LETTER SEEKING EXPERT OPINION FOR CONTENT OF

VALIDITY OF TOOL

From
Anamika khajuria
M.Sc. (N) 2nd year

Bee Enn College of Nursing Chak Bhalwal Jammu

To
Mrs. Davinder kaur
Vice principal
ASCOMS, Jammu
Subject: Letter seeking experts’ opinion for content validity of research tool
Respected Mam,

Anamika khajuria, Student of M.Sc. (N) 2 nd year of Bee Enn College of Nursing, Chak
Bhalwal Jammu has selected the following topic for research project as a partial fulfilment
to be submitted to university of Jammu for the award of M.Sc. (N) degree. undertaking “A
COMPARATIVE STUDY TO ASSESS THE LEVEL OF STRESS AND COPING
STRATEGIES BETWEEN HUSBANDS AND WIVES ATTENDING INFERTILITY
CLINICS AT SELECTED HOSPITALS, JAMMU”

I request you to give your expert opinion and suggestion with regard to the same in terms
of relevance, appropriateness, accuracy, and organization of the tool in relation to the
problem and objectives formulated. Your valuable suggestions will be a great help in the
betterment of the quality of the study.

Thanking you
Yours sincerely
Ms. Anamika khajuria
M.Sc. Nursing 2nd year
 STATEMENT OF THE PROBLEM
A COMPARATIVE STUDY TO ASSESS THE LEVEL OF STRESS AND COPING
STRATEGIES BETWEEN HUSBANDS AND WIVES ATTENDING INFERTILITY AT
SELECTED HOSPITALS, JAMMU”

OBJECTIVES
1. To assess the level of stress among husbands and wives attending infertility clinic at
selected hospital, Jammu.
2. To assess the level of coping strategies among husbands and wives attending infertility
clinics at selected hospital, Jammu.
3. To compare the level of stress and coping strategies among husbands and wives attending
infertility clinics at selected hospital, Jammu.
4. To associate the level of stress among husbands and wives attending infertility clinics at
selected hospital, Jammu with selected demographic variables.
5. To associate the coping mechanism among husbands and wives attending infertility
clinics at selected hospital, Jammu with selected demographic variables.

HYPOTHESIS

H0: There is no significant difference in stress between husbands and wives attending
infertility clinics at selected hospitals, Jammu.
H01: There is no significant difference in coping strategies between husbands and wives
attending infertility clinics at selected hospitals, Jammu.

H1: There is significant difference in stress between husbands and wives attending infertility
clinics at selected hospital, Jammu.
H2: There is significant difference in coping strategies between husbands and wives attending
infertility clinics at selected hospital, Jammu.

OPERATIONAL DEFINITIONS: -

Assess: - To systematically measure and analyse the performance of infertile couples and
making informed judgement.
Stress: - An individual’s subjective assessment of stress perceptions of various stress-related
factors, including the sense of unpredictability, lack of control by using a Perceived Stress
Scale.
Coping strategies: -These are measurable and observable behavioural or cognitive strategies
that couples employ to manage and adapt to stress by using a standardized COMPI Coping
Strategies Scale.
Husband and wives: -According to the study Husbands and wives are the couples who are
attending infertility clinics at selected Hospital, Jammu.

DELIMITATIONS:

The study will be limited to: -

Couple attending the infertility clinics only.

Couple of age group 30- 45 years only.

 RESEARCH METHODOLOGY: -

RESEARCH APPROACH:

Research approach was the basic procedure for conducting the study. The Quantitative research

approach will be used for the present study.

RESEARCH DESIGN:

A Nonexperimental comparative research design will be used for the present study.

RESEARCH SEETINGS:

The study will be conducted at selected hospitals, Jammu.

POPULATION:

The population for the study is the husbands and wives who are attending infertility clinics during
the period of data collection.

TARGET POPULATION

A target population consists of the total number of people who are meeting the designated set of
criteria.

The target population will Husbands and wives who are receiving treatment at the infertility clinic.

ACCESSIBLE POPULATION

Husbands and wives who are receiving treatment at the infertility clinics during the time of data
collection.

SAMPLE SIZE:

The sample size will be 100 couple. 50 each husband and wives.

SAMPLING TECHNIQUE:

The sampling technique used for data collection is Purposive Sampling.

