Pablo Rodríguez Coll1, Rocío Casañas2, Anna Collado Palomares3, Gladys Maldonado Aubian4, Maria Isabel Salgado Poveda5, Xavier Espada-TresPalacios6, Mireia Vicente Garcia7, Ramón Escuriet Peiro8. 1. Fundació Sanitària Mollet, Ronda Pinetons 6, Mollet del Vallés, 08100 Barcelona, Spain. Electronic address: pa.rodriguez@fsm.cat. 2. Research Department Centre d'Higiene Mental Les Corts, c/Numància, 103-105 Bajos, 08029 Barcelona, Spain. Electronic address: rocio.casanas@chmcorts.com. 3. Vall D'Hebron Barcelona Hospital Campus, Passeig de la Vall d'Hebron, 119, 08035 Barcelona, Spain. Electronic address: a.collado@vhebron.net. 4. Fundació Sanitària Mollet, Ronda Pinetons 6, Mollet del Vallés, 08100 Barcelona, Spain. Electronic address: m.vicente@fsm.cat. 5. Vall D'Hebron Barcelona Hospital Campus, Passeig de la Vall d'Hebron, 119, 08035 Barcelona, Spain. Electronic address: m.salgado@vhebron.net. 6. Fundació Hospital Asil de Granollers, Carrer de Francesc Ribas, s/n, 08402 Granollers, Spain. Electronic address: xespada@fphag.org. 7. Fundació Sanitària Mollet, Ronda Pinetons 6, Mollet del Vallés, 08100 Barcelona, Spain. Electronic address: g.maldonado@fsm.cat. 8. Health and Integrated Care Division, Catalan Health Service, Travessera de les Corts, 131, 159, 08028 Barcelona, Spain. Electronic address: rescuriet@gencat.cat.
Abstract
OBJECTIVE: When evaluating childbirth experience, some of the factors considered by women include their previous births experience, pain management during birth, and companion and healthcare professional support received. The objective of this paper is to validate the Questionnaire for Assessing the Childbirth Experience (QACE) into the Spanish population by assessing its psychometric properties. METHODS: Due to the differences between the Spanish and English languages, a careful translation process was the first step to making the QACE useable to Spanish speaking cohorts, once thoroughly translated their conceptual equivalence was evaluated by a group of experts and tested later via interviews with postpartum women for comprehensibility evaluation. Secondly, the validation process was obtained throughout the factorial analysis, internal consistency, test-retest evaluation and convergent and discriminant validity. RESULTS: A total of 268 postpartum women participated in the validity study. The KMO (0.84) and Bartlett test (p < 0.001) confirmed the adequacy of factor analysis and the Screen plot showed four factors with the predictive power of 52.63%, which supported total variance. Confirmatory factor analysis indicated an adequate/good fitness for the new model (χ2/df = 1.47, GFI = 0.979, RMSEA = 0.052, CFI = 0.889, NFI = 0.727, NNFI = 0.873, and SRMR = 0.155). Internal consistency was confirmed with McDonal's Omega level of 0.818. Test-retest evaluation supported test stability (r = 0.79, p < 0.01). Convergent and discriminant validity were obtained with 0.803 and 0.475 Pearson coefficients respectively. CONCLUSIONS: The Spanish version of QACE is a relevant tool for measuring childbirth experience into the Spanish context with acceptable validity and stability.
OBJECTIVE: When evaluating childbirth experience, some of the factors considered by women include their previous births experience, pain management during birth, and companion and healthcare professional support received. The objective of this paper is to validate the Questionnaire for Assessing the Childbirth Experience (QACE) into the Spanish population by assessing its psychometric properties. METHODS: Due to the differences between the Spanish and English languages, a careful translation process was the first step to making the QACE useable to Spanish speaking cohorts, once thoroughly translated their conceptual equivalence was evaluated by a group of experts and tested later via interviews with postpartum women for comprehensibility evaluation. Secondly, the validation process was obtained throughout the factorial analysis, internal consistency, test-retest evaluation and convergent and discriminant validity. RESULTS: A total of 268 postpartum women participated in the validity study. The KMO (0.84) and Bartlett test (p < 0.001) confirmed the adequacy of factor analysis and the Screen plot showed four factors with the predictive power of 52.63%, which supported total variance. Confirmatory factor analysis indicated an adequate/good fitness for the new model (χ2/df = 1.47, GFI = 0.979, RMSEA = 0.052, CFI = 0.889, NFI = 0.727, NNFI = 0.873, and SRMR = 0.155). Internal consistency was confirmed with McDonal's Omega level of 0.818. Test-retest evaluation supported test stability (r = 0.79, p < 0.01). Convergent and discriminant validity were obtained with 0.803 and 0.475 Pearson coefficients respectively. CONCLUSIONS: The Spanish version of QACE is a relevant tool for measuring childbirth experience into the Spanish context with acceptable validity and stability.