Ma Dang, Xue Bing, Wang Xin, Wei Wei, Redding Sharon R, Chen Huijun, Ouyang Yan-Qiong
School of Nursing, Wuhan University, No. 115, Donghu Road, Wuchang, Wuhan, Hubei, 430071, China.
Department of International Medical Services, Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China.
BMC Public Health. 2024 Dec 18;24(1):3490. doi: 10.1186/s12889-024-21016-4.
Evidence on the mental status of expectant fathers indicates that their fears of childbirth (FOC) are of great concern. In consideration of expectant fathers' increasing involvement during pregnancy and childbirth, it is necessary to provide a reliable instrument to measure the psychometric properties of expectant fathers. The purpose of this study was to revise the Wijma Delivery Expectancy/Experience Questionnaire version A (W-DEQ A) for expectant fathers, analyze the psychometric properties and explore its applicability to the Chinese population.
The W-DEQ A was revised to apply to Chinese men following the completion of a cross-sectional study. Content validity was assessed by an expert panel of specialists in obstetrics. Construct validity was assessed using exploratory factor analysis and confirmatory factor analysis. Reliability was assessed by the internal consistency coefficient and retest reliability.
A total of 741 expectant fathers participated in this study. The item-level content validity index (I-CVI) was greater than 0.8, while the scale-level CVI (S-CVI) was 0.92, indicating satisfactory content validity. Exploratory factor analysis revealed eight factors, accounting for 60.97% of the cumulative variance. Confirmatory factor analysis revealed acceptable structural validity of the father's version of the W-DEQ A (W-DEQ AF), demonstrating a good model fit. The Cronbach's alpha for the W-DEQ AF was 0.843, indicating good reliability of the scale.
The Chinese version of the W-DEQ-AF is reliable and could be considered for use with expectant fathers in China to assess their psychological status and fear of childbirth during pregnancy of their spouse.
关于准父亲心理状态的证据表明，他们对分娩的恐惧备受关注。鉴于准父亲在孕期和分娩过程中的参与度不断提高，有必要提供一种可靠的工具来测量准父亲的心理测量特性。本研究的目的是为准父亲修订Wijma分娩期望/体验问卷A版（W-DEQ A），分析其心理测量特性，并探索其在中国人群中的适用性。
在完成一项横断面研究后，对W-DEQ A进行修订以适用于中国男性。内容效度由产科专家组成的专家小组进行评估。结构效度通过探索性因素分析和验证性因素分析进行评估。信度通过内部一致性系数和重测信度进行评估。
共有741名准父亲参与了本研究。项目水平的内容效度指数（I-CVI）大于0.8，而量表水平的CVI（S-CVI）为0.92，表明内容效度令人满意。探索性因素分析揭示了八个因素，占累积方差的60.97%。验证性因素分析表明W-DEQ A父亲版（W-DEQ AF）具有可接受的结构效度，显示出良好的模型拟合。W-DEQ AF的Cronbach's alpha为0.843，表明该量表具有良好的信度。
中文版的W-DEQ-AF是可靠的，可考虑在中国用于评估准父亲在其配偶孕期的心理状态和对分娩的恐惧。
