Childbirth experience assessment tools based on COSMIN guidelines: A systematic review

Objective: This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools, with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools. Method: A systematic search w...

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Main Authors: Yifan Cheng, Ruxue Bai, Siyu Shan, Xinmiao Zhao, Chunling Xia
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:International Journal of Nursing Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352013224001248
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author Yifan Cheng
Ruxue Bai
Siyu Shan
Xinmiao Zhao
Chunling Xia
author_facet Yifan Cheng
Ruxue Bai
Siyu Shan
Xinmiao Zhao
Chunling Xia
author_sort Yifan Cheng
collection DOAJ
description Objective: This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools, with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools. Method: A systematic search was performed on specific databases: PubMed, Web of Science, Embase, CINAHL, SinoMed, China National Knowledge Infrastructure (CNKI), and Wanfang, from inception to February 29, 2024. The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool, and traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to assess the certainty of evidence. Result: A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools (including different language versions). Eight studies’ methodological quality of content validity was doubtful, and the remaining studies did not report content validity. None of the tools reported measurement error, cross-cultural validity, or responsiveness. In light of the questionable or unreported content validity of the tools, the evidence quality was deemed moderate or below. Consequently, the 11 assessment tools were recommended as grade B. Conclusion: In contrast, the Questionnaire for Assessing the Childbirth Experience (QACE) is recommended for provisional use, given its relatively good methodological and measurement attributes and appropriate content for evaluation. However, further validation of other measurement properties is needed.
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spelling doaj-art-a3038e86663447c9b469696e88e9d22a2025-01-26T05:03:59ZengElsevierInternational Journal of Nursing Sciences2352-01322025-01-011218995Childbirth experience assessment tools based on COSMIN guidelines: A systematic reviewYifan Cheng0Ruxue Bai1Siyu Shan2Xinmiao Zhao3Chunling Xia4Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaCorresponding author.; Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaObjective: This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools, with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools. Method: A systematic search was performed on specific databases: PubMed, Web of Science, Embase, CINAHL, SinoMed, China National Knowledge Infrastructure (CNKI), and Wanfang, from inception to February 29, 2024. The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool, and traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to assess the certainty of evidence. Result: A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools (including different language versions). Eight studies’ methodological quality of content validity was doubtful, and the remaining studies did not report content validity. None of the tools reported measurement error, cross-cultural validity, or responsiveness. In light of the questionable or unreported content validity of the tools, the evidence quality was deemed moderate or below. Consequently, the 11 assessment tools were recommended as grade B. Conclusion: In contrast, the Questionnaire for Assessing the Childbirth Experience (QACE) is recommended for provisional use, given its relatively good methodological and measurement attributes and appropriate content for evaluation. However, further validation of other measurement properties is needed.http://www.sciencedirect.com/science/article/pii/S2352013224001248Assessment toolsCOSMIN guidelinesChildbirth experienceSystematic review
spellingShingle Yifan Cheng
Ruxue Bai
Siyu Shan
Xinmiao Zhao
Chunling Xia
Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
International Journal of Nursing Sciences
Assessment tools
COSMIN guidelines
Childbirth experience
Systematic review
title Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
title_full Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
title_fullStr Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
title_full_unstemmed Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
title_short Childbirth experience assessment tools based on COSMIN guidelines: A systematic review
title_sort childbirth experience assessment tools based on cosmin guidelines a systematic review
topic Assessment tools
COSMIN guidelines
Childbirth experience
Systematic review
url http://www.sciencedirect.com/science/article/pii/S2352013224001248
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AT siyushan childbirthexperienceassessmenttoolsbasedoncosminguidelinesasystematicreview
AT xinmiaozhao childbirthexperienceassessmenttoolsbasedoncosminguidelinesasystematicreview
AT chunlingxia childbirthexperienceassessmenttoolsbasedoncosminguidelinesasystematicreview