Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Midwifery and Reproductive Health Research Center, Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Vali-Asr and Neiaiesh Highway Intersection, Opposite Rajaee Heart Hospital, P.O. Box: 1996835119, Tehran, Islamic Republic of Iran.
Health Qual Life Outcomes. 2021 May 8;19(1):141. doi: 10.1186/s12955-021-01781-1.
Many studies have been conducted in Iran on the postpartum quality of life, and the majority have used the general quality of life questionnaire. With a specific tool in this context, the dimensions of maternal postpartum quality of life can be more accurately determined. The present study was conducted to determine psychometric properties and validate the Persian version of the Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL).
The present methodological study was conducted in 2018. The original version of MAPP-QOL was translated into Persian by both forward and backward translation. In a cross-sectional study, the Persian version was completed by 407 eligible postpartum women aged 18 to 47 and living in Tehran. Reliability of the questionnaire was assessed using Cronbach's alpha coefficient and test-retest. For construct validity, exploratory and confirmatory factor analyses were used.
The MAPP-QOL showed good content validity; content validity ratio (CVR) ranged from 0.6 to 1.00, and content validity index (CVI) ranged from 0.7 to 1.00. Using exploratory factor analysis, five factors, including Socioeconomic; Relational/Family-Friends; Psychological/Baby; Health & functioning; and Relational/Spouse-Partner, were extracted, which together explained 78.84% of the total variance. After modifications of CFA, the confirmatory factor analysis showed an acceptable goodness-of-fit. AVE value Above 0.5 exhibited appropriate convergent validity, and AVE greater than MSV confirmed divergent validity. The Cronbach's alpha, McDonald's Omega, Composite reliability and maximum reliability H of the five extracted factors were excellent (> 0.9). Also, the AIC values of the factors were good (between 0.721 to 0.859).
The 38-item Persian version of the postpartum quality of life questionnaire is adequately reliable for postpartum women in Iran. Given its appropriate psychometric properties, this scale is fit to be used in future studies on postpartum women.
伊朗已进行了多项有关产后生活质量的研究，其中大多数都使用了一般生活质量问卷。通过在这种情况下使用特定工具，可以更准确地确定产妇产后生活质量的各个维度。本研究旨在确定《产妇产后生活质量问卷》（MAPP-QOL）的波斯文版本的心理测量学特性并对其进行验证。
本方法学研究于 2018 年进行。MAPP-QOL 的原始版本通过正向和反向翻译被译为波斯文。在一项横断面研究中，407 名年龄在 18 至 47 岁、居住在德黑兰的合格产后妇女完成了波斯文版 MAPP-QOL。使用 Cronbach's alpha 系数和测试-重测来评估问卷的信度。为了评估结构有效性，使用探索性和验证性因子分析。
MAPP-QOL 具有良好的内容有效性；内容有效性比（CVR）范围为 0.6 至 1.00，内容有效性指数（CVI）范围为 0.7 至 1.00。使用探索性因子分析，提取了五个因子，包括社会经济；关系/家庭-朋友；心理/婴儿；健康和功能；以及关系/配偶-伴侣，它们共同解释了总方差的 78.84%。在对 CFA 进行修改后，验证性因子分析显示出可接受的拟合优度。AVE 值大于 0.5 表明具有适当的收敛有效性，AVE 值大于 MSV 表明具有发散有效性。五个提取因子的 Cronbach's alpha、McDonald's Omega、综合可靠性和最大可靠性 H 值均为优秀（>0.9）。此外，因子的 AIC 值也较好（在 0.721 至 0.859 之间）。
38 项产后生活质量问卷的波斯文版本对伊朗产后妇女具有足够的可靠性。鉴于其适当的心理测量学特性，该量表适合用于未来对产后妇女的研究。
