Social determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Pregnancy Childbirth. 2020 Oct 12;20(1):616. doi: 10.1186/s12884-020-03317-9.
Given the importance of the childbirth experience, its effects on women's life and society, and the need for its assessment by accurate instruments, this study aimed to determine the psychometric properties of the Questionnaire for Assessing the Childbirth Experience (QACE) in an Iranian women population.
The validity of the Farsi edition of the questionnaire was assessed using the opinions of eight experts. Its construct validity was assessed by studying 530 mothers, at 1-4-month postpartum, who delivered in health centers of Tabriz, Iran. The exploratory factor analysis (EFA) was performed to identify its factors. Then, the confirmatory factor analysis (CFA) was performed for the structural assessment of the extracted factors. Spearman's correlation coefficient was used to investigate the correlation between factors. Cronbach's alpha and intraclass correlation coefficient (ICC) were used to obtain the internal consistency and test-retest reliability.
In total, four factors were extracted from the EFA: "relationship with staff" (4 questions), "first moments with the newborn" (3 questions), "feelings at one-month postpartum" (3 questions), and "emotional status" (3 questions). According to the CFA, the model achieved desired fit level (RMSEA < 0.08, GFI, CFI, IFI > 0.90, and x/df < 5.0). Cronbach's alpha (0.77-0.82) and intraclass correlation coefficient index (0.83-0.98) were desirable for all factors.
The short edition of the QACE, as a standard tool, can be used by future studies to measure the experience of Iranian women.
鉴于分娩体验的重要性、其对女性生活和社会的影响，以及需要用准确的工具对其进行评估，本研究旨在确定问卷评估分娩体验（QACE）在伊朗女性人群中的心理测量特性。
使用 8 位专家的意见评估问卷的波斯语版本的效度。通过对伊朗大不里士医疗中心的 530 名产后 1-4 个月的母亲进行研究，评估其结构效度。采用探索性因子分析（EFA）确定其因子。然后，进行验证性因子分析（CFA）对提取的因子进行结构评估。采用 Spearman 相关系数研究因子之间的相关性。采用 Cronbach's alpha 和组内相关系数（ICC）评估内部一致性和重测信度。
EFA 共提取出四个因子：“与医护人员的关系”（4 个问题）、“与新生儿的最初时刻”（3 个问题）、“产后一个月的感觉”（3 个问题）和“情绪状态”（3 个问题）。根据 CFA，该模型达到了理想的拟合水平（RMSEA <0.08，GFI、CFI、IFI>0.90，x/df <5.0）。所有因子的 Cronbach's alpha（0.77-0.82）和组内相关系数指数（0.83-0.98）均令人满意。
QACE 短版作为一种标准工具，可用于未来的研究来衡量伊朗女性的体验。
