Wang Huiyuan, Zou Yinting, Guan Yulan, Li Zhirong, Ran Xuerong, Hu Tingting, Zhai Jinguo
School of Nursing, Southern Medical University, Guangzhou, China.
Department of Nursing, Guangdong Maoming Health Vocational College, Maoming, China.
BMC Pregnancy Childbirth. 2025 Mar 25;25(1):343. doi: 10.1186/s12884-025-07463-w.
United Nations reports show that maternal health is currently deteriorating in most parts of the world, which is far from achieving the 2030 goal of ensuring good maternal health. Adopting health-promoting behaviors during pregnancy is a safe strategy for maintaining and improving maternal and child health. Owing to the high-dimensional, multivariate, and non-directly measurable characteristics of health-promoting behaviors, a comprehensive assessment of these behaviors will help improve population health. The purpose of this study was to translate and cross-culturally adapt Maternal Health Promotion Behavior Scale, which was specifically developed for the maternal population, and to assess the psychometric properties of its Chinese version.
This cross-sectional study was conducted between May 2023 and August 2024; convenience sampling was used to select pregnant women in late pregnancy who underwent antenatal checkups. First, the original Maternal Health Promotion Behavior Scale was translated into Chinese and culturally adapted. The psychometric properties of the Chinese version of the Scale were subsequently assessed, including item analysis, content validity, construct validity, internal consistency reliability, and test-retest reliability.
A total of 296 pregnant women were included. The Chinese version of the Maternal Health Promotion Behavior Scale consists of 36 scored items in 6 dimensions, with item-level Content Validity Index ranging from 0.83 to 1, and the mean scale-level Content Validity Index of all the items is 0.95. Exploratory factor analysis identified 6 potential factors, and confirmatory factor analysis demonstrated a good fit of the data for this structural equation model. The total Cronbach's α coefficient for the scale was 0.837, McDonald's ω coefficient was 0.848, and test-retest reliability was 0.990.
The Chinese version of the Maternal Health Promotion Behavior Scale is a valid and reliable instrument for measuring maternal health-promoting behaviors.
联合国报告显示，目前世界上大多数地区的孕产妇健康状况正在恶化，远未实现2030年确保良好孕产妇健康的目标。孕期采取促进健康的行为是维持和改善母婴健康的安全策略。由于促进健康行为具有高维度、多变量和非直接可测量的特点，对这些行为进行综合评估将有助于改善人群健康。本研究的目的是翻译并跨文化改编专门为孕产妇群体开发的《孕产妇健康促进行为量表》，并评估其中文版的心理测量学特性。
本横断面研究于2023年5月至2024年8月进行；采用便利抽样法选取孕晚期接受产前检查的孕妇。首先，将原始的《孕产妇健康促进行为量表》翻译成中文并进行文化改编。随后评估该量表中文版的心理测量学特性，包括项目分析、内容效度、结构效度、内部一致性信度和重测信度。
共纳入296名孕妇。《孕产妇健康促进行为量表》中文版由6个维度的36个计分项目组成，项目水平的内容效度指数范围为0.83至1，所有项目的平均量表水平内容效度指数为0.95。探索性因素分析确定了6个潜在因素，验证性因素分析表明该结构方程模型的数据拟合良好。该量表的Cronbach's α系数总值为0.837，McDonald's ω系数为0.848，重测信度为0.990。
《孕产妇健康促进行为量表》中文版是测量孕产妇健康促进行为的有效且可靠的工具。
