Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version

This study aimed to update the assessment of construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS). This is part of a cohort study, in which the scale was applied to 415 pregnant women. The factor structure was verified via structural equation mode...

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Main Authors: Márcia Leonardi Baldisserotto, Mariza Miranda Theme Filha
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2023-05-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000504001&tlng=en
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author Márcia Leonardi Baldisserotto
Mariza Miranda Theme Filha
author_facet Márcia Leonardi Baldisserotto
Mariza Miranda Theme Filha
author_sort Márcia Leonardi Baldisserotto
collection DOAJ
description This study aimed to update the assessment of construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS). This is part of a cohort study, in which the scale was applied to 415 pregnant women. The factor structure was verified via structural equation models. Comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA) were used to verify the model fit. Additionally, to test the validity of the MFAS based on external variables, generalized linear model was performed to test the association between obstetric variables, social support, and symptoms of depression with the MFAS. The reliability was analyzed via the composite reliability coefficient (CR). The 12-item short version of the Brazilian MFAS showed adequate parameters of construct validity (CFI = 0.969, TLI = 0.960 and RMSEA = 0.032, 90%CI: 0.012-0.048) and is composed of three factors (“empathy and care”, “role-taking”, and “interaction with the fetus”) containing 12 items. The total scores of the MFAS were positively correlated with social support (p-value < 0.001) and negatively correlated with depressive symptoms (p-value = 0.007). Moreover, women who live with a partner (p-value = 0.026) and had intended pregnancies (p-value < 0.001) presented a better bond with the fetus. Regarding reliability, factors 1 and 2 showed adequate values (CR = 0.72 and CR = 0.82, respectively) and factor 3 regular value (CR = 0.63). This 12-item short version of the Brazilian MFAS may be a reliable and valid instrument for scientific studies and clinical assistance in Brazil.
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spelling doaj.art-14d4ad4ea5964aa1be395173cda6d4212023-07-11T07:43:55ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642023-05-0139510.1590/0102-311xen133922Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short versionMárcia Leonardi Baldisserottohttps://orcid.org/0000-0001-6907-2510Mariza Miranda Theme Filhahttps://orcid.org/0000-0002-7075-9819This study aimed to update the assessment of construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS). This is part of a cohort study, in which the scale was applied to 415 pregnant women. The factor structure was verified via structural equation models. Comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA) were used to verify the model fit. Additionally, to test the validity of the MFAS based on external variables, generalized linear model was performed to test the association between obstetric variables, social support, and symptoms of depression with the MFAS. The reliability was analyzed via the composite reliability coefficient (CR). The 12-item short version of the Brazilian MFAS showed adequate parameters of construct validity (CFI = 0.969, TLI = 0.960 and RMSEA = 0.032, 90%CI: 0.012-0.048) and is composed of three factors (“empathy and care”, “role-taking”, and “interaction with the fetus”) containing 12 items. The total scores of the MFAS were positively correlated with social support (p-value < 0.001) and negatively correlated with depressive symptoms (p-value = 0.007). Moreover, women who live with a partner (p-value = 0.026) and had intended pregnancies (p-value < 0.001) presented a better bond with the fetus. Regarding reliability, factors 1 and 2 showed adequate values (CR = 0.72 and CR = 0.82, respectively) and factor 3 regular value (CR = 0.63). This 12-item short version of the Brazilian MFAS may be a reliable and valid instrument for scientific studies and clinical assistance in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000504001&tlng=enPregnant WomenPsychometricsChildFetus
spellingShingle Márcia Leonardi Baldisserotto
Mariza Miranda Theme Filha
Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
Cadernos de Saúde Pública
Pregnant Women
Psychometrics
Child
Fetus
title Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
title_full Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
title_fullStr Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
title_full_unstemmed Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
title_short Construct validity and reliability of the Brazilian version of the Maternal-Fetal Attachment Scale (MFAS): a proposal for a 12-item short version
title_sort construct validity and reliability of the brazilian version of the maternal fetal attachment scale mfas a proposal for a 12 item short version
topic Pregnant Women
Psychometrics
Child
Fetus
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000504001&tlng=en
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AT marizamirandathemefilha constructvalidityandreliabilityofthebrazilianversionofthematernalfetalattachmentscalemfasaproposalfora12itemshortversion