Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women

Abstract Background The objective of this paper was to test the psychometric properties of the questionnaire for assessing the childbirth experience (QACE) among Chinese postpartum women. Methods Research instruments included the demographic characteristics form, the QACE, the Edinburgh Postnatal De...

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Main Authors: Xiaoying Zhong, Linqian He, Xinru Liu, Bangjun Wang, Xixi Li, Changqing Pan, Lin Peng
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07659-0
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author Xiaoying Zhong
Linqian He
Xinru Liu
Bangjun Wang
Xixi Li
Changqing Pan
Lin Peng
author_facet Xiaoying Zhong
Linqian He
Xinru Liu
Bangjun Wang
Xixi Li
Changqing Pan
Lin Peng
author_sort Xiaoying Zhong
collection DOAJ
description Abstract Background The objective of this paper was to test the psychometric properties of the questionnaire for assessing the childbirth experience (QACE) among Chinese postpartum women. Methods Research instruments included the demographic characteristics form, the QACE, the Edinburgh Postnatal Depression Scale (EPDS), and the Generalized Anxiety Disorder-7 (GAD-7). The item analysis, confirmatory factor analysis (CFA), known-groups discriminant validity, divergent validity, and internal consistency reliability were assessed for the psychometric properties of QACE. Results A total of 235 postpartum women were recruited in this study. Item analysis showed that the critical ratios of all items were greater than 3, and all item-total correlation coefficients were greater than 0.4. The fit indices showed that the original correlated four-factor model of QACE was adequate. In terms of the divergent validity, the QACE subscale and total score were in a significant positive correlation with the EPDS and GAD-7. Regarding reliability, the Cronbach’s alpha of the QACE was 0.812, ranging from 0.611 to 0.844 for total scale and sub-scales, respectively. Conclusions The QACE is a valid and reliable tool for measuring childbirth experience among Chinese women sample of postpartum women.
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spelling doaj-art-985535bc631e43d5a8be22d33c37d9d42025-08-20T02:34:04ZengBMCBMC Pregnancy and Childbirth1471-23932025-05-0125111110.1186/s12884-025-07659-0Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum womenXiaoying Zhong0Linqian He1Xinru Liu2Bangjun Wang3Xixi Li4Changqing Pan5Lin Peng6Department of Nursing, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of EducationSchool of Nursing, Chengdu Medical CollegeDepartment of Nursing, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University) Ministry of EducationObstetrics and gynecology nursing unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaObstetrics and gynecology nursing unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaObstetrics and gynecology nursing unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaObstetrics and gynecology nursing unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaAbstract Background The objective of this paper was to test the psychometric properties of the questionnaire for assessing the childbirth experience (QACE) among Chinese postpartum women. Methods Research instruments included the demographic characteristics form, the QACE, the Edinburgh Postnatal Depression Scale (EPDS), and the Generalized Anxiety Disorder-7 (GAD-7). The item analysis, confirmatory factor analysis (CFA), known-groups discriminant validity, divergent validity, and internal consistency reliability were assessed for the psychometric properties of QACE. Results A total of 235 postpartum women were recruited in this study. Item analysis showed that the critical ratios of all items were greater than 3, and all item-total correlation coefficients were greater than 0.4. The fit indices showed that the original correlated four-factor model of QACE was adequate. In terms of the divergent validity, the QACE subscale and total score were in a significant positive correlation with the EPDS and GAD-7. Regarding reliability, the Cronbach’s alpha of the QACE was 0.812, ranging from 0.611 to 0.844 for total scale and sub-scales, respectively. Conclusions The QACE is a valid and reliable tool for measuring childbirth experience among Chinese women sample of postpartum women.https://doi.org/10.1186/s12884-025-07659-0ReliabilityValidityChildbirth experienceChinese questionnaire for assessing the childbirth experiencePsychometric propertiesQACE
spellingShingle Xiaoying Zhong
Linqian He
Xinru Liu
Bangjun Wang
Xixi Li
Changqing Pan
Lin Peng
Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
BMC Pregnancy and Childbirth
Reliability
Validity
Childbirth experience
Chinese questionnaire for assessing the childbirth experience
Psychometric properties
QACE
title Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
title_full Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
title_fullStr Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
title_full_unstemmed Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
title_short Psychometric properties of the questionnaire for assessing the childbirth experience in a Chinese sample of postpartum women
title_sort psychometric properties of the questionnaire for assessing the childbirth experience in a chinese sample of postpartum women
topic Reliability
Validity
Childbirth experience
Chinese questionnaire for assessing the childbirth experience
Psychometric properties
QACE
url https://doi.org/10.1186/s12884-025-07659-0
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