Silva-Fernández Claudia Susana, de la Calle María, Suta María A, Arribas Silvia M, Garrosa Eva, Ramiro-Cortijo David
Department of Biological & Health Psychology, Faculty of Psychology, Universidad Autónoma de Madrid, 28049 Madrid, Spain.
Obstetric and Gynecology Service, Hospital Universitario La Paz, Universidad Autónoma de Madrid, 28049 Madrid, Spain.
Healthcare (Basel). 2024 Oct 15;12(20):2045. doi: 10.3390/healthcare12202045.
: Resources to cope with maternity and women's participation are essential modulators of maternal well-being. Therefore, it is relevant that the psychosocial factors of woman be monitored during maternity to promote adequate healthcare. This study involved the design and the validation of two new tools that identify women's knowledge of healthcare rights (MatCODE) and perception of resource scarcity (MatER) during pregnancy, labor and early postpartum; : The content validity was carried out using the Aiken's V coefficient and the content validity index (CVI-i) based on five experts. In addition, for the face validity, the pilot cohort was considered the INFLESZ scale. Finally, the questionnaires were applied to 185 women, which allowed to assess the construct validation by factorial and Rasch analysis. The divergent validity was also studied with validated psychological questionnaires; : MatCODE and MatER questionnaires received CVI-i and Aiken's V > 0.80 values, and the INFLESZ demonstrated acceptable semantic understanding. The analysis confirms the unidimensionality of the questionnaires, with fit values for MatCODE of RMSEA = 0.113 [0.105; 0.122] and for MatER of RMSEA = 0.067 [0.063; 0.072]. The divergent validity showed significant and consistent correlations with the constructs assessed. For MatCODE, ω = 0.95 and α = 0.94, and for MatER, ω = 0.79 and α = 0.78; : MatCODE and MatER are useful new tools for monitoring maternal healthcare, with adequate psychometric characteristics in the Spanish context.
应对孕产及女性参与的资源是孕产妇福祉的重要调节因素。因此，在孕产期间监测女性的社会心理因素以促进适当的医疗保健具有重要意义。本研究涉及设计和验证两种新工具，用于识别女性在孕期、分娩期和产后早期对医疗保健权利的了解（MatCODE）以及对资源稀缺的感知（MatER）；内容效度采用基于五位专家的艾肯V系数和内容效度指数（CVI-i）进行评估。此外，对于表面效度，将试点队列视为INFLESZ量表。最后，对185名女性进行了问卷调查，通过因子分析和拉施分析评估结构效度。还使用经过验证的心理问卷研究了区分效度；MatCODE和MatER问卷的CVI-i和艾肯V值均大于0.80，且INFLESZ显示出可接受的语义理解。分析证实了问卷的单维性，MatCODE的RMSEA拟合值为0.113[0.105；0.122]，MatER的RMSEA拟合值为0.067[0.063；0.072]。区分效度显示与所评估的结构具有显著且一致的相关性。MatCODE的ω = 0.95，α = 0.94，MatER的ω = 0.79，α = 0.78；MatCODE和MatER是监测孕产妇医疗保健的有用新工具，在西班牙背景下具有足够的心理测量学特征。
