Browsing by Author "Roomaney, Rizwana"

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    The construction and validation of a health-related quality of life measure for women with endometriosis
    (Stellenbosch : Stellenbosch University, 2017-03) Roomaney, Rizwana; Kagee, Ashraf; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.
    ENGLISH SUMMARY: The purpose of this study was to construct and validate a health-related quality of life (HRQOL) measure for patients with endometriosis. The study employed an exploratory, sequential mixed methods research design, consisting of a qualitative phase, followed by a quantitative phase. The study consisted of three aims. The first aim was to describe and understand the QOL-related experiences of women with endometriosis. This qualitative phase of the study involved in-depth, semi-structured interviews with 25 women diagnosed with endometriosis. I recorded and transcribed the interviews. I used thematic analysis to code the data and identify themes. Eleven themes emerged from the data, namely psychological functioning, sexual functioning, financial impact and considerations, healthcare and medical treatment, reproductive functioning, information and knowledge, interpersonal functioning, menstrual characteristics, occupational functioning, somatic features and physical functioning. The second aim of the study was to construct items for the instrument based on data collected during the first phase. The initial item pool consisted of 314 items. I then consulted with two experts in psychometry, who provided feedback relating to the clarity, conciseness, wording and ambiguity of items. This process resulted a reduced pool of 184 items. I asked five endometriosis experts to review the items in terms of relevance. Items that the experts regarded as highly relevant were retained in the measure and items that were not regarded as highly relevant were removed from the measure. The review resulted in the retention of 64 items. I piloted these items among seven women with endometriosis in order to assess the readability of the items. The final aim of the study was to determine the test reliability, validity and factor structure of the measure. This formed the quantitative component of the study. I administered the 64-item HRQOL measure, Endometriosis Health Profile 30, Short Form Health Survey World Health Organization Quality of Life Brief scale and the Beck Depression Inventory to 203 patients with endometriosis. I conducted an item analysis and removed 16 items that displayed corrected item total correlations below .35. I then conducted an exploratory factor analysis (EFA) on the remaining 48 in order to establish the factor structure of the measure. The factor analysis identified thirteen items that either cross-loaded on more than one factor or that did not significantly load on any factor. These items were removed. The remaining 35 items produced an eight-dimension factor structure. A second EFA produced the same factor structure. I named the measure the Stellenbosch Endometriosis Quality of life (SEQOL) measure and the named the dimensions as follows: (1) Psychological well-being; (2) Income; (3) Sexual functioning and romantic relationships; (4) Reproductive functioning; (5) Vitality; (6) Occupational functioning; (7) Menstrual characteristics and (8) Support. The SEQOL and its subscales demonstrated excellent internal consistency reliability. The SEQOL produced a Cronbach’s α of .92 and the Cronbach’s α for the subscales ranged from .72 to .88. Correlations between scores on SEQOL, its subscales and other measures indicated promising validity. The initial validation indicates that the SEQOL may be a useful assessment of HRQOL in women with endometriosis, both in research and clinical practice.
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    Correlates of premenstrual dysphoric disorder among female university students
    (Taylor & Francis, 2020-09-29) Roomaney, Rizwana; Lourens, Ashley
    ENGLISH ABSTRACT: We investigated dysmenorrhea, rumination, substance use and perceived stress as predictors of PMDD among women. We used a cross-sectional design and convenience sampling to recruit participants at a university in South Africa. A total of 1329 female students participated in the study. Data was collected using an online survey. Participants completed a demographic questionnaire, Premenstrual Screening Tool, Drug Use Disorders Identification Test, Adapted Ruminative Response Scale, Menstrual Symptom Questionnaire, and the Perceived Stress Scale. Descriptive analysis, correlations and logistic regression analysis were conducted using Statistical Package for the Social Sciences. A total of 135 participants screened positive for PMDD symptoms, indicating a prevalence rate of 10.2% for PMDD symptoms. The model predicted 90% of the cases correctly. Congestive dysmenorrhea, brooding, reflection and worry were identified as significant predictors of positive PMDD symptoms. Oral contraceptive use, spasmodic dysmenorrhea, perceived stress and drug use were not significant predictors. We recommend the development of a CBT based intervention targeting rumination in women with PMDD and education-based interventions regarding dysmenorrhea and PMDD among university students.
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    Exploring the barriers that prevent practitioners from implementing motivational interviewing in their work with clients
    (Stellenbosch University, Department of Social Work, 2020) Bell, Debbie Lenie; Roomaney, Rizwana
    ENGLISH ABSTRACT: Motivational interviewing (MI) is an evidence-based counselling technique that is used by psychologists, doctors, nurses, midwives and social workers as an effective intervention aimed at behavioural change. Despite its efficacy, it is not commonly used in South Africa. Our aim was to explore the barriers that social and health practitioners who were trained in administering MI experienced in implementing MI in their work with clients. We used a qualitative approach to explore these barriers and a phenomenological research design to explore the research question. We conducted semi-structured interviews with 15 MI practitioners (social workers, registered counsellors, an educational psychologist, a life coach and an addiction counsellor) who were living and working in the Western Cape and deemed competent in MI. Our thematic analysis resulted in four broad areas being identified. These were practitioner-related factors, client-related factors, lack of continuous training and supervision, and workplace-related factors.
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    Predictors of burnout among HIV nurses in the Western Cape
    (AOSIS Publishing, 2017-06-28) Roomaney, Rizwana; Steenkamp, Jeanette; Kagee, Ashraf
    Background: Burnout has been implicated as one of the reasons for key healthcare personnel, such as nurses, leaving their profession, resulting in insufficient staff to attend to patients. Objective: We investigated the predictors of three dimensions of burnout, namely emotional exhaustion, depersonalisation and personal accomplishment, among nurses in South Africa attending to patients living with HIV. Method: Participants were recruited at a large tertiary hospital in the Western Cape region, with the help of the assistant director of nursing at the hospital. They completed the Maslach Burnout Inventory, the Quantitative Workload Inventory, the Interpersonal Conflict at Work Scale, the Organisational Constraints Scale, the Death and Dying subscale of the Nursing Stress Scale, and the HIV and AIDS Stigma Instrument – Nurse. Results: We found elevated levels of burnout among the sample. Workload, job status and interpersonal conflict at work significantly explained more than one-third of the variance in emotional exhaustion (R² = 0.39, F(7, 102) = 9.28, p = 0.001). Interpersonal conflict, workload, organisational constraints and HIV stigma significantly explained depersonalisation (R² = 0.33, F(7, 102) = 7.22, p = 0.001). Job status and organisational constraints significantly predicted personal accomplishment (R² = 0.18, F(7, 102) = 3.12, p = 0.001). Conclusion: Factors such as workload, job status and interpersonal conflict in the work context, organisational constraints and stigma associated with HIV were found to be predictors of burnout in the sample of nurses. Our recommendations include developing and testing interventions aimed at reducing burnout among nurses, including reducing workload and creating conditions for less interpersonal conflict at work.