LETTER SEEKING EXPERT’S OPINION AND SUGGESTION FOR THE

CONTENT VALIDITY OF TOOL

FROM,
Miss. Ravina Patel,
S.Y. M.Sc Nursing,
Obstetrics & Gynaecological Nursing Speciality,
Nootan College Of Nursing, Visnagar

To,

………………………………….

………………………………….

GUIDED BY FORWARDED THROUGH,

Miss. Divya Rohit, Miss. Divya Rohit,
Assistant Professor, Assistant Professor,
Nootan college of nursing, Visnagar Nootan college of nursing, Visnagar

SUB: Expert opinion for content validation of Research Tool.

Respected Sir/Madam,

I undersigned Ms. Ravina Patel, S.Y M.Sc. Nursing student from Nootan College of Nursing,
Visnagar. I have selected under mentioned topic for research project to be submitted to Sankalchand
Patel University for a partial fulfillment of Master in Nursing Degree.

“A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURE TEACHING

PROGRAMME ON KNOWLEDGE AND ATTITUDE REGARDING INFERTILITY
AMONG COLLEGE STUDENTS IN SELECTED COMMERCE AND SCIENCE COLLEGE
OF VISNAGAR.”
I hereby, request you to kindly go through the content of tool, and state your valuable
opinion on the same. I also request you to kindly sign the certificate stating that you have validated
the tool. I will be extremely grateful to you if give back your opinion.

Thanking you in anticipation,

Your’s sincierly,
Miss. Ravina Patel.
STATEMENT PROBLEM:

“A study to assess the effectiveness of structure teaching programme on knowledge and attitude
regarding infertility among college students in selected commerce and science college of visnagar.”

OBJECTIVES:

1. To assess the knowledge regarding Infertility before and after the structure teaching

program among college students.

2. To assess the attitude regarding Infertility before and after the structure teaching program

among college students.

3. To determine the association between pretest knowledge and the selected demographic

variable.

METHODOLOGY:

RESEARCH APPROACH: Quantitative Research approach

RESEARCH DESIGN: Quasi Experimental Research design (One group pre-post test)

SAMPLING TECHNIQUE: Simple Random sampling technique

SAMPLE SIZE: 60

DATA COLLECTION: Through structure questionnaire and Likert attitude scale

TOOL: SECTION I: Demographic tool
SECTION II: Structured questionnaire

SECTION III: Likert attitude scale

Criteria for sample selection:

Inclusion criteria
1. Collegian students studying in final year of under graduation and post

graduation Programme in selected science and commerce colleges of

visnagar.

2. Collegian students willing to participate in the research study.

3. Collegian students available during the time of data collection.

Exclusion criteria:

1. Collegian students studying in colleges who are not willing to participate

in the research study.

2. Students who attended class on infertility.

 SECTION – I

SOCIODEMOGRAPHIC DATA

Code No:- Date: -

INSTRUCTION:

 Please read the following statements and their alternative response carefully, choose the

most appropriate response and tick (√) in the box [ ]

1. Age group (Years)

a. 20-22 [ ]

b. 23-25 [ ]

c. 26-28 [ ]

d. >28 [ ]

2. Gender

a. Male [ ]

b. Female [ ]

3. Stream of study

a. Commerce [ ]

b. Science [ ]

4. Marital status

a. Married [ ]

b. Unmarried [ ]

c. Divorced [ ]

d. Widow / widower[ ]

5. Religion

a. Hindu [ ]

b. Muslim [ ]

c. Christian [ ]
 d. Others specify

6. Area of residency

a. Urban [ ]

b. Rural [ ]
 SECTION – II

A Structured Knowledge Questionnaire on infertility to assess knowledge among

collegian students in selected colleges of Visnagar.

