Psychometric Properties of the Persian Version of the Modified Questionnaire for Quality of Care in the Invitro Fertilization Programs From Patients’ Perspective

Introduction: A validated questionnaire is needed to assess the quality of care provided in the In-Vitro Fertilization (IVF) programs in Iran from the patients’ perspectives. Objective: This study aimed to evaluate the psychometric properties of the Persian version of the modified questionnaire for the quality of care in an IVF program from the patients’ perspectives (QPP-IVF). Materials and Methods: This methodological study was conducted in two phases: Translation and psychometric evaluation. A total of 200 infertile individuals (142 women, 58 men) participated. The QPP-IVF was translated into Persian using the forward– backward method. Psychometric properties including face validity, content validity (measuring Content Validity Ratio [CVR] and Content Validity Index [CVI]), construct validity (tested on 142 women), convergent validity (correlation with the Fertility Quality of Life Questionnaire [FertiQoL]), and divergent validity (correlation with the World Health Organization (WHO) health status questionnaire), as well as reliability (using cronbach’s α and Intraclass Correlation Coefficient [ICC]) were evaluated. Results: All items had CVR values ranging from 0.66 to 1, and CVI values ranged from 0.83 to 1. The Principal Component Analysis (PCA) with Promax rotation yielded 19 items across five factors: “Information after treatment”, “midwives’ and nurses’ respect/commitment/empathy”, “Doctors’ respect/commitment/empathy”, “medical care”, and “information during treatment”, explaining 65.61% of the variance. Convergent validity results showed a significant correlation with the FertiQoL scores (P0.05). Cronbach’s α for the five factors ranged from 0.6 to 0.97 (α=0.77 for the overall scale). The ICC values indicated acceptable test, re-test reliability over two weeks (ICC=0.61–0.90 for men and women; ICC=0.92–0.99 in total). Conclusion: The Persian QPP-IVF questionnaire with five factors and 19 items has excellent validity and reliability, supporting its use in infertility research and clinical practice.