Design and Psychometric Evaluation of the Fathers' Fear of Childbirth Scale: An Explanatory Sequential Mixed Method Study
Abstract Background: Fear of childbirth was reported in 13% of fathers that may have consequences for the health of fathers and their families. Given the lack of a valid and reliable questionnaire for measure fathers' fear of childbirth, this study was designed with the aim of design and develop Fathers' Fear of Childbirth Scale and evaluate its psychometric properties.Methods: This methodological study with explanatory sequential mixed method approach was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with twenty fathers, and a literature review was done to generate Fathers' Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), face, content, construct as well as reliability of the Fathers' Fear of Childbirth Scale were evaluated. For construct validity, exploratory and confirmatory factor analyses were performed with assistance of 433 expectant fathers. Reliability was also evaluated through internal consistency and composite reliability.Results: The primary Fathers' Fear of Childbirth Scale contained 32 items which reduced to 17 items after face and content validity. Exploratory factor analysis extracted two factors: Fear of childbirth process (12 items), fear of (five items). These factors explained %50.82 of total variance. Goodness of fit indices within a confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all factors were greater than 0.70.Conclusion: The Fathers' Fear of Childbirth Scale has a suitable validity and reliability instrument for assessing fear of childbirth in fathers.