The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi
Objective To test the validity and reliability of the Chichewa Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) in Malawian postpartum women. Methods A cross-sectional study of postnatal women (N= 415) at 1 day after vaginal birth was conducted at a district hospital in Malawi. The W-DEQ,...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-10-01
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| Series: | Journal of Psychosomatic Obstetrics and Gynecology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/0167482X.2022.2126309 |
| _version_ | 1797685810067144704 |
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| author | Madalitso Khwepeya Roselyn Chipojola Kaboni Whitney Gondwe Hui-Chuan Huang Shu-Yu Kuo |
| author_facet | Madalitso Khwepeya Roselyn Chipojola Kaboni Whitney Gondwe Hui-Chuan Huang Shu-Yu Kuo |
| author_sort | Madalitso Khwepeya |
| collection | DOAJ |
| description | Objective To test the validity and reliability of the Chichewa Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) in Malawian postpartum women. Methods A cross-sectional study of postnatal women (N= 415) at 1 day after vaginal birth was conducted at a district hospital in Malawi. The W-DEQ, Edinburgh Postnatal Depression Scale and the World Health Organization Quality of Life Scale were used to measure fear of birth (FOB), depressive symptoms and quality of life (QoL). Principal component analysis (PCA) and confirmatory factor analysis (CFA), Cronbach’s alpha, the average variance extracted (AVE) and the composite reliability (CR) and Pearson correlation were used to test the construct validity, reliability, convergent and divergent validity of the Chichewa W-DEQ (CW-DEQ). Results The participants had a mean age of 28.3 ± 6.7 years. A multidimensional structure containing three factors – a lack of positive feelings, fear and concerns about childbirth – with an appropriate model fit was reported for the CW-DEQ version. The Cronbach’s α of the CW-DEQ was 0.87. The AVE and CR values were highly acceptable in lack of positive feelings – 0.17 (0.68), and concerns about childbirth – 0.79 (0.88) factors which proved the convergent validity of each; however, was marginally acceptable in the fear factor – 0.14 (0.53). Low range of correlations between the CW-DEQ constructs (r = 0.27 ∼ 0.42, p < .001), confirmed the divergent validity. Conclusions In this study, we found the CW-DEQ to be a reliable and valid tool for assessing FOB in postpartum women. |
| first_indexed | 2024-03-12T00:56:43Z |
| format | Article |
| id | doaj.art-f622739686314038aa7275beb2dc9695 |
| institution | Directory Open Access Journal |
| issn | 0167-482X 1743-8942 |
| language | English |
| last_indexed | 2024-03-12T00:56:43Z |
| publishDate | 2022-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Psychosomatic Obstetrics and Gynecology |
| spelling | doaj.art-f622739686314038aa7275beb2dc96952023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-10-0143459360010.1080/0167482X.2022.21263092126309The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in MalawiMadalitso Khwepeya0Roselyn Chipojola1Kaboni Whitney Gondwe2Hui-Chuan Huang3Shu-Yu Kuo4Chang Gung Medical Education Research Centre, Chang Gung Memorial HospitalPublic Health Department, Kamuzu University of Health SciencesSchool of Nursing, University of WashingtonSchool of Nursing, College of Nursing, Taipei Medical UniversitySchool of Nursing, College of Nursing, Taipei Medical UniversityObjective To test the validity and reliability of the Chichewa Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) in Malawian postpartum women. Methods A cross-sectional study of postnatal women (N= 415) at 1 day after vaginal birth was conducted at a district hospital in Malawi. The W-DEQ, Edinburgh Postnatal Depression Scale and the World Health Organization Quality of Life Scale were used to measure fear of birth (FOB), depressive symptoms and quality of life (QoL). Principal component analysis (PCA) and confirmatory factor analysis (CFA), Cronbach’s alpha, the average variance extracted (AVE) and the composite reliability (CR) and Pearson correlation were used to test the construct validity, reliability, convergent and divergent validity of the Chichewa W-DEQ (CW-DEQ). Results The participants had a mean age of 28.3 ± 6.7 years. A multidimensional structure containing three factors – a lack of positive feelings, fear and concerns about childbirth – with an appropriate model fit was reported for the CW-DEQ version. The Cronbach’s α of the CW-DEQ was 0.87. The AVE and CR values were highly acceptable in lack of positive feelings – 0.17 (0.68), and concerns about childbirth – 0.79 (0.88) factors which proved the convergent validity of each; however, was marginally acceptable in the fear factor – 0.14 (0.53). Low range of correlations between the CW-DEQ constructs (r = 0.27 ∼ 0.42, p < .001), confirmed the divergent validity. Conclusions In this study, we found the CW-DEQ to be a reliable and valid tool for assessing FOB in postpartum women.http://dx.doi.org/10.1080/0167482X.2022.2126309fear of birthwijma delivery experience questionnairepostpartumprincipal component analysisconfirmatory factor analysismalawi |
| spellingShingle | Madalitso Khwepeya Roselyn Chipojola Kaboni Whitney Gondwe Hui-Chuan Huang Shu-Yu Kuo The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi Journal of Psychosomatic Obstetrics and Gynecology fear of birth wijma delivery experience questionnaire postpartum principal component analysis confirmatory factor analysis malawi |
| title | The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi |
| title_full | The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi |
| title_fullStr | The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi |
| title_full_unstemmed | The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi |
| title_short | The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi |
| title_sort | chichewa wijma delivery expectancy experience questionnaire a factor analytic study for postpartum women in malawi |
| topic | fear of birth wijma delivery experience questionnaire postpartum principal component analysis confirmatory factor analysis malawi |
| url | http://dx.doi.org/10.1080/0167482X.2022.2126309 |
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