Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Psychometric Evaluation of a New Instrument to Hookah Tobacco Smoking-Related Factors in the Iranian Female University Students Based on the Extended Parallel Process Model Publisher



Zamanialavijeh F1 ; Heidari Z2 ; Mostafavi F1 ; Bashirian S3 ; Makvandi Z4 ; Kelishadi R5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
  4. 4. Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran
  5. 5. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Education and Health Promotion Published:2024


Abstract

BACKGROUND: The higher prevalence of hookah tobacco smoking (HTS) has become worrisome in women. Thus, it is essential to identify and measure the perceptions associated with this unhealthy behavior as well as the type of response to risk messages to design the effective programs. This study aimed to psychometric evaluation of a new instrument, named the Extended Parallel Process Model-Hookah Tobacco Smoking Questionnaire (EPPM-HTSQ), for female university students. MATERIAL AND METHODS: This methodological study was conducted in 2019-2020 in central and western Iran. The first version of the instrument was developed with 97 items. Face, Content, and construct validity methods were used to assess the EPPM-HTSQ validity. The data viability for factorability was guided through Kaiser-Meyer-Olkin (KMO) measure of sample adequacy (Values >0.7) and Bartlett's test of Sphericity (P < 0.05). The Exploratory Factor Analysis (EFA) method with varimax rotation and SPSS software was performed to identify the main factors of the questionnaire and interpretable factors. The internal consistency and external reliability were determined. The test-retest was used for evaluating the stability of tools. RESULTS: During the assessment of the face and content validity 71 items remained in the questionnaire. EFA led to the extraction of nine dimensions: 'Focusing on superior rewards,' 'Response Efficacy,' 'Perceived physical threat,' 'Perceived social threat,' 'Self-efficacy,' 'Fear control,' 'Attitude,' 'Fear,' and 'Intention' Kaiser-Meyer-Olkin (KMO) test (0.957) and Bartlett's test (P < 0.001). Cronbach's alpha (0.871-0.951) and ICC (0.985-0.998) were approved for scale dimensions. CONCLUSION: Important findings of the present study were the development and validation of the EPPM-HTSQ for measuring EPPM variables in relation to HTS; introducing a new variable 'focusing on superior rewards'; as well as, the new classification of the concept of 'perceived threat.' The final version of the EPPM-HTSQ is a valid and reliable tool, but it is suggested to be re-evaluated in other studies with different populations and sample sizes. Copyright © 2024 Journal of Education and Health Promotion.
Related Docs
View other Related Docs
1. Development and Psychometric Evaluation of Waste Separation Beliefs and Behaviors Scale Among Female Students of Medical Sciences University Based on the Extended Parallel Process Model, Environmental Health and Preventive Medicine (2020)
2. Development and Psychometric Properties of the Hookah Smoking Initiation for Women Questionnaire (Hiwq), Health Promotion International (2019)
3. Sociocultural Factors Contributing to Waterpipe Tobacco Smoking Among Adolescents and Young Adult Women: A Qualitative Study in Iran, International Journal of Qualitative Studies on Health and Well-being (2021)
4. A Report of a Four-Group Randomized Trial on the Effect of Messages Based on the Extended Parallel Process Model on Perceptual Dimensions and Preventive Behaviors Against Covid-19, Journal of Health System Research (2024)
5. Assessment of the Questionnaire of Environmental Factors and Adolescent Smoking Behavior: A Psychometric Study, Journal of Substance Use (2021)
6. Aspects Associated With Waterpipe Smoking in Iranian Youths: A Qualitative Study, BMC Public Health (2021)
7. Attitude and Perceived Behavioral Control Toward Reducing Water Pipe Use in Women, Iranian Journal of Health Education and Health Promotion (2021)
8. Development and Evaluation of a New Questionnaire to Assess Social Cognitive Factors of Self-Management in Patients With Type 2 Diabetes: A Psychometric Study, Journal of Diabetes and Metabolic Disorders (2022)
Experts (# of related papers)
View all Related Experts
Ahmadali Eslami (17)
Nizal Sarrafzadegan (13)
Other Related Docs
9. Factors That Contribute in the First Hookah Smoking Trial by Women: A Qualitative Study From Iran, Iranian Journal of Public Health (2015)
10. The Relationship Between Different Levels of Health Literacy and Smoking Prevention Among Medical Sciences Student, International Journal of Preventive Medicine (2021)
11. Analysis of Infrastructural Factors Related to Adolescent Smoking Behavior: A Path Analysis Study, Journal of Substance Use (2022)
12. Assessment of the Questionnaire of Cognitive Factors and Adolescent Smoking Behavior: A Psychometric Study, Journal of Substance Use (2022)
13. Investigating the Psychometrics of a New Tool for Evaluating Motivational Factors and Their Relationship With Stunts Among Adolescent Male Cyclists in Isfahan, Iran, Transportation Research Part F: Traffic Psychology and Behaviour (2025)
14. The Association Between Dietary Patterns and Quality of Life: A Cross-Sectional Study Among a Large Sample of Industrial Employees, BMC Public Health (2023)
15. Stressful Life Events in Iranian Adults Society: Identification and Redefinition of Dimensions, Journal of Mazandaran University of Medical Sciences (2019)
16. Prediction of Cervical Cancer Screening: Application of the Information-Motivation-Behavioral Skills Model, BMC Cancer (2024)
