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Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction

INTRODUCTION: Considering that childbirth experience has short- and long-term effects on women’s lives, it is necessary to examine their delivery experiences. This study aimed to prepare the short form of a 52-item Iranian women’s childbirth experience questionnaire with seven factors: professional...

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Autores principales: Shahhosseini, Zohreh, Nikbakht, Roya, Motaghi, Zahra, Hosseini Tabaghdehi, Monirolsadate
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9854137/
https://www.ncbi.nlm.nih.gov/pubmed/36670388
http://dx.doi.org/10.1186/s12884-023-05378-y
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author Shahhosseini, Zohreh
Nikbakht, Roya
Motaghi, Zahra
Hosseini Tabaghdehi, Monirolsadate
author_facet Shahhosseini, Zohreh
Nikbakht, Roya
Motaghi, Zahra
Hosseini Tabaghdehi, Monirolsadate
author_sort Shahhosseini, Zohreh
collection PubMed
description INTRODUCTION: Considering that childbirth experience has short- and long-term effects on women’s lives, it is necessary to examine their delivery experiences. This study aimed to prepare the short form of a 52-item Iranian women’s childbirth experience questionnaire with seven factors: professional support, preparation, control, positive perception, baby, family support, and fear. METHODS: This methodological research was conducted on women aged 15 to 49 years (n = 770) with uncomplicated vaginal delivery. The short form of the Iranian women’s childbirth experience questionnaire was prepared in four stages. The first stage was exploratory factor analysis, conducted on 250 samples, the second stage was confirmatory factor analysis which was performed on 260 samples, independent of the first stage, to report goodness and fit indices, and the third stage employed items from modification indices, expected parameter change, and standardized residual covariance, leading to the short form of Iranian women childbirth experience questionnaire. Finally, confirmatory factor analysis was run on 260 samples, independent of the previous two stages, to confirm the short form and compare it with the original questionnaire for psychometric analysis. RESULTS: In the exploratory factor analysis stage, nine items with a factor load of less than 0.4 were removed, and the number of domains was reduced to five. The second stage showed that the questionnaire had a goodness of fit index. However, the third stage resulted in removing 11 overlapping items and making a short questionnaire with 33 items. Finally, the confirmatory factor analysis in the last stage showed appropriate goodness of fit for the short form of the Iranian women’s childbirth experiences questionnaire (𝛘(2)/df = 2.352, CFI = 0.881, PCFI = 0.750, RMSEA = 0.072, SRMR = 0.0862). CONCLUSION: The short form of the Iranian women’s childbirth experiences questionnaire enjoyed from an appropriate psychometric evaluation. It is recommended when applying the original questionnaire is not feasible due to lack of time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05378-y.
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spelling pubmed-98541372023-01-21 Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction Shahhosseini, Zohreh Nikbakht, Roya Motaghi, Zahra Hosseini Tabaghdehi, Monirolsadate BMC Pregnancy Childbirth Research INTRODUCTION: Considering that childbirth experience has short- and long-term effects on women’s lives, it is necessary to examine their delivery experiences. This study aimed to prepare the short form of a 52-item Iranian women’s childbirth experience questionnaire with seven factors: professional support, preparation, control, positive perception, baby, family support, and fear. METHODS: This methodological research was conducted on women aged 15 to 49 years (n = 770) with uncomplicated vaginal delivery. The short form of the Iranian women’s childbirth experience questionnaire was prepared in four stages. The first stage was exploratory factor analysis, conducted on 250 samples, the second stage was confirmatory factor analysis which was performed on 260 samples, independent of the first stage, to report goodness and fit indices, and the third stage employed items from modification indices, expected parameter change, and standardized residual covariance, leading to the short form of Iranian women childbirth experience questionnaire. Finally, confirmatory factor analysis was run on 260 samples, independent of the previous two stages, to confirm the short form and compare it with the original questionnaire for psychometric analysis. RESULTS: In the exploratory factor analysis stage, nine items with a factor load of less than 0.4 were removed, and the number of domains was reduced to five. The second stage showed that the questionnaire had a goodness of fit index. However, the third stage resulted in removing 11 overlapping items and making a short questionnaire with 33 items. Finally, the confirmatory factor analysis in the last stage showed appropriate goodness of fit for the short form of the Iranian women’s childbirth experiences questionnaire (𝛘(2)/df = 2.352, CFI = 0.881, PCFI = 0.750, RMSEA = 0.072, SRMR = 0.0862). CONCLUSION: The short form of the Iranian women’s childbirth experiences questionnaire enjoyed from an appropriate psychometric evaluation. It is recommended when applying the original questionnaire is not feasible due to lack of time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05378-y. BioMed Central 2023-01-20 /pmc/articles/PMC9854137/ /pubmed/36670388 http://dx.doi.org/10.1186/s12884-023-05378-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Shahhosseini, Zohreh
Nikbakht, Roya
Motaghi, Zahra
Hosseini Tabaghdehi, Monirolsadate
Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title_full Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title_fullStr Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title_full_unstemmed Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title_short Development of the short form Iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
title_sort development of the short form iranian women childbirth experience questionnaire: a confirmatory factor analysis approach item reduction
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9854137/
https://www.ncbi.nlm.nih.gov/pubmed/36670388
http://dx.doi.org/10.1186/s12884-023-05378-y
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