Psychometric Evaluation of the Malay Version of the Childbirth Experience Questionnaire (CEQ-My)

Kalok, Aida; Nordin, Norhani; Sharip, Shalisah; Rahman, Rahana Abdul; Shah, Shamsul Azhar; Mahdy, Zaleha Abdullah; Atan, Ixora Kamisan

doi:10.3390/ijerph19137644

Cited by 5 publications

(11 citation statements)

References 32 publications

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“…Similar to the study by Boie et al 24 , which validated the use of the CEQ in Denmark, we found a three-dimensional model slightly different from the original four-dimensional model shown in both studies by Dencker et al 19,25 and by other studies that have validated the CEQ [21][22][23] . Most items originally within the domain 'Perceived safety' (items 2, 18, 19, 15) were grouped with the 'Own capacity' domain in our model, and items related to feeling secure (items 17 and 22) were grouped with the domain 'Professional support'.…”

Section: Discussionsupporting

confidence: 84%

“…Women who had operative births were known to score lower using the CEQ 21,24 . In the original study by Denkcer et al 19 , and in the studies by Kalok et al 23 and Boie et al 24 , women with operative birth scored lower in all domains 19,23,24 . We cannot compare their results directly with ours, as they included both emergency cesarean sections and operative vaginal births, and our study looks at emergency cesarean sections only.…”

Section: Discussionmentioning

confidence: 90%

“…Different instruments have been used to examine women's childbirth experiences, and a recent systematic review 18 identified the childbirth experience questionnaire (CEQ) 19 as an instrument that provides valid scores and systematically evaluates women's experiences 18 . The CEQ has been translated and evaluated in several countries [20][21][22][23][24] , and a revised version (CEQ2) has been validated in Sweden and the UK 25,26 .…”

Section: Introductionmentioning

confidence: 99%

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Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia

Henriksen¹,

Debrecéniová²,

Hrabovská³

et al. 2023

Eur J Midwifery

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INTRODUCTION Using validated and reliable instruments to examine women's birth experiences is important to ensure respectful care. There is a lack of validated instruments for evaluating childbirth care in the Slovak context. In this study, we aimed to adapt and validate the childbirth experience questionnaire (CEQ) in Slovakia (CEQ-SK). METHOD The CEQ-SK was developed and modified from the English version of the CEQ/CEQ2. Face validity was tested in two pre-tests. A convenience sample, recruited through social media, included 286 women who had given birth within the last six months. Reliability was assessed using Cronbach's alpha. Construct and discriminant validity was assessed by exploratory factor analysis and known-group comparison. RESULTS The exploratory factor analysis revealed a three-dimensional structure, explaining 63.3% of the total variance. The factors were labelled 'Own capacity', 'Professional support' and 'Decision making'. No items were excluded. Internal consistency was demonstrated with an overall Cronbach's alpha of 0.94 for the total scale. Primiparous women, women who had an emergency cesarean section, and women who had been exposed to the Kristeller manoeuvre had a lower overall score on the CEQ-SK compared to parous women, women having a vaginal birth and women not exposed to the Kristeller manoeuvre. CONCLUSION The CEQ-SK was found to be a valid and reliable tool for evaluating childbirth experience in Slovakia. The original CEQ is a four-dimensional questionnaire; however, factor analysis showed a three-dimensional structure in the Slovak sample. This needs to be taken into consideration when comparing the results from the CEQ-SK with studies that use the four-dimensional structure.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia

Henriksen¹,

Debrecéniová²,

Hrabovská³

et al. 2023

Eur J Midwifery

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“…This can also be seen in other studies, where this item obtained sufficient but lower factor loads than the rest [ 31 , 45 ]. Other studies report adequate factor load values for the item [ 34 , 36 , 64 , 65 ]. This finding could not be compared in all studies since either they did not conduct factor analysis [ 32 , 40 , 42 ] or did not report factor loads obtained for the items [ 30 , 33 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

