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. 2025 Aug;64(4):3128-3146.
doi: 10.1007/s10943-025-02314-6. Epub 2025 Apr 26.

Development and Psychometric Evaluation of a Spiritual Self-care Scale for Iranian Adolescents

Nafiseh Hekmati-Pour  1 , Gholam Reza Mahmoodi-Shan  2 , Abbas Ebadi  3   4 , Nasser Behnampour  5
Affiliations

Development and Psychometric Evaluation of a Spiritual Self-care Scale for Iranian Adolescents

Nafiseh Hekmati-Pour et al. J Relig Health. 2025 Aug.

Abstract

This study aimed to develop and psychometrically validate a spiritual self-care tool for Iranian adolescents in 2019. The study utilized an exploratory mixed method approach, which included directed content analysis, item development, scale development, scale evaluation and examination of scale stability. During the qualitative phase, 170 items were initially extracted; these items were then reduced and refined to 59 items through scale development, content validity ratio and content validity index assessments. In terms of construct validity, the Kaiser-Meyer-Olkin test yielded a value of 0.813 and Bartlett's test of sphericity was found to be significant (p < 0.001). Subsequently, the confirmatory factor analysis was conducted in a separate sample, resulting in a final model with 34 items and eight factors. The model demonstrated a moderate fit, with a Cronbach's alpha value of 0.76 for the final version of the scale. As a result, the adolescents' spiritual self-care scale is considered a valid and reliable tool for measuring spiritual self-care.

Keywords: Adolescent; Adolescent health; Questionnaire design; Spiritual self-care.

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Conflict of interest statement

Declarations. Conflict of interest: The authors have no relevant financial or non-financial interests to disclose. Consent to Participate: Written informed consent was obtained from the parents of adolescents.

References

    1. Alimoradi, Z., Kariman, N., Ahmadi, F., & Simbar, M. (2017). Preparation for sexual and reproductive self-care in Iranian adolescent girls: A qualitative study. International Journal of Adolescent Medicine and Health, 30(1). https://doi.org/10.1515/ijamh-2016-0094 - DOI - PubMed
    1. Amiri, P., Abbasi, M., Gharibzadeh, S., Zarghani, N. H., & Azizi, F. (2015). Designation and psychometric assessment of a comprehensive spiritual health questionnaire for Iranian populations. Medical Ethics Journal, 9(30), 25–56.
    1. Andrew, S., & Halcomb, E. J. (2009). Mixed methods research for nursing and the health sciences (1st ed). Blackwell Publishing Ltd.
    1. Bożek, A., Nowak, P. F., & Blukacz, M. (2020). The relationship between spirituality, health-related behavior, and psychological well-being. Frontiers in Psychology, 11(1997), 1–13. https://doi.org/10.3389/fpsyg.2020.01997 - DOI
    1. Clayton-Jones, D., Haglund, K. A., Schaefer, J., Harold, G., Koenig, H. G., & Dalmida, S. G. (2019). Use of the spiritual development framework in conducting spirituality and health research with adolescents. Journal of Religion and Health, 58, 1259–1271. https://doi.org/10.1007/s10943-018-00752-z - DOI - PubMed

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