Adaptation of the Childbirth Experience Questionnaire (CEQ) in China: A multisite cross-sectional study

作者：Zhu Xiu, Yan Wang, Hong Zhou, Liqian Qiu, Ruyan Pang · 发表于：PLoS ONE · 年份：2019 · DOI：10.1371/journal.pone.0215373 · 被引用次数：57 · 研究领域：Maternal and Perinatal Health Interventions、Maternal Mental Health During Pregnancy and Postpartum、Global Maternal and Child Health

BACKGROUND: The childbirth experience of women represents a significant aspect of quality care. Due to the lack of a reliable Chinese language tool for assessing childbirth experiences, examples must be adapted from other countries. The aim of this study was to translate an English version of the Childbirth Experience Questionnaire (CEQ) into Chinese and adapt this tool to the Chinese context. METHODS: A questionnaire validation study was conducted. A forward-backward translation procedure involving the developer of the CEQ was conducted. The data were collected in postnatal wards at 50 birth facilities in 4 regions of Zhejiang Province, China. Women who gave birth vaginally at the investigated facilities during the study period completed an online questionnaire that included the Chinese version of the CEQ (CEQ-C), demographic information and clinical information. Psychometric analyses were performed to assess the internal and content consistency. After subdividing the sample into subsamples, an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were applied to examine the structural validity. Known-group comparisons were performed to assess the discriminant validity. RESULTS: Overall, 1747 women participated in this study. The content validity index (CVI) of the CEQ was 0.92. Based on the comments of the experts combined with the statistical results, we removed 3 items related to pain, sense of control and sense of security and changed 3 items to differ...