title: Development, validity and reliability of sexual health measures for spinal cord injured patients in iran.
abstract: BACKGROUND
  This study developed and validated a questionnaire to measure the sexual health of patients with spinal cord injuries (SCI).
  
  
  METHODS
  This was a cross-sectional study conducted at the Brain and Spinal Injury Research Center (BASIR), Tehran, Iran. Extensive review of literature, expert opinions, and encounters with SCI patients were used to develop and validate the questionnaires. There were 40 (32 males, 8 females) patients with SCI that presented for treatment at BASIR who enrolled in the study. Participants completed the questionnaires while they were admitted for medical care and during treatment follow-up visits. Participants completed the questionnaires twice, at a 2-4 week interval. Reliability testing for each measure was performed separately. Cronbach's alpha was used for internal consistency and test-retest was used for reliability.
  
  
  RESULTS
  An expert committee approved the face and content validities of the questionnaires, Internal consistency of our questionnaires, was acceptable according to Cronbach's alpha that ranged from 0.73 for the sexual activity measure to 0.90 for the sexual adjustment measure. Test-retest reliability was satisfactory. Intraclass Correlation Coefficient (ICC) of measures ranged from 0.65 for sexual function to 0.84 for sexual activity.
  
  
  CONCLUSIONS
  The sexual health measures has provided a valid assessment of sexualityrelated matters in this sample of patients with SCI, which suggests that evaluation of sexual well-being may be useful in clinical trials and practice settings. Overall, the sexual health measures shows good internal consistency and test-retest reliability.
authors: Family & Sexual Health Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran ; Iranian National Center of Addiction Study, Tehran University of Medical Sciences, Tehran, Iran.
authors: Effat
authors: E
authors: Merghati Khoei
authors: Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Abbas
authors: A
authors: Norouzi Javidan
authors: Urology Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Mahboobeh
authors: M
authors: Abrishamkar
authors: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; Biostatistics and Epidemiology Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Mir Saeed
authors: MS
authors: Yekaninejad
authors: Biostatistics and Epidemiology Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Samira
authors: S
authors: Chaibakhsh
authors: Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Seyyed Hasan
authors: SH
authors: Emami-Razavi
authors: Biostatistics and Epidemiology Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Asie
authors: A
authors: Mansouri
authors: Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
authors: Koorosh
authors: K
authors: Kamali
authors: Family & Sexual Health Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Tannaz
authors: T
authors: Shoja
authors: Family & Sexual Health Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Marzieh
authors: M
authors: Hajiaghababaei
authors: Urology Division, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
authors: Abolghasem
authors: A
authors: Nikfallah
keywords: Reliability; Sexual Health; Spinal Cord Injury; Validity