Sergey Zakharov, Aleksandr Malyshev, Alena Lochmannová, Caroline Hollins Martin, Colin R Martin
{"title":"Adaptation and psychometric validation of the Russian Birth Satisfaction Scale-Revised in postpartum women.","authors":"Sergey Zakharov, Aleksandr Malyshev, Alena Lochmannová, Caroline Hollins Martin, Colin R Martin","doi":"10.1080/02646838.2026.2646667","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Birth satisfaction indicates maternity care quality and is shaped by communication, involvement in decisions, continuity, and perceived safety. This study translated and culturally adapted the original Birth Satisfaction Scale-Revised (BSS-R) into Russian (RU-BSS-R) and evaluated its psychometric properties in a sample of Russian-speaking postpartum women.</p><p><strong>Methods: </strong>A cross-sectional online survey recruited postpartum Russian-speaking women. After screening, analyses included 223 respondents. Translation used dual forward translation, back-translation, expert adjudication, and cognitive pretesting. Validity was examined with confirmatory factor analysis of established models, correlations with single-item satisfaction, respectful care, and traumatic appraisal, divergent validity with maternal age, internal consistency by alpha and omega, and known-groups comparisons by mode of birth and parity.</p><p><strong>Results: </strong>Three-factor, two-factor, and bifactor models showed excellent fit; the single-factor model fits poorly. Reliability was acceptable to good: alpha 0.71 (Stress), 0.70 (Attributes), 0.77 (Quality of Care), and 0.84 (total); omega total 0.85. Convergent validity was strong: total score correlated 0.77 with single-item satisfaction, 0.64 with respectful care, and -0.73 with traumatic appraisal. Divergent validity with maternal age was near zero. Known-groups results supported discriminant validity: unassisted vaginal birth exceeded emergency caesarean on Stress, Attributes, and total; multiparous women exceeded primiparous women on Stress and Attributes. Quality of Care was broadly similar across modes; effect sizes were small.</p><p><strong>Conclusions: </strong>The Russian BSS-R is a reliable, practical measure. The total score supports monitoring, while domain profiles highlight priorities such as preparation for labour, real-time communication, and visible support to strengthen agency and reduce perceived strain.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-20"},"PeriodicalIF":1.6000,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Reproductive and Infant Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/02646838.2026.2646667","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Birth satisfaction indicates maternity care quality and is shaped by communication, involvement in decisions, continuity, and perceived safety. This study translated and culturally adapted the original Birth Satisfaction Scale-Revised (BSS-R) into Russian (RU-BSS-R) and evaluated its psychometric properties in a sample of Russian-speaking postpartum women.
Methods: A cross-sectional online survey recruited postpartum Russian-speaking women. After screening, analyses included 223 respondents. Translation used dual forward translation, back-translation, expert adjudication, and cognitive pretesting. Validity was examined with confirmatory factor analysis of established models, correlations with single-item satisfaction, respectful care, and traumatic appraisal, divergent validity with maternal age, internal consistency by alpha and omega, and known-groups comparisons by mode of birth and parity.
Results: Three-factor, two-factor, and bifactor models showed excellent fit; the single-factor model fits poorly. Reliability was acceptable to good: alpha 0.71 (Stress), 0.70 (Attributes), 0.77 (Quality of Care), and 0.84 (total); omega total 0.85. Convergent validity was strong: total score correlated 0.77 with single-item satisfaction, 0.64 with respectful care, and -0.73 with traumatic appraisal. Divergent validity with maternal age was near zero. Known-groups results supported discriminant validity: unassisted vaginal birth exceeded emergency caesarean on Stress, Attributes, and total; multiparous women exceeded primiparous women on Stress and Attributes. Quality of Care was broadly similar across modes; effect sizes were small.
Conclusions: The Russian BSS-R is a reliable, practical measure. The total score supports monitoring, while domain profiles highlight priorities such as preparation for labour, real-time communication, and visible support to strengthen agency and reduce perceived strain.
期刊介绍：
The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
