Clermont Auvergne Université, CNRS, CHU Clermont-Ferrand, Institut Pascal, Clermont-Ferrand, France.
Auvergne Perinatal Health Network, CHU Clermont-Ferrand, Clermont-Ferrand, France.
PLoS One. 2021 Nov 4;16(11):e0258943. doi: 10.1371/journal.pone.0258943. eCollection 2021.
Pregnancy and perinatal periods are significant risk factors of intimate partner violence (IPV), a major public health problem that could begin or intensify during these periods. Perinatal care providers have a major role in the identification and the management of IPV. This study aimed to cross-culturally adapt into French the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) tool, a reliable instrument to assess the knowledge, attitudes and preparedness to address IPV, and to evaluate its psychometric properties.
The PREMIS was cross-culturally adapted by conducting forward and backward translations, following international guidelines. An online cross-sectional study was conducted to assess the psychometric properties of the PREMIS-French in perinatal care providers: data completeness, factor analysis, score distribution, floor and ceiling effects, internal consistency, item-total correlations, inter-subscale correlations and test-retest reliability.
The PREMIS was successfully translated and cross-culturally adapted to the context of metropolitan France. The results obtained from 360 perinatal care providers showed good acceptability. Exploratory factor analysis of the "Opinions" items resulted in a six-factor solution with six of the eight subscales of the original structure identified. Good internal consistency (Cronbach's alpha ranging from 0.54 to 0.97) and good test-retest reliability (intraclass correlation coefficients ranging from 0.46 to 0.92) for the "Background" and "Opinions" subscales were found.
This study provides evidence of the good psychometric properties of the PREMIS-French. This valid instrument will help to understand perinatal care providers' barriers to IPV screening and management and will help to focus on specific lacks of knowledge for developing IPV education programs.
妊娠和围产期是亲密伴侣暴力（IPV）的重要危险因素，这是一个重大的公共卫生问题，可能在这些时期开始或加剧。围产期保健提供者在识别和管理 IPV 方面发挥着重要作用。本研究旨在将评估 IPV 知识、态度和准备情况的可靠工具——医生处理亲密伴侣暴力准备情况调查（PREMIS）工具——跨文化改编为法语，并评估其心理测量学特性。
PREMIS 通过进行前向和后向翻译，遵循国际指南进行跨文化改编。一项针对围产期保健提供者的在线横断面研究评估了 PREMIS-法语的心理测量学特性：数据完整性、因子分析、评分分布、地板和天花板效应、内部一致性、项目总分相关性、亚量表间相关性和测试-重测信度。
PREMIS 成功翻译并适应了法国大都市的文化背景。对 360 名围产期保健提供者进行的研究结果表明其具有良好的可接受性。对“意见”项目进行探索性因子分析得出了一个六因素解决方案，其中确定了原始结构的八个子量表中的六个。“背景”和“意见”子量表的内部一致性良好（Cronbach's alpha 为 0.54-0.97），测试-重测信度良好（组内相关系数为 0.46-0.92）。
本研究提供了 PREMIS-法语具有良好心理测量学特性的证据。这种有效的工具将有助于了解围产期保健提供者在 IPV 筛查和管理方面的障碍，并有助于针对特定的知识不足制定 IPV 教育计划。