INSTRUCTION:

Please read the following statements and their alternative response carefully, choose the

most appropriate response and tick (√) in the box []

1. What do you mean by ovulation?

a. Production of more female egg in the ovary [ ]

b. Release of female egg from ovary [ ]

c. Union of female egg and sperm [ ]

d. Growth of baby in the uterus [ ]

2. When ovulation does occurs?

a. Everyday [ ]

b. 5 days before menses [ ]

c. 14 days before menses [ ]

d. During menses [ ]

3. What is fertilization?

a. Union of sperm and female egg [ ]

b. Union of male and female [ ]

c. Development of sperm and female egg [ ]

d. Growth of the baby in the uterus [ ]

4. What is optimal age of fertility?

a. < 20 [ ]

b. 20-30 [ ]

c. 30-40 [ ]

d. > 40 [ ]

5. What is the meaning of infertility?

 a. Occurrence of menstrual cycle [ ]

b. Not birth of male child after one year of marriage [ ]

c. Not development of reproductive system [ ]

d. Inability of couple to become pregnant after one year of sexual life [ ]

6. What is the meaning of primary infertility?

a. Couple without sexual relationships [ ]

b. Who have never conceive [ ]

c. Who do not want child [ ]

d. No delivery of male child [ ]

7. Which of the following is true about secondary infertility?

a. Have twins pregnancy [ ]

b. Have previous pregnancy but failure to conceive subsequently [ ]

c. Have not conceive after two years of marriage [ ]

d. Have two female child [ ]

8. What does unexplained infertility means?

a. Couples who have sexually transmitted diseases [ ]

b. Father of the child is unknown [ ]

c. We do not know the cause even after all tests [ ]

d. Couples not able to explain the meaning of infertility [ ]

9. Which is the appropriate time of sex if couples wish to conceive?

a. During menses [ ]

b. Any day before menses [ ]

c. During ovulation [ ]

d. Any day after marriage [ ]

10. Who is responsible for infertility?

a. Only female [ ]
 b. Only male [ ]

c. Both male and female [ ]

d. God curse [ ]

11. Which of the following are main causes of infertility in female?

a. Lack of ovulation, tubal block, hormonal imbalance [ ]

b. Early menses, self-medication [ ]

c. God’s curse, impact of previous birth, doing sin [ ]

d. Seeking sexual pleasure, quarrelling [ ]

12. Which of the following are causes of infertility in male?

a. Oligospermia, failure of ejaculation, errors in seminal fluids [ ]

b. Erectile dysfunction, obstruction of ducts [ ]

c. Congenital and genetic factors, infection [ ]

d. All of above [ ]

13. When should a couple seek doctor’s advice for infertility?

a. If pregnancy does not occur after 6 months of sexual life [ ]

b. If pregnancy does not occur after 1 year of sexual life [ ]

c. If pregnancy does not occur after 2 years of sexual life [ ]

d. Immediately after marriage [ ]

14. An initial evaluation for fertility problems may include…

a. Medical history of both the partners [ ]

b. Blood and semen tests for certain hormonal abnormalities in men and women[ ]

c. Semen analysis and X-rays of uterus and tubes [ ]

d. All of above [ ]

15. What is main first test done for infertility in male?

a. Blood [ ]

b. Semen [ ]
 c. HIV AIDS [ ]

d. Follicle Stimulating Hormone [ ]

16. What are the common tests done for infertility in female?

a. Urine test, checking Blood Pressure [ ]

b. Blood test, Ultra Sonography (screening) [ ]

c. Scanning, stool test [ ]

d. Saliva test, checking breathing pattern [ ]

17. How the male infertility can be treated?

a. Antibiotics, having more sex [ ]

b. Light work, more rest [ ]

c. Hormonal drugs, surgery [ ]

d. Using homemade drugs, yoga [ ]

18. How female infertility can be treated?

a. Dieting, weight reduction, light work [ ]

b. Timing of sex, hormonal drugs, In-Vitro Fertilization(Test tube baby),

Artificial insemination [ ]

c. Self-medication, surrogacy, adopting child [ ]

d. Meditation, acupuncture, herbal care [ ]