CRITERIA FOR SAMPLE SELECTION:

INCLUSION CRITERIA

1. Couple who are attending the infertility clinics.

2. Those who are willing to participate in the study.

3. Couples who can understand English and Hindi.

EXCLUSION CRITERIA

1. Surrogate mothers attending the infertility clinics.

2. Those who are not willing to participate in the study.

 TOOL FOR DATA COLLECTION

INSTRUCTIONS TO THE PARTICIPANTS:

I ____________, voluntarily agree to participate in research study. I
understand that our participation is confidential, and our data will be securely
maintained. I confirm that I am participating of my own free will and can
withdraw at any time without consequence.
SECTION-I SOCIO DEMOGRAPHIC TOOL
Demographic details:
1. Age
a) 18- 20 years
b) 21-25 years
c) 26-30 years
d) 31 years or above
2. Gender
a) Male
b) Female
3. Religion a) Hindu
b) Muslim
c) Sikh
d) Christian
4. Area of residence
a) Urban
b) Rural
5. Education qualification?
a) Diploma
b) Bachelors
c) Masters
6. Family income (Kuppuswamy scale)
a) ≥ 185,895
b) 92951-185894
c) 69535-92950
d) 46475-69534
e) 27883-46474
f) 9308-27882

g) ≤ 9307

7. Duration of marriage
a) 1 year
b) 2 years
c) more than two years
8. Family history of infertility
a) Yes
b) No
 SECTION-II
Perceived stress scale
S.NO Questions Never Almost Sometimes Fairly Very
0 Never 2 Often Often
1 3 4

1. In the last month, how often have you been upset

because of something that happened ?
unexpectedly
2. In the last month, how often have you felt that
you were unable to control the important things
in your life?

3. In the last month, how often have you felt

nervous and stressed?

4. In the last month, how often have you felt

confident about your ability to handle your
personal problems?

5. In the last month, how often have you felt that

things were going your way?

6. In the last month, how often have you found that

you could not cope with all things that you had
to do?

7. In the last month, how often have you been able

to control irritations in your life?

8. In the last month, how often have you felt that

you were on top of things?

9. In the last month, how often have you been

angered because of things that happened that
were outside of your control?

10. In the last month, how often have you felt

difficulties were pilling up so high that you
could not overcome them?
The COMPI Coping Strategy Scales
QUESTION Not Used Used Quite Used a
Used Somewhat a bit great deal
1 2 3 4
Active- avoidance Coping Scale
1. Avoid being with pregnant women or children.
2. Leave, when people are talking about pregnancy and
children.
3. Try to keep my feelings to myself.
4. Turn to work or substitute activity to take my mind off
things.

Active- confronting Coping Scale

1. Let my feelings out somehow
2. Accept sympathy and understanding from someone
3. Ask other childless people for advice
4. Ask a relative or friend for advice
5. Read or watch television about childlessness
6. Talk to someone about my emotions of childless
7. Talk to someone about how tests and treatment affect me
emotionally.

Passive- avoidance Coping Scale

1. Hope a miracle will happen.
2. Feel that the only thing I can do is to wait.
3. Have fantasies and wishes
Meaning- based Coping Scale
1. Have grown as person in a good way.
2. Think about the infertility in a positive light.
3. Find my marriage/partnership even more
valuable now.
4. Find other life goals.
5. Believe there is a meaning in our difficulties in
having Children.

SCORING PROCEDURE
 PERCEIVED STRESS SCALE: -

The Likert questionnaire consists of 10 questions.

A score of 0- was allotted to Never, A score of 1- was allowed to Almost never, A score of 2-
was allotted to Sometimes, A score of 3- was allotted to Very often.

Score ranging from 0- 13 would be low stress.

Score ranging from 14 - 26 would be moderate stress.

Score ranging from 27 - 40 would be highly perceived stress.

NOTE: - Question no 4, 5, 7, 8 had negative, reverse scoring.

THE COMPI COPING STRATEGY SCALE: -

Likert questionaries consists of 19 questions. It has 4 sub scale. A. Active avoidance (4)
B.Active Confronting (7). C. Passive (7). D. Meaning based (5).

A score of 1- was allotted Not Used.

A score of 2- was allotted Used.

A score of 3- was allotted Used quiet.

A score of 4- was allotted Used a great deal.

Score ranging from 1 - 19 would be Poor coping,score

Score ranging from 20 - 38 would be Average coping,

Score ranging from 39 - 57 would be Good coping,

Score ranging from 58 - 76 would be Excellent coping.

 CERTIFICATE OF VALIDATION

I here certify that; I have validated the tool of student of M.Sc. (N) 2nd year of Bee
Enn College of Nursing Jammu, who undertaking “A COMPARATIVE
STUDY TO ASSESS THE LEVEL OF STRESS AND COPING STRATEGIES
BETWEEN HUSBANDS AND WIVES ATTENDING INFERTILITY CLINICS AT
SELECTED HOSPITALS, JAMMU”

SIGNATURE OF EXPERT

NAME:

DESIGNATION:

PLACE:

DATE:
 VALIDATION OF TOOL: -
S.NO CONTENT SATISFIED NEED SUGGESTION
CORRECTION
1. Socio-
demographic
variables
1.Age
2. Gender
3. Religion
4. Area of residence
5.Education qualification
6.Family income
7. Duration of marriage
8.Family history of
infertility

2. Perceived stress scale

3. COMPI Coping strategy

scale

SIGNATURE OF EXPERT

NAME:

DESIGNATION:

PLACE:

DATE: