Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Malaysia.
Department of Obstetric and Gynaecology, Faculty of Medicine, Universiti Malaya, Malaysia.
Midwifery. 2024 Jul;134:104002. doi: 10.1016/j.midw.2024.104002. Epub 2024 Apr 22.
The empowerment of pregnant women is a meaningful strategy that profoundly impacts the health of women and their children. Despite a significant increase in the empowerment of pregnant women and its measurement, little attention was given to a consensus on the selection and application of assessment instruments used for pregnant women.
To identify the available assessment instruments for measuring the empowerment of pregnant women and to describe the appraisal content and their psychometric properties.
We searched nine bibliographic databases for original studies that focus on the measurement of empowerment in pregnant women. Arksey and O'Malley's methodology and PRISMA-ScR were selected to guide the implementation of this scoping review. The COSMIN criteria was employed to assess the methodological quality and the quality of psychometric properties.
A total of 23 studies were included and 13 instruments were extracted. Given comprehensive considerations, Kameda's prenatal empowerment scale may be deemed suitable. The included instruments comprehensively measured the attributes of empowerment, with a particular focus on facilitating women's choice and decision-making. Except for the four most recent self-designed questionnaires, the remaining instruments had been tested for reliability and/or validity.
There were heterogeneous results regarding the included instruments' appraisal content and psychometric properties. Future studies focusing on the development or validation of measurement instruments should be guided by influential and identical standards.
赋予孕妇权力是一项有意义的策略，它对妇女及其儿童的健康有着深远的影响。尽管孕妇赋权及其衡量标准有了显著提高，但对于用于衡量孕妇赋权的评估工具的选择和应用，几乎没有达成共识。
确定可用于衡量孕妇赋权的评估工具，并描述评估内容及其心理测量特性。
我们在九个文献数据库中搜索了专注于衡量孕妇赋权的原始研究。我们选择了 Arksey 和 O'Malley 的方法和 PRISMA-ScR 来指导这一范围综述的实施。我们使用了 COSMIN 标准来评估方法学质量和心理测量特性的质量。
共纳入 23 项研究，提取了 13 种工具。综合考虑，Kameda 的产前赋权量表可能被认为是合适的。纳入的工具全面衡量了赋权的属性，特别注重促进妇女的选择和决策。除了最近的四个自我设计的问卷外，其余工具都已经经过了可靠性和/或有效性的测试。
纳入工具的评估内容和心理测量特性存在异质性结果。未来关于测量工具的开发或验证的研究应该遵循有影响力和一致的标准。
