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Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
Yifan Cheng1, Ruxue Bai1, Siyu Shan1
1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
International Journal of Nursing Sciences
|February 24, 2025
Summary
This review evaluated childbirth experience assessment tools, finding most lack content validity and other key measures. The Questionnaire for Assessing the Childbirth Experience (QACE) is provisionally recommended, pending further validation.
Area of Science:
- Obstetrics and Gynecology
- Health Services Research
- Psychometrics
Background:
- Childbirth experience significantly impacts maternal well-being and future healthcare decisions.
- High-quality assessment tools are crucial for evaluating and improving maternity care.
- Existing tools for assessing childbirth experience require rigorous evaluation of their measurement properties and methodological quality.
Purpose of the Study:
- To systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools.
- To inform healthcare professionals in selecting reliable instruments for assessing childbirth experiences.
- To identify gaps in the validation of existing assessment tools.
Main Methods:
- Systematic literature search across multiple databases (PubMed, Web of Science, Embase, CINAHL, SinoMed, CNKI, Wanfang) up to February 29, 2024.
- Inclusion of 15 studies evaluating 11 childbirth experience assessment tools.
- Assessment of methodological quality using the COSMIN Risk of Bias Checklist and measurement properties using COSMIN criteria.
- Evaluation of evidence certainty using a modified GRADE system.
Main Results:
- Eleven childbirth experience assessment tools were evaluated.
- Eight studies exhibited doubtful methodological quality regarding content validity; others did not report it.
- No tools reported on measurement error, cross-cultural validity, or responsiveness.
- Evidence quality for most tools was moderate or below, with all 11 tools recommended as grade B.
Conclusions:
- Most current childbirth experience assessment tools have significant limitations in content validity and other psychometric properties.
- The Questionnaire for Assessing the Childbirth Experience (QACE) shows promise for provisional use due to its acceptable attributes.
- Further validation studies are essential to confirm the measurement properties of the QACE and other tools.
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