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Article: Fear of childbirth: Validation study of the Chinese version of Wijma delivery expectancy/experience questionnaire version A

TitleFear of childbirth: Validation study of the Chinese version of Wijma delivery expectancy/experience questionnaire version A
Authors
KeywordsChinese
Fear of childbirth
Mode of birth
Reliability
Validity
W-DEQ
Issue Date2022
Citation
Midwifery, 2022, v. 104, article no. 103188 How to Cite?
AbstractIntroduction: Fear of childbirth causes significant distress and impact on women's wellbeing. It contributed to the rising trend of non-medically indicated Caesarean births worldwide. The objective of this study was to translate and validate the Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) (W-DEQ-A), which is a comprehensive instrument for the assessment of fear of childbirth among antenatal women. Methods: The translated questionnaire was finalised after back-translation and review by an expert panel. Hong Kong Chinese women at an antenatal clinic completed the translated questionnaire, Edinburgh Postpartum Depression Scale (EPDS), and State-trait Anxiety Inventory (STAI). The reliability of the translated questionnaire was analysed using Cronbach's alpha coefficient and intraclass correlation coefficient. Convergent validity was measured by Pearson's correlation between the W-DEQ-A and STAI or EPDS scores. The subscales of the questionnaire were determined using exploratory factor analysis. Results: One hundred and fifty women completed the study. The Cronbach's alpha coefficient and test-retest reliability of the Chinese version were 0.907 and 0.867, respectively. Convergent validity was demonstrated by the moderate correlation between the translated W-DEQ-A and STAI or EPDS. Exploratory factor analysis of the W-DEQ-A revealed a multi-dimensional structure with four factors: sense of isolation, moment of birth, negative emotion, and lack of positive self-evaluation. Using a standard cut-off of 85, 11.3% of women were found to suffer from fear of childbirth. Conclusion: The Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) is a reliable and valid instrument to measure antenatal fear of childbirth among Chinese women.
Persistent Identifierhttp://hdl.handle.net/10722/313215
ISSN
2023 Impact Factor: 2.6
2023 SCImago Journal Rankings: 0.906
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLai, HTT-
dc.contributor.authorKwok, STG-
dc.contributor.authorWang, W-
dc.contributor.authorSeto, TYM-
dc.contributor.authorCheung, KW-
dc.date.accessioned2022-06-06T05:47:44Z-
dc.date.available2022-06-06T05:47:44Z-
dc.date.issued2022-
dc.identifier.citationMidwifery, 2022, v. 104, article no. 103188-
dc.identifier.issn0266-6138-
dc.identifier.urihttp://hdl.handle.net/10722/313215-
dc.description.abstractIntroduction: Fear of childbirth causes significant distress and impact on women's wellbeing. It contributed to the rising trend of non-medically indicated Caesarean births worldwide. The objective of this study was to translate and validate the Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) (W-DEQ-A), which is a comprehensive instrument for the assessment of fear of childbirth among antenatal women. Methods: The translated questionnaire was finalised after back-translation and review by an expert panel. Hong Kong Chinese women at an antenatal clinic completed the translated questionnaire, Edinburgh Postpartum Depression Scale (EPDS), and State-trait Anxiety Inventory (STAI). The reliability of the translated questionnaire was analysed using Cronbach's alpha coefficient and intraclass correlation coefficient. Convergent validity was measured by Pearson's correlation between the W-DEQ-A and STAI or EPDS scores. The subscales of the questionnaire were determined using exploratory factor analysis. Results: One hundred and fifty women completed the study. The Cronbach's alpha coefficient and test-retest reliability of the Chinese version were 0.907 and 0.867, respectively. Convergent validity was demonstrated by the moderate correlation between the translated W-DEQ-A and STAI or EPDS. Exploratory factor analysis of the W-DEQ-A revealed a multi-dimensional structure with four factors: sense of isolation, moment of birth, negative emotion, and lack of positive self-evaluation. Using a standard cut-off of 85, 11.3% of women were found to suffer from fear of childbirth. Conclusion: The Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) is a reliable and valid instrument to measure antenatal fear of childbirth among Chinese women.-
dc.languageeng-
dc.relation.ispartofMidwifery-
dc.subjectChinese-
dc.subjectFear of childbirth-
dc.subjectMode of birth-
dc.subjectReliability-
dc.subjectValidity-
dc.subjectW-DEQ-
dc.titleFear of childbirth: Validation study of the Chinese version of Wijma delivery expectancy/experience questionnaire version A-
dc.typeArticle-
dc.identifier.doi10.1016/j.midw.2021.103188-
dc.identifier.pmid34749123-
dc.identifier.scopuseid_2-s2.0-85118531233-
dc.identifier.hkuros333232-
dc.identifier.volume104-
dc.identifier.spagearticle no. 103188-
dc.identifier.epagearticle no. 103188-
dc.identifier.isiWOS:000717850100004-

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