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Validation and Cross-Cultural Adaptation of the Childbirth Fear Questionnaire Among Jordanian Women
Salwa Al Obeisat1, Salam Bani Hani2, Shahd Altarawneh1
1Faculty of Nursing\Maternal-Child Health Nursing Department, Jordan University of Science and Technology, Irbid, Jordan.
Background:
Fear of childbirth (FOC) is a prevalent psychological issue among pregnant women globally, necessitating valid and culturally adapted assessment tools.
Purpose:
The study aimed to examine the reliability, validity, and factor structure of the Arabic version of the Childbirth Fear Questionnaire (CFQ) to ensure its suitability for use in the Jordanian context.
Methods:
A cross-sectional study was conducted with 452 pregnant women attending prenatal clinics in northern Jordan to assess the psychometric properties of a questionnaire. The evaluation looked at how well the questionnaire was designed and understood, then used exploratory factor analysis (EFA) with IBM SPSS 29.0 and confirmatory factor analysis (CFA) with IBM SPSS Amos 26.0 to check its structure.
Results:
EFA identified four distinct factors: fear of harm to the baby (α = 0.88), fear of pain (α = 0.82), fear of body damage from vaginal birth (α = 0.80), and fear of loss of sexual pleasure/attractiveness (α = 0.85). The overall Cronbach's alpha was 0.92, indicating excellent reliability. CFA supported the four-factor model, though some fit indices suggested moderate model fit.
Conclusion:
The Arabic version of the CFQ demonstrated robust psychometric properties, making it a reliable and valid tool for assessing childbirth fear among Jordanian women. Its use can aid in the early identification of FOC, guiding targeted interventions to improve maternal and neonatal outcomes.
