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Development and validation of a pregnancy symptoms inventory
Katie F Foxcroft1, Leonie K Callaway, Nuala M Byrne
1Department of Internal Medicine, Royal Brisbane and Women’s Hospital, Brisbane, Australia.
BMC Pregnancy and Childbirth
|January 18, 2013
Summary
A new Pregnancy Symptoms Inventory (PSI) was developed and validated for healthcare providers. This tool effectively assesses common pregnancy symptoms and their impact on daily function, aiding in intervention evaluation.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Clinical Assessment Tools
Background:
- Pregnancy symptoms are common, linked to physiological changes, and incur social/economic costs.
- Existing methods for identifying pregnancy-related issues during antenatal care are limited.
- A validated tool for healthcare providers is needed to assess pregnancy symptoms.
Purpose of the Study:
- To develop and validate a Pregnancy Symptoms Inventory (PSI).
- To create a tool for health professionals to assess pregnancy symptoms and their functional impact.
Main Methods:
- Symptom list generated via expert consultation and pregnant women's focus groups.
- Inventory tested for face validity, readability, and comprehension.
- Test-re-test reliability assessed; midwives trialled the tool for 1 month.
Main Results:
- A 41-item Likert inventory (PSI) was developed, assessing symptom frequency and effect.
- High test-re-test reliability (≥0.70 for 34 items) and good face validity, comprehension, and readability.
- Common symptoms included urinary frequency, tiredness, poor sleep, and back pain; incontinence referrals increased significantly.
Conclusions:
- The PSI is a comprehensive, validated tool for assessing pregnancy symptoms and their functional impact.
- The inventory demonstrates good reliability and validity for use in clinical settings.
- The PSI can be used to evaluate the effectiveness of interventions during pregnancy.
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