Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R)
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Keywords

Saudi women
birth satisfaction
episiotomy
psychometrics
factor analysis
cross-sectional study

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D’Sa, J. L., Jahlan, I. O., Alsatari, E. S., Zamzam, S., & Martin, C. R. (2024). Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R). Belitung Nursing Journal, 10(1), 105–113. https://doi.org/10.33546/bnj.3055
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Accepted for publication: 2024-01-22
Peer reviewed: Yes

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Abstract

Background: Maternal outcomes are closely associated with birth satisfaction, and the Birth Satisfaction Scale-Revised (BSS-R), a concise, multidimensional self-report measure, has undergone translation and validation internationally. However, research on birth satisfaction in Saudi Arabia is scarce. The absence of valid Arabic-language tools for the Saudi population may impede critical research on this topic, necessitating the translation and use of psychometrically sound instruments for measuring birth satisfaction in Saudi women.

Objective: This study aimed to translate and evaluate the psychometric properties of the Saudi Arabian version of the BSS-R (SA-BSS-R).

Methods: A total of 218 Saudi women participated in the study, and psychometric analysis of the translated SA-BSS-R involved confirmatory factor analysis, divergent validity analysis, and known-group discriminant validity assessment within a cross-sectional study design.

Results: The three-factor BSS-R measurement model displayed poor fit, and internal consistency fell below the threshold value. Additionally, it was observed that women undergoing an episiotomy had significantly lower overall SA-BSS-R scores.

Conclusion: The SA-BSS-R manifested atypical measurement properties in this population. Despite insightful observations related to episiotomy, the identified measurement shortcomings highlight the need for a more robust and culturally sensitive translation to enhance measurement characteristics.

https://doi.org/10.33546/bnj.3055
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Copyright (c) 2024 Juliana Linnette D'Sa, Ibtesam Omar Jahlan, Eman S. Alsatari, Sahar Zamzam, Colin R. Martin

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

There are no conflicts of interest to declare.

Acknowledgment

The authors acknowledge the Nursing Research Affairs, King Saud University Medical City, Riyadh, for permission to collect the data and the Prince Naif Health Research Center, Investigator Support Unit for the language editing service provided.

Authors’ Contributions

All authors contributed to the study’s conception and design and approved the manuscript's final version. JLD and IOJ were involved in translating the instrument, ESA collected data, SZ performed data entry, and CRM analyzed the data and interpreted findings. JLD and CRM drafted the manuscript and reviewed the final version critically.

Data Availability

The data generated in this study are available from the corresponding author upon reasonable request. The BSS-R can be freely used for clinical and research purposes with permission from Professor Caroline J Hollins Martin at [email protected]. More information regarding the BSS-R can be found on the website www.bss-r.co.uk.

Declaration of Use of AI in Scientific Writing

There is nothing to declare.


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