Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?

Abstract

BackgroundWith the integration of the evaluation of patient satisfaction in the overall assessment of healthcare services, authorities can be assured about the alignment of these services with patient needs and the suitability of care provided at the local level.ObjectivesThis study was conducted in 2013 in Zahedan, Iran, in order to assess the psychometric properties of the Iranian version of the mackey childbirth satisfaction rating scale (MCSRS).Patients and MethodsFor this study, a methodological design was used. After translating the MCSRS and confirming its initial validity, the questionnaires were distributed among women with uncomplicated pregnancies and no prior history of cesarean section. The participants had given birth to healthy, full-term, singletons (with cephalic presentation) via normal vaginal delivery at hospitals within the past six months. Cronbach’s alpha and test-retest (via the intraclass correlation coefficient) were applied to analyze the internal consistency and reliability of the scale. Moreover, the validity of the scale was tested via exploratory factor analysis, confirmatory factor analysis, and convergent validity.ResultsThe MCSRS consists of six subscales. Through the process of validation, two partner-related items (“partner” subscale) of the scale were excluded due to cultural barriers and hospital policies. Cronbach’s alpha for the total scale was 0.78. It ranged between 0.70 and 0.86 for five subscales, and was 0.31 for the “baby” subscale. Factor analysis confirmed the subscales of “nurse,” “physician,” and “baby,” which were identified in the original scale. However, in the translated version, the “self” subscale was divided into two separate dimensions. The six subscales explained 70.37% of the variance. Confirmatory factor analysis indicated a good fitness for the new model. Convergent validity showed a significant correlation between the MCSRS and the SERVQUAL scale (r = 0.72, P < 0.001). Moreover, the Farsi version of the MCSRS showed excellent repeatability (r = 0.81 - 0.96 for individual subscales and r = 0.96 for the entire scale).ConclusionsThe study findings indicated the Farsi version of the MCSRS is a reliable and valid instrument. However, according to the reliability assessment and factor analysis, the “baby” and “self” subscales need further revisions.

Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study

“…The two subscales (satisfaction with doctor and nurse-midwife, items 17-33) of the Mackey childbirth satisfaction rating scale [37] was used to measure staff support. The Mackey scale has been already validated in Iran [38].…”

Effectiveness of the doula program in Northern Taiwan

“…In this study, the VAS, which is a straight line with a length of 0–100 on which a mother can draw a short vertical line to represent the subjective feeling of the degree of pain, was used to evaluate the degree of pain [ 20 21 22 23 24 25 ]. The Mother's Level of Childbirth Satisfaction Rating Scale was measured using a modification of the Mackey Childbirth Satisfaction Rating Scale [ 26 27 28 ]. The score included feelings associated with labor and childbirth, including a mother's level of satisfaction with the overall childbirth process, childbirth support, herself, her spouse, the newborn, the nursing staff, the doctors, and the doula.…”

“…The doula program was terminated after the baby was born and the postlabor questionnaire was completed. The women from both groups filled out their demographic data forms and questionnaires (i.e., the STAI, EPDS, and labor pain VAS) [ 20 21 22 23 24 25 ], and they also completed a questionnaire concerning their satisfaction with childbirth support (i.e., Mother's Level of Childbirth Satisfaction Rating Scale) [ 26 27 28 ]. Data on childbirth-related physiological effects were obtained from their medical records.…”

Evaluation of the psychometric properties of Hindi-translated Scale for Measuring Maternal Satisfaction among postnatal women in Chhattisgarh, India

“…The 40-item, 5-point Likert scale has six sub-dimensions: general satisfaction, satisfaction with self, baby, midwife, physician and partner. The original scale in English has been widely translated and psychometrically validated [21–24] to measure childbirth satisfaction for both normal and caesarean births (internal reliability range 0.76–0.84 in all translations).…”