Health-related quality of life scale specific to pregnant women (PregQOL): Development and psychometric evaluation

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-06 DOI:10.1016/j.midw.2025.104329

Hyunjeong Shin , Songi Jeon , Inhae Cho

{"title":"Health-related quality of life scale specific to pregnant women (PregQOL): Development and psychometric evaluation","authors":"Hyunjeong Shin , Songi Jeon , Inhae Cho","doi":"10.1016/j.midw.2025.104329","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem</h3><div>According to systematic literature reviews, most studies measured pregnant women's quality of life using generic measures.</div></div><div><h3>Background</h3><div>Condition-specific questionnaires are more sensitive and responsive than generic questionnaires. There is a great need to establish specific measures for assessing pregnant women's health-related quality of life considering their unique experiences of pregnancy.</div></div><div><h3>Aim</h3><div>To develop and test psychometric properties of the PregQOL, a health-related quality of life measure specific to pregnant women.</div></div><div><h3>Methods</h3><div>To construct the items of the PregQOL, we conducted semi-structured face-to-face interviews with five pregnant women in addition to an extensive literature review. For psychometric testing, data were collected with a convenience sample of 411 pregnant women. Construct validity was assessed via exploratory and confirmatory factor analyses. Convergent and known-groups validity were evaluated. Internal consistency reliability was studied using Cronbach's alpha and McDonald's omega. Test-retest reliability was examined.</div></div><div><h3>Findings</h3><div>After evaluation of content validity and exploratory/confirmatory factor analysis, the 24-item PregQOL was developed with four dimensions: <em>daily functioning, supportive conditions, adaptation to pregnancy, and psychological well-being.</em> It demonstrated convergent validity with relations to a quality of life measure for general population. Known-groups validity was supported by significant differences between the depressed and non-depressed groups. The scale demonstrated adequate internal consistency and test-retest reliability. It also showed good reliability across three trimesters of pregnancy.</div></div><div><h3>Discussion</h3><div>The newly developed PregQOL demonstrated good psychometric properties across three trimesters of pregnancy.</div></div><div><h3>Conclusion</h3><div>The PregQOL might be useful for helping midwives and other healthcare providers understand the overall well-being of pregnant women.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"143 ","pages":"Article 104329"},"PeriodicalIF":2.6000,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825000488","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Problem

According to systematic literature reviews, most studies measured pregnant women's quality of life using generic measures.

Background

Condition-specific questionnaires are more sensitive and responsive than generic questionnaires. There is a great need to establish specific measures for assessing pregnant women's health-related quality of life considering their unique experiences of pregnancy.

Aim

To develop and test psychometric properties of the PregQOL, a health-related quality of life measure specific to pregnant women.

Methods

To construct the items of the PregQOL, we conducted semi-structured face-to-face interviews with five pregnant women in addition to an extensive literature review. For psychometric testing, data were collected with a convenience sample of 411 pregnant women. Construct validity was assessed via exploratory and confirmatory factor analyses. Convergent and known-groups validity were evaluated. Internal consistency reliability was studied using Cronbach's alpha and McDonald's omega. Test-retest reliability was examined.

Findings

After evaluation of content validity and exploratory/confirmatory factor analysis, the 24-item PregQOL was developed with four dimensions: daily functioning, supportive conditions, adaptation to pregnancy, and psychological well-being. It demonstrated convergent validity with relations to a quality of life measure for general population. Known-groups validity was supported by significant differences between the depressed and non-depressed groups. The scale demonstrated adequate internal consistency and test-retest reliability. It also showed good reliability across three trimesters of pregnancy.

Discussion

The newly developed PregQOL demonstrated good psychometric properties across three trimesters of pregnancy.

Conclusion

The PregQOL might be useful for helping midwives and other healthcare providers understand the overall well-being of pregnant women.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.