Pooja Yadav and Rekha Naithani
Background: Polycystic Ovarian Syndrome (PCOS) is a common endocrine complication in women in the reproductive age bracket, and there is little knowledge and awareness about its causes, symptoms, and management. Educational interventions may be beneficial in closing these knowledge gaps.
Objective: This study aimed to design, validate, and assess the reliability of an educational intervention tool to measure awareness of PCOS among women in the Sub-Himalayan region of Uttarakhand.
Methods: Two parallel questionnaires were developed: a nine-item scale for internal consistency testing and a five-item scale for face validity. A pilot validation was conducted with 40 respondents selected from the primary study cohort (n = 300). Reliability was assessed using Cronbach’s Alpha, construct validity via Principal Component Analysis (PCA), and content validity through expert ratings using the Item-Content Validity Index (I-CVI) and Scale-Content Validity Index (S-CVI).
Results: The face validity test demonstrated overwhelmingly positive scores with an average of 1.08 to 1.28 (mean = 1.00), which showed that the tool was easy to understand, informative, and valuable. The Cronbach's alpha of the nine-item questionnaire was 0.878, indicating excellent internal consistency. PCA produced a two-component model that accounted for 64.44 percent of the variance, representing general awareness, lifestyle management, diet, and stress-related knowledge domains. There were high communalities (ranging from 0.513 to 0.833) across all variables. The expert review yielded an I-CVI and S-CVI of 1.00, evidence of excellent content validity.
Conclusion: The intervention tool was highly reliable, valid, and multidimensional in representing the construct, making it a powerful tool for measuring and improving PCOS awareness. It can be applied in community-based interventions and clinical education programs to enable women with PCOS to manage themselves better.
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