Ghanbari-Homaie Solmaz, Mohammad-Alizadeh-Charandabi Sakineh, Asghari-Jafarabadi Mohammad, Meedya Shahla, Mohammadi Eesa, Mirghafourvand Mojgan
Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Cabrini Research, Cabrini Health, VIC 3144, Australia.
J Educ Health Promot. 2023 Jun 30;12:191. doi: 10.4103/jehp.jehp_322_22. eCollection 2023.
Lack of perceived support and control during labor and childbirth is known as an important predictor of post-traumatic stress disorder following childbirth. However, there is no standard scale to measure perceived support and control for Iranian women. This study determined the validity and reliability of the support and control in birth questionnaire for Iranian women.
Support and control in the birth questionnaire were translated into Persian by the forward and backward translation method in 2019. Among a total of 102 healthcare centers in Tabriz, 50 urban and 10 rural centers were selected randomly. Then, 660 women with vaginal childbirth during the postpartum period were extracted by each center and selected randomly. The validity of the Persian version was evaluated in terms of face, content, and construct validity. Internal consistency and reliability were assessed by Cronbach's alpha coefficient and intraclass correlation coefficient, respectively. Exploratory and confirmatory factor analyses were used for evaluating the construct validity of the tool.
Cronbach's alpha coefficient (0.95) and intraclass correlation coefficient (0.99) were acceptable. In an exploratory analysis, three factors were extracted and these three factors explained 63.1% of the total variance. Items 14 and 17 were removed from the Persian version due to low factor loading and impact factor values. Confirmatory factor analysis supported the three factors extracted in the exploratory analysis. Confirmatory factor analysis showed suitable indexes of fitness for 31 items.
Persian version of the support and control in the birth questionnaire is a valid and reliable tool for the Iranian women population.
分娩过程中缺乏可感知的支持与掌控被认为是产后创伤后应激障碍的重要预测因素。然而,对于伊朗女性,尚无衡量可感知支持与掌控的标准量表。本研究确定了伊朗女性分娩支持与控制问卷的效度和信度。
2019年采用正反翻译法将分娩支持与控制问卷翻译成波斯语。在大不里士总共102个医疗中心中,随机选取50个城市中心和10个农村中心。然后,每个中心抽取660名产后经阴道分娩的女性并随机选取。从表面效度、内容效度和结构效度方面评估波斯语版本的效度。分别采用克朗巴哈α系数和组内相关系数评估内部一致性和信度。采用探索性和验证性因子分析评估该工具的结构效度。
克朗巴哈α系数(0.95)和组内相关系数(0.99)均可接受。在探索性分析中,提取出三个因子,这三个因子解释了总方差的63.1%。由于因子载荷和影响因子值较低,波斯语版本中删除了第14项和第17项。验证性因子分析支持探索性分析中提取的三个因子。验证性因子分析显示31个条目的拟合指数合适。
波斯语版分娩支持与控制问卷是适用于伊朗女性人群的有效且可靠的工具。