Hangzhou Normal University, Nursing School, No. 2318, Yu Hang Tang St, Cang Qian Area, Yu Hang Dis, Hang Zhou, Zhe Jiang, China, 311121.
Hangzhou Normal University, Nursing School, No. 2318, Yu Hang Tang St, Cang Qian Area, Yu Hang Dis, Hang Zhou, Zhe Jiang, China, 311121.
Midwifery. 2021 Feb;93:102885. doi: 10.1016/j.midw.2020.102885. Epub 2020 Nov 14.
The study aimed to cross-culturally adapt and validate the First-Time Fathers Questionnaire (FTFQ) in the cultural context of China.
Prospective validation study.
The study was conducted in four public hospitals in Hangzhou, a southeast coastal city of China.
Four hundred and nineteen first-time fathers (mean age=30.45 years, SD=3.44, range 22-46) whose partners had given birth between July 20 and October 10, 2019.
The instrument "First Time Fathers Questionnaire (FTFQ)" was translated and culturally adapted to the Chinese context according to the methodological criteria of the International Society for Pharmacoeconomic and Outcomes Research. The construct-related validity of the instrument was tested through EFA and CFA. Content validity was evaluated with an analysis of the expert judgment. Reliability was assessed based on the internal consistency.
Four domains were identified: "Worry", "Information", "Emotional Support", and "Acceptance", with 19 items and adequate internal reliability (0.86, 0.80, 0.86, and 0.72, respectively) and a total variance of 64.65%. The CFA model showed there is a good fit for the data: X/df =1.20; RMSA = 0.03; CFI = 0.99; and NFI = 0.93. Additionally, each item achieved an I-CVI ≧0.83, and the S-CVI/Ave = 0.90.
The Chinese version of the FTFQ is a valid and reliable instrument to assess first-time fathers' experience of childbirth in China.
This study provides a validated questionnaire that is suitable for the Chinese cultural context. It contributes to the knowledge of first-time fathers' experience of childbirth and facilitate further actions to improve paternal satisfaction and behavior as labour companion.
本研究旨在跨文化适应并验证中国文化背景下的首次父亲问卷（FTFQ）。
前瞻性验证研究。
本研究在中国东南沿海城市杭州的四家公立医院进行。
2019 年 7 月 20 日至 10 月 10 日期间分娩的 419 名首次父亲（平均年龄=30.45 岁，标准差=3.44，范围 22-46）。
根据国际药物经济学和结果研究学会的方法标准，对仪器“首次父亲问卷（FTFQ）”进行翻译和文化适应。通过 EFA 和 CFA 测试仪器的结构相关有效性。内容有效性通过专家判断分析进行评估。可靠性基于内部一致性进行评估。
确定了四个领域：“担忧”、“信息”、“情感支持”和“接受”，共有 19 个项目，具有足够的内部可靠性（分别为 0.86、0.80、0.86 和 0.72）和 64.65%的总方差。CFA 模型显示数据拟合良好：X/df =1.20；RMSA=0.03；CFI=0.99；NFI=0.93。此外，每个项目的 I-CVI≥0.83，S-CVI/Ave=0.90。
中文版 FTFQ 是评估中国首次父亲分娩体验的有效且可靠的工具。
本研究提供了适合中国文化背景的验证问卷。它有助于了解首次父亲的分娩体验，并促进进一步采取行动提高父亲的满意度和作为分娩伴侣的行为。