19. What do you mean by artificial insemination?

a. Collection of semen for laboratory test [ ]

b. Collection of vaginal fluids for laboratory tests [ ]

c. Introducing semen into uterus through rubber tube [ ]

d. Introducing others female egg into uterus [ ]

20. What do you mean by In-Vitro fertilization(Test tube baby)?

a. Fusion of sperm and female egg in uterus and transferring to a test-tube [ ]

b. Fusion of sperm and female egg in test-tube and transferring into uterus [ ]
 c. Creating a artificial environment for growth of baby [ ]

d. Placing sperm into uterus through a test-tube [ ]

21. What do you mean by surrogacy?

a. Women donates female egg for others [ ]

b. Women lends her uterus for carrying baby for others [ ]

c. A women goes for second marriage to have children [ ]

d. A mother who takes care of child of others [ ]

22. Who can donates sperm and ova?

a. People between 18 to 45 years without any disorders [ ]

b. People above 45 without any disorders [ ]

c. People between 18 to 45 years without genetic disorders and infections [ ]

d. People below 18 years [ ]

23. What is the other option for infertility besides treatment?

a. Marrying with other person [ ]

b. Keeping quite [ ]

c. Adopting any child [ ]

d. Taking self-medication [ ]

24. Which of these is most successful option for older women?

a. In-vitro fertilization (Test tube baby) [ ]

b. Egg donors [ ]

c. Ovarian stimulation [ ]

d. None of above [ ]

25. Is surrogacy legal in India?

a. Yes [ ]

b. No [ ]

c. May be [ ]
 d. Don’t know [ ]

26. Who made infertility treatment even more expensive?

a. New technologies [ ]

b. Doctors unions [ ]

c. Rich patients [ ]

d. None of above [ ]

27. Fertility drugs are used primarily to….

a. Help you to grow new eggs [ ]

b. Help with ovulation of an egg [ ]

c. Stimulates the production of mature eggs [ ]

d. All of above [ ]

28. Fertility in women is impaired by…

a. Obesity [ ]

b. Increased Blood Pressure [ ]

c. Hernia [ ]

d. Gall Bladder stone [ ]

29. A men’s fertile life can be shortened by several years if she…

a. Smokes [ ]

b. Regularly exposed to toxins [ ]

c. Drinks alcohol [ ]

d. All of above [ ]

30. Which of the following should be adopted by the infertile couples?

a. Avoid wearing of loose undergarments [ ]

b. Avoid wearing of tight undergarments [ ]

c. Avoid wearing of cotton undergarments [ ]

d. Avoid taking of fresh vegetables [ ]

 SECTION – III
A Likert Attitude Scale on Infertility to assess Attitude of collegian students in Selected
colleges of Visnagar.
INSTRUCTIONS
 Read the statement carefully and give the answer, put tick mark (√) in appropriate
column whether you Strongly Agree, Agree, Uncertain, Disagree and strongly disagree.
Sr. Statement Strongly Agree Uncertain Disagree Strongly
No Agree Disagree

1 Smoking can put at risk of

being infertility.

2 Due to infertility,
conflicts can be arise
between couple.

3 Getting information about

treatments is best way for
handling infertility.

4 In-vitro fertilization (Test

tube baby) treatment is
less expensive.

5 Rich couples get good

services of infertility.

6 It is normal for women to

have menses shorten or
longer than 28 days.

7 Timing of intercourse
within fertile time can
help some infertility
couples to conceive.

Sexually Transmitted
8
Diseases can cause
infertility.
Sr. Statement Strongly Agree Uncertain Disagree Strongly
No Agree Disagree
Late marriages is one
9
reason for infertility.
Protecting fertility is
10
important issue for
women.
Infertility is problem for
11
only women.

12 Irregular menses does not

affect fertility.

If a couple conceive once,

13
they might have problems
conceiving again.
Infertility is due to god’s
14
curse and doing sin.
Infertility is 100%
15
curable.
Men do not experienced
16
age related decreased in
fertility.
In-vitro fertilization (Test
17
tube baby) always results
in twins and triplets.

