Evidence map›Paper›PMID 40133864›Full record

ArticleBMC pregnancy and childbirth2025

Translation, cultural adaptation, and validation of the maternal health promotion behavior scale.

Huiyuan Wang, Yinting Zou, Yulan Guan, Zhirong Li, Xuerong Ran, Tingting Hu, Jinguo Zhai

Abstract readValidation Study
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Huiyuan Wang *School of Nursing, Southern Medical University, Guangzhou, China.
Yinting Zou *Department of Nursing, Guangdong Maoming Health Vocational College, Maoming, China.
Yulan GuanSchool of Nursing, Southern Medical University, Guangzhou, China.
Zhirong LiAntenatal area / Delivery room, Houjie Hospital of Dongguan, Dongguan, Guangdong, China.
Xuerong RanSchool of Nursing, Southern Medical University, Guangzhou, China.
Tingting HuSchool of Nursing, Southern Medical University, Guangzhou, China.
Jinguo ZhaiSchool of Nursing, Southern Medical University, Guangzhou, China. helenjxzhai@gmail.com.

Funding

2022 Teaching Quality and Teaching Reform Project ZL20220072023 Guangdong Postgraduate Education Innovation Programme Project 2023ANLK_0182025 Higher Education Reform Project of Guangdong Province 2024305532025 Natural Science Foundation of Guangdong Province, Guangdong 2025Shenzhen Sanming Project SZSM202211044
6 · The paper itself

Abstract

backgroundUnited Nations reports show that maternal health is currently deteriorating in most parts of the world, which is far from achieving the 2030 goal of ensuring good maternal health. Adopting health-promoting behaviors during pregnancy is a safe strategy for maintaining and improving maternal and child health. Owing to the high-dimensional, multivariate, and non-directly measurable characteristics of health-promoting behaviors, a comprehensive assessment of these behaviors will help improve population health. The purpose of this study was to translate and cross-culturally adapt Maternal Health Promotion Behavior Scale, which was specifically developed for the maternal population, and to assess the psychometric properties of its Chinese version.

methodThis cross-sectional study was conducted between May 2023 and August 2024; convenience sampling was used to select pregnant women in late pregnancy who underwent antenatal checkups. First, the original Maternal Health Promotion Behavior Scale was translated into Chinese and culturally adapted. The psychometric properties of the Chinese version of the Scale were subsequently assessed, including item analysis, content validity, construct validity, internal consistency reliability, and test-retest reliability.

resultsA total of 296 pregnant women were included. The Chinese version of the Maternal Health Promotion Behavior Scale consists of 36 scored items in 6 dimensions, with item-level Content Validity Index ranging from 0.83 to 1, and the mean scale-level Content Validity Index of all the items is 0.95. Exploratory factor analysis identified 6 potential factors, and confirmatory factor analysis demonstrated a good fit of the data for this structural equation model. The total Cronbach's α coefficient for the scale was 0.837, McDonald's ω coefficient was 0.848, and test-retest reliability was 0.990.

conclusionThe Chinese version of the Maternal Health Promotion Behavior Scale is a valid and reliable instrument for measuring maternal health-promoting behaviors.

Indexed as

Health BehaviorHealth PromotionMaternal HealthAdultChinaCross-Sectional StudiesFemaleHumansPregnancyPsychometricsReproducibility of ResultsSurveys and QuestionnairesTranslatingTranslationsYoung AdultHealth promotionLifestyleMaternalPsychometric properties

Identifiers

PMID40133864
PMCPMC11934477

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