Skip to main content
Top
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Prenatal Care | Research

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

Authors: Somayeh Abdolalipour, Shamsi Abbasalizadeh, Sakineh Mohammad-Alizadeh-Charandabi, Fatemeh Abbasalizadeh, Shayesteh Jahanfar, Mohammad Asghari Jafarabadi, Kosar Abdollahi, Mojgan Mirghafourvadsnd

Published in: BMC Health Services Research | Issue 1/2024

Login to get access

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.
Appendix
Available only for authorised users
Literature
4.
go back to reference Perdok H, Verhoeven CJ, Van Dillen J, Schuitmaker TJ, Hoogendoorn K, Colli J, Schellevis FG, De Jonge A. Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women’s perception of labor. BMC Pregnancy Childbirth. 2018;18(1):1–9. https://doi.org/10.1186/s12884-017-1615-y.CrossRef Perdok H, Verhoeven CJ, Van Dillen J, Schuitmaker TJ, Hoogendoorn K, Colli J, Schellevis FG, De Jonge A. Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women’s perception of labor. BMC Pregnancy Childbirth. 2018;18(1):1–9. https://​doi.​org/​10.​1186/​s12884-017-1615-y.CrossRef
6.
go back to reference Khayat S, Dolatian M, Navidian A, Mahmoodi Z. Factors Affecting Adequacy of Prenatal Care in Suburban women of Southeast Iran: A Cross -sectional study. J Clin Diagn Res. 2018;12(4):QC01–5. Khayat S, Dolatian M, Navidian A, Mahmoodi Z. Factors Affecting Adequacy of Prenatal Care in Suburban women of Southeast Iran: A Cross -sectional study. J Clin Diagn Res. 2018;12(4):QC01–5.
7.
go back to reference Bahmani S, Shahoie R, Rahmani K. The quality of prenatal care from the perspective of the service recipients using the Servqual pattern during the COVID-19 pandemic in Sanandaj Comprehensive Health Centers. Nurs Midwife J. 2022;20(4):324–33. (Persian).CrossRef Bahmani S, Shahoie R, Rahmani K. The quality of prenatal care from the perspective of the service recipients using the Servqual pattern during the COVID-19 pandemic in Sanandaj Comprehensive Health Centers. Nurs Midwife J. 2022;20(4):324–33. (Persian).CrossRef
8.
go back to reference Simbar M, Nahidi F, Akbarzadeh A. Assessment of quality of prenatal care in Shahid Beheshti University of Medical Sciences health centers. Payesh J. 2012;11(4):529–44. (Persian). Simbar M, Nahidi F, Akbarzadeh A. Assessment of quality of prenatal care in Shahid Beheshti University of Medical Sciences health centers. Payesh J. 2012;11(4):529–44. (Persian).
10.
go back to reference Heaman MI, Sword WA, Akhtar-Danesh N, Bradford A, Tough S, Janssen PA, Young DC, Kingston DA, Hutton EK, Helewa ME. Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy Childbirth. 2014;14(1):1–6.CrossRef Heaman MI, Sword WA, Akhtar-Danesh N, Bradford A, Tough S, Janssen PA, Young DC, Kingston DA, Hutton EK, Helewa ME. Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy Childbirth. 2014;14(1):1–6.CrossRef
13.
go back to reference Comrey A, Lee H. A first course in factor analysis: psychology press. New York: Taylor and Francis Group; 2013.CrossRef Comrey A, Lee H. A first course in factor analysis: psychology press. New York: Taylor and Francis Group; 2013.CrossRef
17.
go back to reference Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563–75.CrossRef Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563–75.CrossRef
21.
go back to reference Schreiber J, Nora A, Stage F, Barlow L, King J. Confirmatory factor analyses and structural equations modeling: an introduction and review. J Educ Res. 2006;99(6). Schreiber J, Nora A, Stage F, Barlow L, King J. Confirmatory factor analyses and structural equations modeling: an introduction and review. J Educ Res. 2006;99(6).
22.
go back to reference Rousson V, Gasser T, Seifert B. Assessing interarater, interrater and test–retest reliability of continuous measurements. Stat Med. 2002;21(22):3431–46.CrossRefPubMed Rousson V, Gasser T, Seifert B. Assessing interarater, interrater and test–retest reliability of continuous measurements. Stat Med. 2002;21(22):3431–46.CrossRefPubMed
24.
go back to reference Sawyer A, Ayers S, Abbott J, Gyte G, Rabe H, Duley L. Measures of satisfaction with care during labor and birth: a comparative review. BMC Pregnancy Childbirth. 2013;13(1):1–0.CrossRef Sawyer A, Ayers S, Abbott J, Gyte G, Rabe H, Duley L. Measures of satisfaction with care during labor and birth: a comparative review. BMC Pregnancy Childbirth. 2013;13(1):1–0.CrossRef
Metadata
Title
Translation and measurement properties of pregnancy and childbirth questionnaire in Iranian postpartum women
Authors
Somayeh Abdolalipour
Shamsi Abbasalizadeh
Sakineh Mohammad-Alizadeh-Charandabi
Fatemeh Abbasalizadeh
Shayesteh Jahanfar
Mohammad Asghari Jafarabadi
Kosar Abdollahi
Mojgan Mirghafourvadsnd
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Prenatal Care
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10689-7

Other articles of this Issue 1/2024

BMC Health Services Research 1/2024 Go to the issue