The Chichewa Wijma delivery expectancy/experience questionnaire: a factor analytic study for postpartum women in Malawi.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI:10.1080/0167482X.2022.2126309

Madalitso Khwepeya, Roselyn Chipojola, Kaboni Whitney Gondwe, Hui-Chuan Huang, Shu-Yu Kuo

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Abstract

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.

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Chichewa Wijma分娩预期/经验问卷:马拉维产后妇女的因素分析研究。

目的:检验马拉维产后妇女Chichewa Wijma分娩期望/体验问卷(W-DEQ)的效度和信度。方法:在马拉维的一家地区医院对阴道分娩后1天的产后妇女(N= 415)进行横断面研究。采用W-DEQ、爱丁堡产后抑郁量表和世界卫生组织生活质量量表测量出生恐惧(FOB)、抑郁症状和生活质量(QoL)。采用主成分分析(PCA)和验证性因子分析(CFA)、Cronbach’s alpha、平均方差提取(AVE)、复合信度(CR)和Pearson相关检验奇切瓦W-DEQ (CW-DEQ)的结构效度、信度、收敛效度和发散效度。结果:患者平均年龄28.3±6.7岁。据报道，一个多维结构包含三个因素——缺乏积极的感觉、恐惧和对分娩的担忧——与w - deq版本的适当模型匹配。w - deq的Cronbach’s α为0.87。在缺乏积极感受(0.17)和担心分娩(0.79)两个因素上，AVE和CR值均具有较高的可接受性，证明了各因素的收敛效度;然而，在恐惧因子- 0.14(0.53)中是勉强可以接受的。结论:在本研究中，我们发现CW-DEQ是评估产后妇女FOB的可靠和有效的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.