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The Birth Satisfaction Scale–Revised (BSS-R): should the subscale scores or the total score be used?

Martin, Colin R.; Hollins Martin, Caroline J.; Burduli, Ekaterina; Barbosa-Leiker, Celestina; Donovan-Batson, Colleen; Fleming, Susan E.


Colin R. Martin

Caroline J. Hollins Martin

Ekaterina Burduli

Celestina Barbosa-Leiker

Colleen Donovan-Batson

Susan E. Fleming


Objective and background: The 10-item Birth Satisfaction Scale-Revised (BSS-R)
is increasingly being used internationally as the instrument of choice for the assessment of birth satisfaction. There remains conjecture over the most appropriate way to score the instrument, the choices being, sub-scale score totals, the overall total score, or adopting both approaches. The current study sought to clarify this issue by examining the measurement characteristics of the United States version of the BSS-R from a large dataset.
Methods: A secondary analysis of a data matrix derived from a large sample United States BSS-R validation study (N=2116) using structural equation modelling and bi-factor model evaluation.
Results: The bi-factor model revealed an excellent fit to data (2(df=25) = 208.21, p

Journal Article Type Article
Publication Date Oct 20, 2018
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 36
Issue 5
Pages 530-535
APA6 Citation Martin, C. R., Hollins Martin, C. J., Burduli, E., Barbosa-Leiker, C., Donovan-Batson, C., & Fleming, S. E. (2018). The Birth Satisfaction Scale–Revised (BSS-R): should the subscale scores or the total score be used?. Journal of reproductive and infant psychology, 36(5), 530-535. doi:10.1080/02646838.2018.1490498
Keywords Birth Satisfaction Scale – Revised (BSS-R); Scoring; Validation; Maternity care; Outcomes; Midwives; Obstetricians
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Copyright Statement ©2018 University of Hull


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