17. Psychometric Properties of the Cardiac Rehabilitation Self-Efficacy Questionnaire in Heart Failure Patients: A Cross Sectional Study Using Health Action Process Approach Perspective, Health Science Reports (2024)
18. Cultural Adaptation and Psychometric Properties of the Persian Version of the Circumstances, Motivation, and Readiness Scale, International Journal of High Risk Behaviors and Addiction (2016)
19. Adolescent Perception on School Environment and Smoking Behavior: Analysis of Isfahan Tobacco Use Prevention Program, International Journal of Preventive Medicine (2014)
20. Community Health Assessment: Knowledge, Attitude and Practice of Women Regarding Water-Pipe Smoking in Bandar Abbas, MethodsX (2019)
21. Women's Attitude Toward Smoking: Effect of a Community-Based Intervention on Smoking-Related Social Norms, International Journal of Evidence-Based Healthcare (2014)
22. A Randomized Trial to Promote Health Belief and to Reduce Environmental Tobacco Smoke Exposure in Pregnant Women, Health Education Research (2012)
23. The Effect of Individual Counseling, Line Follow-Up, and Free Nicotine Replacement Therapy on Smoking Cessation in the Samples of Iranian Smokers: Examination of Transtheoretical Model, Journal of Research in Medical Sciences (2012)
24. Psychometric Evaluation of a Questionnaire for Measuring Factors Related to Mental Health of Women in an Earthquake, Women and Health (2021)
25. Electronic Nicotine Delivery Systems And/Or Electronic Non-Nicotine Delivery Systems for Tobacco Smoking Cessation or Reduction: A Systematic Review and Meta-Analysis, BMJ Open (2017)
26. The Development and Psychometric Evaluation of a New Instrument to Market Healthy Breakfast and Snacks Among Adolescents, International Journal of Adolescent Medicine and Health (2021)
27. Developing a Comprehensive Tool to Assess Professional Attitude Among Physicians and Medical Students, Journal of Medical Ethics and History of Medicine (2021)
28. Association Between Cigarette Smoking and Socio-Emographics, Lifestyle and Mental Health Factors in a Sampled Iranian Population, Southeast Asian Journal of Tropical Medicine and Public Health (2011)
29. Cross-Cultural Adaptation and Psychometric Evaluation of the Persian Version of the Clinical Decision-Making in Nursing Scale, Journal of Nursing Measurement (2021)
30. Influence of Training About Carcinogenic Effects of Hookah Smoking on the Awareness, Attitude, and Performance of Women, Asian Pacific Journal of Cancer Prevention (2017)
31. Do Intervention Strategies of Women Healthy Heart Project (Whhp) Impact on Differently on Working and Housewives?, ARYA Atherosclerosis (2011)
32. Psychometric Analysis of the Substance Use Risk Profile Scale (Surps) Among Iranian Medical University Students, Research Journal of Medical Sciences (2016)
33. Designing, Implementing and Evaluating an Educational Program Regarding the Effects of Second-Hand Smoke in Pregnancy on the Knowledge, Attitude and Performance of Male Smokers, Reproductive Health (2023)
34. Impact of Health Belief Modification on Intention to Make Smoke Free Home Among Pregnant Women, Journal of Research in Medical Sciences (2011)
35. Passive Smoking and Cardiometabolic Risk Factors in Iranian Children and Adolescents: Caspian-V Study, Journal of Diabetes and Metabolic Disorders (2019)
36. Understanding the Behaviour of Cigarette Smoking Among Iranian Smokers: Application of Trans-Theoretical Model, Jordan Medical Journal (2017)
37. Development and Psychometric Evaluation of the Diabetic Men's Dietary Behaviors Inventory Based on the Theory of Reasoned Action, Archives of Public Health (2019)
38. Policy Makers’ Viewpoints on Implementation of the World Health Organization Framework Convention on Tobacco Control in Iran: A Qualitative Investigation of Program Facilitators, ARYA Atherosclerosis (2016)
39. Smoking Motivators Are Different Among Cigarette and Waterpipe Smokers: The Results of Itupp, Journal of Epidemiology and Global Health (2015)
40. Psychometric Properties of the Persian Language Version of Yang Internet Addiction Questionnaire: An Explanatory Factor Analysis, International Journal of High Risk Behaviors and Addiction (2015)
41. Factors Associated With Cigarette Smoking in Central Parts of Iran, Asian Pacific Journal of Cancer Prevention (2017)
42. Psychometric Properties of the Whoqol-Bref in an Iranian Adult Sample, Community Mental Health Journal (2010)
43. Investigating the Factors Related to Protective Behaviors Against Covid-19 in Healthcare Workers: Application of Extended Parallel Process Model, Health Science Reports (2023)
44. Better View on Attitudes and Perceived Parental Reactions Behind Waterpipe Smoking Among Iranian Students, Journal of Research in Medical Sciences (2015)
45. Development and Psychometric Evaluation of the Ethical Conflict Assessment Instrument in Nursing: A Mixed-Method Protocol Study, Journal of Education and Health Promotion (2024)
46. A Self-Efficacy Questionnaire Regarding Leisure Time Physical Activity: Psychometric Properties Among Iranian Male Adolescents, Iranian Journal of Nursing and Midwifery Research (2016)
47. The Mediating Role of Emotion Regulation in Relationship Between Criticism and Cigarette Smoking Among Male Adolescents, International Journal of High Risk Behaviors and Addiction (2018)
48. Stress Level and Smoking Status in Central Iran: Isfahan Healthy Heart Program, ARYA Atherosclerosis (2011)
49. Association of Smoking Status With Quality of Life in a Cross-Sectional Population-Based Sample of Iranian Adults: Isfahan Healthy Heart Program, Asia-Pacific Journal of Public Health (2012)
50. Developing and Validating a Questionnaire to Measure Women's Sexual Behaviors: A Psychometric Process, Galen Medical Journal (2016)