Cross-cultural adaptation and psychometric evaluation of the Brazilian Portuguese version of the childbirth experience questionnaire

Renata Cristina Martins Da Silva Vieira,Cristine Homsi Jorge Ferreira,Ana Carolina Sartorato Beleza,Patricia Driusso,Maiara Lazaretti Rodrigues Do Prado,Ricardo De Carvalho Cavalli

doi:10.1186/s12884-020-03163-9

Renata Cristina Martins Da Silva Vieira, Cristine Homsi Jorge Ferreira + Show 4 more

Open Access

https://doi.org/10.1186/s12884-020-03163-9

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Abstract

BackgroundThe Childbirth Experience Questionnaire (CEQ) is a tool designed to assess women’s perceptions about labor and delivery. The aim of this study was to perform the cross-cultural adaptation and validation of the Brazilian Portuguese version of the CEQ (CEQ-Br).MethodsThe original version of the CEQ was translated into Portuguese, analyzed by a committee of experts, back translated, and finally submitted to pilot-test. Two applications of the CEQ-Br were performed along with the quality of life questionnaire Medical Outcomes Study 36 - Item Short-Form Health Survey (SF-36). The SPSS software was used for statistical analysis, the intraclass correlation coefficient was used to investigate test-retest reliability, the internal consistency was investigated with the Cronbach’s Alpha, and the construct validity was investigated via the Spearman correlation test. The level of significance was set at 5%.ResultsThe study included 308 women with a mean age of 31.1 ± 8.7 years. The internal consistency results for the total CEQ-Br score was considered adequate (0.89), the test-retest showed a substantial result with an ICC of 0.90, and the construct validity was analyzed via the Spearman correlation between all SF-36 dimensions and the total CEQ-B score, the analyses were considered adequate.ConclusionsThe results presented in this CEQ-Br validation study showed that the instrument was reliable in measuring the established psychometric properties and was considered valid. Therefore, the CEQ-Br can be applied to the Brazilian population.

Highlights

The Childbirth Experience Questionnaire (CEQ) is a tool designed to assess women’s perceptions about labor and delivery
A total of 320 eligible women were identified through records in health centers and from them, 308 primiparous women, during postpartum period, answered the instruments CEQ-Br, and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) once
Cronbach’s alpha for the total scale was 0.89, and for the subscales: own capacity 0.76; professional support 0.91; perceived safety 0.83; and for participation 0.69. These results demonstrated that internal consistency was high or very high for all domains, the CEQ-Br can be considered an adequate questionnaire to evaluate the experience of childbirth in Brazilian women

Summary

Introduction

The Childbirth Experience Questionnaire (CEQ) is a tool designed to assess women’s perceptions about labor and delivery. Researchers and health professionals working with pregnant have shown great interest in understanding women’s perceptions of their experience of childbirth and postpartum. Given the need to assess women’s experience of labor and delivery, Dencker et al (2010) [3] developed and validated the Childbirth Experience Questionnaire (CEQ) in Swedish. The CEQ is a multidimensional instrument with four dimensions: own capacity, professional support, perceived safety, and participation in labor and delivery. This instrument was subsequently validated in Spain [2], the United Kingdom [4], China [5], and Iran [6].

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