Background: Fear of childbirth is reported in 13% of fathers, and it may have adverse consequences for the health of fathers as well as their families. Due to the lack of a valid and reliable questionnaire to measure fathers' fear of childbirth, this study was conducted to develop the Fathers' Fear of Childbirth Scale and evaluate its psychometric properties.
Methods: This mixed method study was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with 20 expectant fathers, and a literature review was performed to generate the Fathers' Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), reliability as well as face, content, and construct validity of this scale were evaluated. To establish construct validity, exploratory and confirmatory factor analyses were performed. Reliability was evaluated through internal consistency and composite reliability measures.
Results: The primary version of Fathers' Fear of Childbirth Scale contained 32 items, which were reduced to 17 items while establishing construct validity. Exploratory factor analysis extracted two factors, namely fear of childbirth process (12 items) and fear of hospital (5 items). These factors explained 50.82% of the total variance. Goodness of fit indices within the confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all the factors were greater than 0.70.
Conclusion: The Fathers' Fear of Childbirth Scale has a suitable validity and reliability for assessing fear of childbirth in fathers. It is a simple report instrument that can be easily implemented by health care professionals.

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Posted 10 Dec, 2020
On 11 Jan, 2021
Received 27 Dec, 2020
On 26 Dec, 2020
Invitations sent on 21 Dec, 2020
On 01 Dec, 2020
On 01 Dec, 2020
On 30 Nov, 2020
On 11 Nov, 2020
Received 05 Nov, 2020
On 06 Oct, 2020
Received 25 Sep, 2020
On 03 Sep, 2020
On 01 Sep, 2020
Invitations sent on 01 Sep, 2020
On 30 Aug, 2020
On 28 Aug, 2020
On 26 Aug, 2020
Posted 10 Dec, 2020
On 11 Jan, 2021
Received 27 Dec, 2020
On 26 Dec, 2020
Invitations sent on 21 Dec, 2020
On 01 Dec, 2020
On 01 Dec, 2020
On 30 Nov, 2020
On 11 Nov, 2020
Received 05 Nov, 2020
On 06 Oct, 2020
Received 25 Sep, 2020
On 03 Sep, 2020
On 01 Sep, 2020
Invitations sent on 01 Sep, 2020
On 30 Aug, 2020
On 28 Aug, 2020
On 26 Aug, 2020
Background: Fear of childbirth is reported in 13% of fathers, and it may have adverse consequences for the health of fathers as well as their families. Due to the lack of a valid and reliable questionnaire to measure fathers' fear of childbirth, this study was conducted to develop the Fathers' Fear of Childbirth Scale and evaluate its psychometric properties.
Methods: This mixed method study was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with 20 expectant fathers, and a literature review was performed to generate the Fathers' Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), reliability as well as face, content, and construct validity of this scale were evaluated. To establish construct validity, exploratory and confirmatory factor analyses were performed. Reliability was evaluated through internal consistency and composite reliability measures.
Results: The primary version of Fathers' Fear of Childbirth Scale contained 32 items, which were reduced to 17 items while establishing construct validity. Exploratory factor analysis extracted two factors, namely fear of childbirth process (12 items) and fear of hospital (5 items). These factors explained 50.82% of the total variance. Goodness of fit indices within the confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all the factors were greater than 0.70.
Conclusion: The Fathers' Fear of Childbirth Scale has a suitable validity and reliability for assessing fear of childbirth in fathers. It is a simple report instrument that can be easily implemented by health care professionals.

Figure 1

Figure 2

Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
Loading...