Abstract
BackgroundAssessing expecting mother’s opinions prior to birth draws a comprehensive picture for the caregivers about their emotional state and their expectations. Some questionnaires to cover these aspects do exist. This study aims to present the psychometric properties of a new instrument, the Confidence and Trust in Delivery Questionnaire (CDTQ) a short but reliable a self-report instrument that focuses on confidence and trust as meaningful dimensions for expectant mothers.MethodsA pilot validation study of 221 women 6 weeks before childbirth was conducted in Germany between October 2007 and June 2008. To detect structural relations between the items, factor and reliability analyses were applied to the CTDQ items. Factor analysis was performed by means of principal components analysis and varimax rotation. Internal reliability was assessed by Cronbach’s alpha. External validation was performed using the sense of coherence (SOC) scale.ResultsThe CTDQ comprises of 11 items. We found a 4-factor structure. The internal consistency of the whole item pool (Cronbach’s α = 0.79) and the 4 subscales [confidence in labor (α = 0.82); partner’s support (α = 0.62); trust in medical competency (α = 0.68); being informed (α = 0.60)] can be regarded as sufficient or even excellent. The 4 factors explained 69.6% of total variance. Except for a high intercorrelation (0.70) between “partner’s support” and “trust in medical competence”, the subscales show low intercorrelations, indicating an adequate independence of the respective subscales. Regarding the external validity we found minor respective moderate correlations with the SOC scale.ConclusionsOur data suggest that the CTDQ is a useful instrument to assess confidence and trust in delivery. With 4 clinically relevant dimensions, the CTDQ is now open for further studies in the field of labor.
Highlights
Assessing expecting mother’s opinions prior to birth draws a comprehensive picture for the caregivers about their emotional state and their expectations
Already in 1987 Corbin i.e. found that a perceived sense of control of pregnant women led to higher levels of confidence and trust in their own and the health team's management efforts [6]
Dimensions and internal reliability of Confidence and Trust in Delivery Questionnaire (CTDQ) We found a 4-factor model with a Kaiser-Meyer-Olkin measure of sampling adequacy of 0.789 and a highly significant Bartlett test of sphericity (p < 0.001)
Summary
Assessing expecting mother’s opinions prior to birth draws a comprehensive picture for the caregivers about their emotional state and their expectations. This study aims to present the psychometric properties of a new instrument, the Confidence and Trust in Delivery Questionnaire (CDTQ) a short but reliable a self-report instrument that focuses on confidence and trust as meaningful dimensions for expectant mothers. Expectations do vary among women with respect to her social status, educational level, previous experience with childbirth and the level of available information on childbearing [14]. Independent of those dimensions, both qualitative prior to birth draws a comprehensive picture for the caregivers about their emotional state and their expectations than surveying the mothers afterwards. Questionnaires may be used to detect early problems of upcoming mothers with themselves or the setting which may result in improved childbirth outcome
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