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Father for the first time - development and validation of a questionnaire to assess fathers' experiences of first childbirth (FTFQ).

Journal article
Authors Åsa Premberg
Charles Taft
Anna-Lena Hellström
Marie Berg
Published in BMC pregnancy and childbirth
Volume 12
Issue 1
Pages 35
ISSN 1471-2393
Publication year 2012
Published at Institute of Health and Care Sciences
Institute of Clinical Sciences, Department of Pediatrics
Pages 35
Language en
Subject categories Health Sciences


ABSTRACT: BACKGROUND: A father's experience of the birth of his first child is important not only for their birth-giving partner but also for the father himself, his relationship with the mother and the newborn. No validated questionnaire assessing first-time fathers' experiences during childbirth is currently available. Hence, the aim of this study was to develop and validate an instrument to assess first-time fathers' experiences of childbirth. METHOD: Domains and items were initially derived from interviews with first-time fathers, and supplemented by a literature search and a focus group interview with midwives. The comprehensibility, comprehensiveness and relevance of the items were evaluated by four paternity research experts and a preliminary questionnaire was pilot tested in eight first-time fathers. A revised questionnaire was completed by 200 first- time fathers (response rate = 81%) Exploratory factor analysis using principal component analysis with varimax rotation was performed and multitrait scaling analysis was used to test scaling assumptions. External validity was assessed by means of known-groups analysis. RESULTS: Factor analysis yielded four factors comprising 22 items and accounting 48% of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Multitrait analysis confirmed the convergent and discriminant validity of the domains; however, Cronbach's alpha did not meet conventional reliability standards in two domains. The questionnaire was sensitive to differences between groups of fathers hypothesized to differ on important socio demographic or clinical variables CONCLUSIONS: The questionnaire adequately measures important dimensions of first-time fathers' childbirth experience and may be used to assess aspects of fathers' experiences during childbirth. To obtain the FTFQ and permission for its use, please contact the corresponding author.

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