Development of Intimacy Scales for Infertile Couples

本研究的目的是为不孕夫妇开发一个亲密度量表。它有两个目标：1)完善“不孕症夫妇亲密度量表建议（第一版）”（以下简称“亲密度量表”），2)提供实际使用建议的改进量表的指南。为达致目标1，我们进行了“修订比额表建议的准备工作”及“修订比额表建议的调查”。为了实现前者，我们研究了量表效度多方面验证的具体实施程序和方法。为了完成后一项调查，对同意参与的夫妇进行了一项基于互联网的调查。对593份问卷进行分析，并对“（57项版）建议亲密度量表”的信度和效度进行检验。通过项目-总量相关、主成分分析和因子分析，减少了应答项目的数量。结果，完成了“亲密度量表（37项版本）”。最终37项亲密度量表的a系数为0.96。五个次级量表（基本信任、性满意度、自我表达、共同处理治疗和分担悲伤）也表现出信度和内部一致性。效度方面，构念效度通过标度相关效度、假设验证和因子分析进行验证。经验证性因子分析，结果为GFI0.905, AGFI0.876, RMSEA0.066, AIC675.5，模型的拟合优度令人信服。为了实现目标2，我们使用了迄今为止的分析结果，并进行了文献综述，以准备使用“不育夫妇亲密度量表”的指导方针。受访者可以根据他们的分数从我们的网站收到反馈。为了检验建议指南的有效性，我们与具有不孕症专业知识的护士进行了调查委员会，并对其进行了完善。

The purpose of this study is to develop an intimacy scale for infertile couples. It has two objectives: 1) Refine of the "Intimacy Scale Proposal for infertile Couples (first version) (below referred to as "Intimacy Scale"), and 2) Offer guidelines for actually using the proposed refined scale.To achieve objective 1, "Preparations for the Scale Refinement Proposal" and "A Survey for the Proposed Scale Refinement" was conducted. To accomplish the former, both specific practical implementation procedures and methods for a multifaceted verification of scale validity were examined. To accomplish the latter, an Internet-based survey of couples who agreed to participate was implemented. 593 responses were analyzed, and the "(57-item version) proposed Intimacy Scale" for reliability and validity was checked. After using item-total correlation, principal component analysis, and factor analysis, the number of response items were reduced. As a result, the "Intimacy Scale (37-item version)." was completed. The overall a coefficient for the final 37-item Intimacy Scale was 0.96. Five subordinate scales (basic trust, sexual satisfaction, self-expression, dealing with treatment together, and shared sorrow) also demonstrated reliability and internal consistency. As for validity, construct validity was demonstrated by criterion-related validity, hypothesis verification, and factor analysis. After conducting confirmatory factor analysis, the results were GFI0.905, AGFI0.876, RMSEA0.066, and AIC675.5, and the goodness of fit for the model was convincing.To achieve objective 2, we used the results of our analysis thus far and conducted a literature review to prepare guidelines for using the "Intimacy Scale for Infertile Couples." Respondents can receive feedback from our web site according to their scores. In order to check the validity of the proposed guideline, we conducted an investigative commission with nurses who have expertise in infertility, and refined it.