation Format

Share Document