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Development and validation of the Australian version of the Birth Satisfaction Scale-Revised (BSS-R)

Jefford, Elaine; Hollins Martin, Caroline J.; Martin, Colin R.


Elaine Jefford

Caroline J. Hollins Martin

Colin R. Martin


Objective and background: The 10-item Birth Satisfaction Scale-Revised (BSS-R) has recently been endorsed by international expert consensus for global use as the birth satisfaction outcome measure of choice. English-language versions of the tool include validated UK and US versions; however, the instrument has not, to date, been contextualised and validated in an Australian English-language version. The current investigation sought to develop and validate an English-language version of the tool for use within the Australian context.

Methods: A two-stage study. Following review and modification by expert panel, the Australian BSS-R (A-BSS-R) was (Stage 1) evaluated for factor structure, internal consistency, known-groups discriminant validity and divergent validity. Stage 2 directly compared the A-BSS-R data set with the original UK data set to determine the invariance characteristics of the new instrument. Participants were a purposive sample of Australian postnatal women (n = 198).

Results: The A-BSS-R offered a good fit to data consistent with the BSS-R tridimensional measurement model and was found to be conceptually and measurement equivalent to the UK version. The A-BSS-R demonstrated excellent known-groups discriminant validity, generally good divergent validity and overall good internal consistency.

Conclusion: The A-BSS-R represents a robust and valid measure of the birth satisfaction concept suitable for use within Australia and appropriate for application to International comparative studies.

Journal Article Type Article
Publication Date Jan 1, 2018
Journal Journal of Reproductive and Infant Psychology
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 36
Issue 1
Pages 42-58
APA6 Citation Jefford, E., Hollins Martin, C. J., & Martin, C. R. (2018). Development and validation of the Australian version of the Birth Satisfaction Scale-Revised (BSS-R). Journal of reproductive and infant psychology, 36(1), 42-58. doi:10.1080/02646838.2017.1396302
Keywords Birth Satisfaction Scale-Revised (BSS-R); Australian; validation; maternity care; measurement invariance; midwives; obstetricians
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Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline....cope&journalCode=cjri20