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Self-injection Social Norms Scale

Self-injection Social Norms Scale is a 4-item measure of the social norms and acceptability surrounding self-injection of the contraceptive method of subcutaneous depot medroxyprogesterone acetate (DMPA-SC).

Categories

Geographies Tested: Uganda

Populations Included: Female

Age Range: Adolescents, Adults

Items:

1. How many people in your community believe it is acceptable for women to administer the DMPA-SC self-injectable to themselves?
2. How many married women in your community administer the DMPA-SC self-injectable to themselves?
3. How many unmarried women in your community administer DMPA-SC self-injectable to themselves?
4. How many adolescent girls in your community administer the DMPA-SC self-injectable to themselves?

Response Options:
None - 1
Some - 2
About half - 3
Most - 4
All - 5

Scoring Procedures

The mean score of all items is calculated for the total score (range 1-5). Higher scores indicate more positive social norms towards DMPA-SC self-injection.

Original Citation

Sedlander, E., Turaga, N., Birabwa, C., Wasswa, R., Phillips, B., Amongin, D., Challa, S., Nano, S., Kyobe, B., Kayego, A., Waiswa, P., & Holt, K. (2025). A longitudinal study examining how self-injection social norms are associated with contraceptive self-injectable interest and use in rural Uganda. BMC Womens Health, 25(Suppl 1), 288. https://doi.org/10.1186/s12905-025-03878-x


Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

KEY

Ease of Use

Readability

Scoring Clarity

Length

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