School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Department of Obstetrics and Gynaecology, Queen Mary Hospital, University of Hong Kong, Pok Fu Lam, Hong Kong.
BMC Pregnancy Childbirth. 2022 Feb 15;22(1):126. doi: 10.1186/s12884-022-04456-x.
To evaluate the psychometric properties of the traditional Chinese version of the Childbirth Experience Questionnaire (CEQ 2.0) and assess the childbirth experiences of Chinese women.
A cross-sectional survey was conducted in Hong Kong from July 2020 to February 2021. In total, 975 mothers, who could read traditional Chinese and gave birth in 2020 or 2021, were included in the analysis. Data were fitted into the model proposed by the original developers using the confirmatory factor analysis. The data were then randomly split into training and validation sets for exploratory and confirmatory factor analyses. Childbirth experiences were assessed. Factor structure, internal construct validity, internal consistency, and known-group validity were assessed.
The originally proposed CEQ2.0 model showed a poor fit. An exploratory factor analysis identified a revised four-factor model (CEQ2.0-R) on a randomly split sample, which showed a satisfactory fit (CFI=0.912; TLI=0.884; SRMR=.053; RMSEA=0.072) on the other split sample. The revised scale comprised 13 items and four domains: (1)"Own capacity" (6 items), (2) "General support" (3 items), (3) "Perceived safety" (2 items), and (4) "Professional support" (2 items). CEQ2.0-R showed high internal construct validity and reliability. It can differentiate between participants with different characteristics, including parity, oxytocin augmentation, and companionship during labour. The childbirth experiences of the participants were merely positive, and participants reported that more support from midwives is needed.
CEQ2.0-R can adequately describe the childbirth experiences of women in Hong Kong. The questionnaire is easy to be administer and can be used to assess several domains of the childbirth experiences. It may be useful to evaluate the aspects of support needed during childbirth.
评估中文版生育经历问卷（CEQ 2.0）的心理计量特性，并评估中国女性的生育经历。
本研究于 2020 年 7 月至 2021 年 2 月在香港进行了一项横断面调查。共纳入 975 名能读懂繁体中文且于 2020 年或 2021 年分娩的母亲。采用原开发者提出的模型对数据进行拟合，通过探索性和验证性因子分析对数据进行随机拆分，建立训练集和验证集。评估生育经历，评估因子结构、内部结构效度、内部一致性和已知组有效性。
最初提出的 CEQ2.0 模型拟合效果较差。探索性因子分析在随机拆分样本上确定了一个修订的四因子模型（CEQ2.0-R），在另一部分拆分样本上显示出了较好的拟合（CFI=0.912；TLI=0.884；SRMR=0.053；RMSEA=0.072）。修订后的量表包括 13 个项目和四个领域：（1）“自身能力”（6 个项目）；（2）“一般支持”（3 个项目）；（3）“感知安全”（2 个项目）；（4）“专业支持”（2 个项目）。CEQ2.0-R 具有较高的内部结构效度和信度。它可以区分具有不同特征的参与者，包括产次、催产素增强和分娩陪伴。参与者的生育经历仅为积极，报告需要更多来自助产士的支持。
CEQ2.0-R 可充分描述香港女性的生育经历。该问卷易于管理，可用于评估生育经历的多个领域。它可能有助于评估分娩期间所需支持的各个方面。
