PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, sa.24, ss.1-9, 2023 (SCI-Expanded)
Aim: The aim of this study was to develop a scale based on the Health Belief Model (HBM) to
assess the family planning (FP) attitudes of postpartum women with 0- to 12-month-old infants
residing in eight neighbourhoods of the Bornova province, Izmir, Turkey. Introduction: Family
planning is an integral component of maternal and infant health during the postpartum period
and is a fundamental aspect of healthcare services in the prenatal and postnatal period. Methods:
The Postpartum Family Planning Attitude Scale (PFPAS) was developed in four stages: item
pool development, content validity evaluation, pilot study, and reliability and validity
assessment. The PFPAS was administered to 292 women. The developed scale comprised 27
items and six sub-dimensions. Cronbach’s alpha coefficient was used to evaluate the reliability
of the scale. Construct validity was evaluated using confirmatory factor analysis. Findings:
Cronbach’s alpha coefficient was 0.88, indicating good reliability. Confirmatory factor analysis
validated the structural validity of the scale, with a chi-square/degree of freedom ratio of 2.24, an
RMSEA value of 0.068, and a CFI value of 0.95. The lowest and highest possible scores for the
PFPAS were 27 and 135, respectively, with a mean total score of 105.32 ± 11.91.