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Motivation for Contraceptive Use

Motivation for Contraceptive Use is a 23-item measure to assess 3 core motivators of contraception use. The 3 motivators captured in this survey are: sensation (characterized by pleasure and pain), anticipation (characterized by hope and fear) and belonging (characterized by acceptance and rejection).

Categories

Geographies Tested: Nigeria

Populations Included: Female

Age Range: Adolescents, Adults

Items:

1. Sex is unnatural with condoms.
2. Condoms ruin the mood.
3. Contraceptives reduce a woman's sexual urge.
4. Contraceptives reduce a man's sexual urge.
5. Condoms prevent pregnancy.*
6. Condoms have holes that allow HIV to pass through them.*
7. Contraceptives can cause cancer.*
8. Contraceptives are dangerous to your health.*

Response Options:
Strongly agree - 1
Somewhat agree - 2
Somewhat disagree - 3
Strongly disagree - 4
Don't know - 98

9. How motivated or unmotivated are you to use condoms with your partner?*
10. How motivated or unmotivated are you to discuss contraception with your partner?*
11. How motivated on unmotivated are you to use contraception?*

Response Options:
Very motivated - 1
Somewhat motivated - 2
Unmotivated - 3
Very unmotivated - 4
Don't know - 98

12. Do you intend to talk to your partner about contraception in the next three months?

Response Options:
Yes - 1
No - 0

13. It is against your values to have sexual intercourse before marriage.
14. Adolescent girls who get pregnant before marriage should feel ashamed.
15. Adolescents should have sex before marriage to see if they are suited to each other.*
16. Condom use means that a person is promiscuous.
17. Women who use contraceptives may become promiscuous.
18. Use of some contraceptives can make a woman permanently infertile.
19. The husband should be the one to decide whether the couple should use a method of contraception.

Response Options:
Strongly agree - 1
Somewhat agree - 2
Somewhat disagree - 3
Strongly disagree - 4
Don't know - 98

20. On a scale of 1–7 please tell me how having sex makes a person cool.

Response Options:
7-point Likert scale
Not cool – 1
Is cool – 7

21. On a scale of 1–7 please tell me how having sex makes a person sexy.

Response Options:
7-point Likert scale
Not sexy – 1
Sexy – 7

22. On a scale of 1–7 please tell me how having sex makes a person respected.

Response Options:
7-point Likert scale
Not respected – 1
Respected – 7

23. Have you and your partner ever discussed the number of children you would like to have?

Response Options:
Yes - 1
No - 0

*Items are reverse scored

Scoring Procedures

Responses are summed, with scores ranging from 26 (low motivation) to 87 (high motivation).

Original Citation

Agha, S., Morgan, B., Archer, H., Paul, S., Babigumira, J. B., & Guthrie, B. L. (2021). Understanding how social norms affect modern contraceptive use. BMC Public Health, 21(1), 1061. https://doi.org/10.1186/s12889-021-11110-2

Psychometric Score

Citation Frequency

Ease of Use Score

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

Ease of Use

Readability

Scoring Clarity

Length

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