Validation and factor structure of the Italian version of the Birth Satisfaction Scale-Revised (BSS-R)
Nespoli, Antonella; Colciago, Elisabetta; Fumagalli, Simona; Locatelli, Anna; Hollins Martin, Caroline J.; Martin, Colin R.
Caroline J. Hollins Martin
Colin R. Martin
To validate the Italian-language version of the Birth Satisfaction Scale-Revised (BSS-R) and report key measurement properties of the tool. To evaluate the impact of antenatal class attendance on BSS-R assessed birth satisfaction.
Maternal satisfaction is one of the standards of care defined by the World Health Organisation (WHO) to improve the quality of services. The BSS-R is a multi-dimensional self-report measure of the experience of labour and birth.
Cross-sectional instrument evaluation design examining factor structure and key aspects of validity and reliability. Embedded between-subjects design to examine known-group discriminant validity and the impact of antenatal class attendance on BSS-R sub-scale and total scores as dependent variables. After giving birth, 297 women provided data for analysis.
The Italian version of the BSS-R (I-BSS-R) was the key study measure. The established three-factor and bi-factor models of the BSS-R were found to offer an excellent fit to the data. Comparison of the tri-dimensional measurement model and the bi-factor model of the BSS-R found no significant differences between models. Women who attended antenatal classes had significantly lower stress experienced during childbearing sub-scale scores (I-BSS-R SE), compared to those who did not. Good convergent, divergent validity and known-groups discriminant validity were established for the I-BSS-R. Internal consistency observations were found to be sub-optimal in this population.
On all key psychometric indices, with the exception of internal consistency that requires further investigation, the I-BSS-R was found to be a valid translation of the original BSS-R. The impact of antenatal classes on birth satisfaction warrants further research.
Nespoli, A., Colciago, E., Fumagalli, S., Locatelli, A., Hollins Martin, C. J., & Martin, C. R. (in press). Validation and factor structure of the Italian version of the Birth Satisfaction Scale-Revised (BSS-R). Journal of reproductive and infant psychology, 1-16. https://doi.org/10.1080/02646838.2020.1836333
|Journal Article Type||Article|
|Acceptance Date||Sep 30, 2020|
|Online Publication Date||Oct 21, 2020|
|Deposit Date||Oct 26, 2020|
|Publicly Available Date||Oct 22, 2021|
|Journal||Journal of Reproductive and Infant Psychology|
|Peer Reviewed||Peer Reviewed|
|Keywords||Birth Satisfaction Scale-Revised (BSS-R); Birth satisfaction; Maternal satisfaction; Validation; Midwifery care|
©2020 The authors. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder
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