“…has been discarded in other studies for this reason. Kalok A et al eliminated it from the Malay version due to a negative load (-0.822) [ 34 ]. In the studies of Zhu X et al (Chinese version) [ 31 ] and Lok KYK et al, it was also discarded [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Cultural adaptation, validation and evaluation of the psychometric properties of Childbirth Experience Questionnaire version 2.0 in the Spanish context

Machín-Martín,

González-de la Torre,

Bordón-Reyes

et al. 2024

BMC Pregnancy Childbirth

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Background Several instruments have been designed to assess the childbirth experience. The Childbirth Experience Questionnaire (CEQ) is one of the most widely used tools. There is an improved version of this instrument, the Childbirth Experience Questionnaire (CEQ 2.0), which has not been adapted or validated for use in Spain. The aim of present study is to adapt the CEQ 2.0 to the Spanish context and evaluate its psychometric properties. Methods This research was carried out in 2 stages. In the first stage, a methodological study was carried out in which the instrument was translated and back-translated, content validity was assessed by 10 experts (by calculating Aiken's V coefficient) and face validity was assessed in a sample of 30 postpartum women. In the second stage, a cross-sectional study was carried out to evaluate construct validity by using confirmatory factor analysis, reliability evaluation (internal consistency and temporal stability) and validation by known groups. Results In Stage 1, a Spanish version of the CEQ 2.0 (CEQ-E 2.0) was obtained with adequate face and content validity, with Aiken V scores greater than 0.70 for all items. A final sample of 500 women participated in Stage 2 of the study. The fit values for the obtained four-domain model were RMSEA = 0.038 [95% CI: 0.038–0.042], CFI = 0.989 [95% CI: 0.984–0.991], and GFI = 0.990 [95% CI: 0.982–0.991]. The overall Omega and Cronbach's Alpha coefficients were 0.872 [95% CI: 0.850–0.891] and 0.870 [95% CI: 0.849–0.890] respectively. A coefficient of intraclass correlation of 0.824 [95% CI: 0.314–0.936] (p ≤ 0.001) and a concordance coefficient of 0.694 [95% CI: 0.523–0.811] were obtained. Conclusions The Spanish version of CEQ 2.0 (CEQ-E 2.0), has adequate psychometric properties and is a valid, useful, and reliable instrument for assessing the childbirth experience in Spanish women.

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Cultural adaptation and psychometric evaluation of Childbirth Experience Questionnaire 2 in Karnataka state, India

Jha,

Sharma

et al. 2023

PLoS ONE

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Background Women’s birthing experience is a sensitive indicator of the quality of childbirth care and can impact the physical and mental health of both women and their neonates. Negligible evidence exists on Indian women’s birth experiences and–to the best of authors’ knowledge–no questionnaire has been tested in India for measuring women’s birthing experiences. This study aimed to test the construct validity and reliability of the Kannada-translated Revised Childbirth Experience Questionnaire. Methodology A cross-sectional survey was carried out among postnatal women (n = 251, up to six months postpartum, with a live healthy neonate) who had given birth at a public or private health facility using the Kannada-translated CEQ2 in two districts of Karnataka. Data were collected at participants’ homes after seeking written informed consent. Model fit was determined by Confirmatory Factor Analyses. Results The 4-factor model of the CEQ2 showed good fit after deletion of one item (item 8, subcategory “participation”) with CMIN = 1.33; SRMR = 0.04; GFI = 0.92, CFI = 0.98, TLI = 0.99, RMSEA = 0.037 and p value 0.002). The Cronbach alpha values were acceptable for the four subscales (0.92, 0.93, 0.97, 0.91) as well as for the overall 21-item scale (0.84). Conclusions The Kannada-translated CEQ2 is a reliable tool to measure the childbirth experiences among Kannada-speaking women and can serve as a reliable ongoing evaluation of women’s birth experiences.

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Psychometric Evaluation of the Malay Version of the Childbirth Experience Questionnaire (CEQ-My)

Cited by 5 publications

References 32 publications

Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia

Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia

Cultural adaptation, validation and evaluation of the psychometric properties of Childbirth Experience Questionnaire version 2.0 in the Spanish context

Cultural adaptation and psychometric evaluation of Childbirth Experience Questionnaire 2 in Karnataka state, India

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