Spanish Cultural Adaptation of the Questionnaire for Assessing the Childbirth Experience (QACE)

• Published in: Enfermería global Vol. 19; no. 4; pp. 306 - 321
• Main Authors: Coll, P Rodríguez, Casañas, R, Palomares, A Collado, Aubian, G Maldonado, Garcia, M Vicente, Peiro, R Escuriet
• Format: Journal Article
• Language: English
• Published: Murcia Servicio de Publicaciones, Universidad de Murcia 01-10-2020
• Subjects: Adaptation; Childbirth & labor; Committees; Likert scale; Medical personnel; Mental health; Population; Post traumatic stress disorder; Quantitative psychology; Questionnaires; Womens health
• ISSN: 1695-6141
• DOI: 10.6018/eqlobal.402271

Background: Negative experiences during delivery are associated with women disempowerment, postpartum depression, post-traumatic stress disorder, and low breastfeeding rates. The Questionnaire for Assessing the Childbirth Experience (QACE) is a 23-item screening tool useful for discovering women with a negative experience in their birth process and avoids future complications in following pregnancies or couple's relationships. Objective: The general objective is to adapt the Questionnaire for Assessing the Childbirth Experience (QACE) to the Spanish population and to obtain its psychometric characteristics. Methodology: The cultural adaptation process consisted of forwarding translation and back translation into Spanish, conceptual equivalence evaluation by a committee of judges, comprehensibility evaluation and cognitive Interview to a postpartum group. Psychometric characteristics were obtained throughout the factorial analysis, Kaiser-Meyer-Olkin (KMO) and Bartlett's test of sphericity and Cronbach alpha level. Results: After complete the adaptation process, the committee of judges made several adjustments to achieve a better comprehension in the Spanish population, avoid misunderstandings or offensive words in the target language. 138 participants were needed to calculate factor analysis. The KMO (0.838) and Bartlett test (p< 0.001) confirmed the adequacy of factor analysis and the Scree plot showed 6 factors with the predictive power of 73.75% supported total variance. Internal consistency was assured using a Cronbach a of 0.896. Conclusions: Data from this study demonstrate that the Spanish version of QACE Is a valid and reliable measure of childbirth experience in the Spanish population.