18 Good health is a sign of

fertility.

19 Birth control pills have an

impact on fertility.
Social stigma for
20
infertility is more in
society.
 DATA COLLECTION TOOL

SECTION A: PERFORMA OF DEMOGRPHIC VARIABLES

Dear Sir/Madam,
Kindly, go through the content and place right mark against questionnaire in the
following columns ranging from relevant to not relevant, kindly give your opinion in remarks
column.
SECTION-I DEMOGRAPHIC DATA

SL.NO ITEMS RELEVANT NEED NOT REMARK

MODIFICATION RELEVANT

1.

2.

3.

4.

5.

6.
Dear Sir/Madam,
Kindly, go through the content and place right mark against questionnaire in the following
columns ranging from relevant to not relevant, kindly give your opinion in remarks column.
SECTION II:
STRUCTURED QUESTIONAIRE TO ASSESS THE KNOWLEDGE
REGARDING INFERTILITY:

SL.NO ITEMS RELEVANT NEED NOT REMARK

MODIFICATION RELEVANT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
 Dear Sir/Madam,
Kindly, go through the content and place right mark against statement in the following
columns ranging from relevant to not relevant, kindly give your opinion in remarks column.
SECTION III:
LIKERT ATTITUDE SCALE TO ASSESS THE ATTITUDE REGARDING
INFERTILITY:

SL.NO ITEMS RELEVANT NEED NOT REMARK

MODIFICATION RELEVANT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

LIST OF CRITERIA FOR TOOL VALIDATION

 A criteria for expert’s opinion on content validity of the socio demographic data of
sample, structured questionnaire and Likert attitude scale to assess knowledge and attitude
regarding infertility among final year students in selected commerce and science college,
Visnagar.
Instruction:
Please go through the criteria listed below has been formulated to assess the content
validity of structured questionnaire. There are three alternative response/columns, if you feel
that the criterion has fully met within the tool, please put a tick (√) mark in column (3) if you
feel it has met mostly kindly tick mark in column (2) and if you feel it has met to some extent
kindly tick mark column (1) kindly support your responses with appropriate remarks/
comments and suggestion in the remarks column as your valuable comments will help the
investigator to improve his/hereffort.

Sr CRITERIA 3 2 1 REMARKS
no:
1. The statement of the tool is clear and simple to
understand.
2. The statement of the tool is appropriate to the
response alternative given against them.
3. The statement of the tool is intends to assess the
Knowledge and attitude regarding infertility among
final year female students of selected arts and
commerce college.
4. The statement of the tool covers the relevant
content regarding infertility.
5. The tool developed is interesting to read and
respond.
6. The instruction given in the tool is clear and simple
to understand.
7. The content of the tool are organized in a
systematic manner.
8. The tool measure what it intends to measure.
9. The tool satisfies the Following criteria
characteristics.
Objectivity
Relevancy
Specificity
Validity
Reliability
Practicability

Kindly give your valuable comments and suggestions in the space given below for improvement.

Signature of expert:

CONTENT VALIDITY CERTIFICATE

This is to certify Ms. Ravina Patel, S.Y M.Sc. Nursing student of Nootan College of
Nursing, Visnagar, has submitted following research tool and content validation.

Section A: Demographic data of the Sample

 Section B: Structured Knowledge Questionnaire to Assess the Knowledge regarding Infertility.
Section B: Five point Likert attitude scale to assess the attitude towards infertility.

“A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURE TEACHING PROGRAMME ON

KNOWLEDGE AND ATTITUDE REGARDING INFERTILITY AMONG COLLEGE STUDENTS IN
SELECTED COMMERCE AND SCIENCE COLLEGE OF VISNAGAR.”

After examination of tool, it is to certify that tool items are valid and found to be valid for the
implementation and final data collection.

PLACE: SIGNATURE OF THE EXPERT

DATE: SEAL / NAME AND DESIGNATION