Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women

Abstract Background Perceived care quality and patient satisfaction have been important care quality indicators in recent decades, and healthcare professionals have been influential on women’s childbirth experience. This study investigated the measurement properties of the Persian version of the Pre...

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Main Authors: Somayeh Abdolalipour, Shamsi Abbasalizadeh, Sakineh Mohammad-Alizadeh-Charandabi, Fatemeh Abbasalizadeh, Shayesteh Jahanfar, Mohammad Asghari Jafarabadi, Kosar Abdollahi, Mojgan Mirghafourvadsnd
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-024-10689-7
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author Somayeh Abdolalipour
Shamsi Abbasalizadeh
Sakineh Mohammad-Alizadeh-Charandabi
Fatemeh Abbasalizadeh
Shayesteh Jahanfar
Mohammad Asghari Jafarabadi
Kosar Abdollahi
Mojgan Mirghafourvadsnd
author_facet Somayeh Abdolalipour
Shamsi Abbasalizadeh
Sakineh Mohammad-Alizadeh-Charandabi
Fatemeh Abbasalizadeh
Shayesteh Jahanfar
Mohammad Asghari Jafarabadi
Kosar Abdollahi
Mojgan Mirghafourvadsnd
author_sort Somayeh Abdolalipour
collection DOAJ
description Abstract Background Perceived care quality and patient satisfaction have been important care quality indicators in recent decades, and healthcare professionals have been influential on women’s childbirth experience. This study investigated the measurement properties of the Persian version of the Pregnancy and Childbirth Questionnaire (PCQ), designed to measure mothers’ satisfaction with the quality of healthcare services provided during pregnancy and childbirth. Methods This is a cross-sectional methodological study. Instrument translation, face validity, content validity, structural validity, and reliability evaluation were performed to determine the measurement properties of the PCQ’s Persian version. A backward-forward approach was employed for the translation process. Impact scores were selected based on the items’ importance to measure face validity. Content validity index (CVI) and content validity ratio (CVR) were calculated to measure content validity, and exploratory and confirmatory factor analyses were used to measure structural validity. The cluster random sampling method was used, resulting in a sample of 250 eligible women referred to the health centers of Tabriz, Iran, who were 4 to 6 weeks after giving birth. Cronbach’s alpha coefficient and Intraclass Correlation Coefficient (ICC) using a test-retest approach were used to determine the questionnaire’s reliability. Results The impact scores of all items were above 1.5, which indicates a suitable face validity. The content validity was also favorable (CVR = 0.95, CVI = 0.90). Exploratory factor analysis on 25 items led to the removal of item 2 due to a factor loading of less than 0.3 and the extraction of three factors explaining 65.07% of the variances. The results of the sample adequacy size were significant (< 0.001, and Kaiser-Meyer-Olkin = 0.886). The model’s validity was confirmed based on the confirmatory factor analysis fit indicators (i.e., RMSEA = 0.08, SRMR = 0.09, TLI = 0.91, CFI = 0.93, x2/df = 4.65). The tool’s reliability was also confirmed (Cronbach’s alpha = 0.88, and ICC (95% CI) = 0.93 (0.88 to 0.95)). Conclusion The validity and reliability of the PCQ’s Persian version were suitable to measure the extent to which Iranian women are satisfied with the quality of prenatal and intrapartum care.
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spelling doaj.art-3a7a413ad5a54d34902b242e8a1006bb2024-03-24T12:14:25ZengBMCBMC Health Services Research1472-69632024-03-012411910.1186/s12913-024-10689-7Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum womenSomayeh Abdolalipour0Shamsi Abbasalizadeh1Sakineh Mohammad-Alizadeh-Charandabi2Fatemeh Abbasalizadeh3Shayesteh Jahanfar4Mohammad Asghari Jafarabadi5Kosar Abdollahi6Mojgan Mirghafourvadsnd7Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesWomen’s Reproductive Health Research Center, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesWomen’s Reproductive Health Research Center, Tabriz University of Medical SciencesDepartment of Public Health and Community Medicine, Tufts School of MedicineCabrini Research, Cabrini HealthStudents Research Committee, Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesSocial determinants of Health Research Center, Tabriz University of Medical SciencesAbstract Background Perceived care quality and patient satisfaction have been important care quality indicators in recent decades, and healthcare professionals have been influential on women’s childbirth experience. This study investigated the measurement properties of the Persian version of the Pregnancy and Childbirth Questionnaire (PCQ), designed to measure mothers’ satisfaction with the quality of healthcare services provided during pregnancy and childbirth. Methods This is a cross-sectional methodological study. Instrument translation, face validity, content validity, structural validity, and reliability evaluation were performed to determine the measurement properties of the PCQ’s Persian version. A backward-forward approach was employed for the translation process. Impact scores were selected based on the items’ importance to measure face validity. Content validity index (CVI) and content validity ratio (CVR) were calculated to measure content validity, and exploratory and confirmatory factor analyses were used to measure structural validity. The cluster random sampling method was used, resulting in a sample of 250 eligible women referred to the health centers of Tabriz, Iran, who were 4 to 6 weeks after giving birth. Cronbach’s alpha coefficient and Intraclass Correlation Coefficient (ICC) using a test-retest approach were used to determine the questionnaire’s reliability. Results The impact scores of all items were above 1.5, which indicates a suitable face validity. The content validity was also favorable (CVR = 0.95, CVI = 0.90). Exploratory factor analysis on 25 items led to the removal of item 2 due to a factor loading of less than 0.3 and the extraction of three factors explaining 65.07% of the variances. The results of the sample adequacy size were significant (< 0.001, and Kaiser-Meyer-Olkin = 0.886). The model’s validity was confirmed based on the confirmatory factor analysis fit indicators (i.e., RMSEA = 0.08, SRMR = 0.09, TLI = 0.91, CFI = 0.93, x2/df = 4.65). The tool’s reliability was also confirmed (Cronbach’s alpha = 0.88, and ICC (95% CI) = 0.93 (0.88 to 0.95)). Conclusion The validity and reliability of the PCQ’s Persian version were suitable to measure the extent to which Iranian women are satisfied with the quality of prenatal and intrapartum care.https://doi.org/10.1186/s12913-024-10689-7Quality of carePrenatal careIntrapartum careSatisfactionWomen
spellingShingle Somayeh Abdolalipour
Shamsi Abbasalizadeh
Sakineh Mohammad-Alizadeh-Charandabi
Fatemeh Abbasalizadeh
Shayesteh Jahanfar
Mohammad Asghari Jafarabadi
Kosar Abdollahi
Mojgan Mirghafourvadsnd
Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
BMC Health Services Research
Quality of care
Prenatal care
Intrapartum care
Satisfaction
Women
title Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
title_full Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
title_fullStr Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
title_full_unstemmed Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
title_short Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
title_sort translation and measurement properties of pregnancy and childbirth questionnaire in iranian postpartum women
topic Quality of care
Prenatal care
Intrapartum care
Satisfaction
Women
url https://doi.org/10.1186/s12913-024-10689-7
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