Adaptation of short version of questionnaire for assessing the childbirth experience (QACE) to the Iranian culture
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(2020) 20:616
RESEARCH ARTICLE
Open Access
Adaptation of short version of questionnaire for assessing the childbirth experience (QACE) to the Iranian culture Mojgan Mirghafourvand1, Mohammad Asghari Jafarabadi2,3 and Solmaz Ghanbari-Homayi4*
Abstract Background: Given the importance of the childbirth experience, its effects on women’s life and society, and the need for its assessment by accurate instruments, this study aimed to determine the psychometric properties of the Questionnaire for Assessing the Childbirth Experience (QACE) in an Iranian women population. Methods: The validity of the Farsi edition of the questionnaire was assessed using the opinions of eight experts. Its construct validity was assessed by studying 530 mothers, at 1–4-month postpartum, who delivered in health centers of Tabriz, Iran. The exploratory factor analysis (EFA) was performed to identify its factors. Then, the confirmatory factor analysis (CFA) was performed for the structural assessment of the extracted factors. Spearman’s correlation coefficient was used to investigate the correlation between factors. Cronbach’s alpha and intraclass correlation coefficient (ICC) were used to obtain the internal consistency and test-retest reliability. Results: In total, four factors were extracted from the EFA: “relationship with staff” (4 questions), “first moments with the newborn” (3 questions), “feelings at one-month postpartum” (3 questions), and “emotional status” (3 questions). According to the CFA, the model achieved desired fit level (RMSEA < 0.08, GFI, CFI, IFI > 0.90, and x2/df < 5.0). Cronbach’s alpha (0.77–0.82) and intraclass correlation coefficient index (0.83–0.98) were desirable for all factors. Conclusion: The short edition of the QACE, as a standard tool, can be used by future studies to measure the experience of Iranian women. Keywords: Childbirth experience, Questionnaire, Psychometric, QACE, Farsi
Background Today, the importance of childbirth and its resulting experience is widely recognized. Childbirth may be perceived by women as self-empowerment and a joyful event in their personal lives [1]. It can also be perceived as an unpleasant event with negative impacts, which can persist for years [2]. The traumatic experience of childbirth can disrupt the relationship between mother and newborn, and delay infant development [3]. Postpartum * Correspondence: [email protected] 4 Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Full list of author information is available at the end of the article
women with a traumatic childbirth experience are more susceptible to postpartum depression and post-traumatic stress disorder than other women [4, 5]. Despite the researchers’ agreement on the importance of the childbirth experience and its short- and long-term effects on the life of the woman and her family, there is little agreement on the conceptual definition of childbirth experience [6]. Nevertheless, most studies have focused only on a few dimensions of the chi
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