BACKGROUND: Labor pain, as one of the inevitable pains among women, is generally tolerable for most women. The present study aimed to assess the cultural adaption and psychometric adequacy of the Labor Pain Relief Attitude Questionnaire (LPRAQ) for pregnant women. MATERIALS AND METHOD: This psychometric study was conducted in four distinct phases. The first and second phases involved the forward-backward translation followed by necessary modifications, and the third phase focused on the content and face validity. In the fourth phase, construct validity (CV) and reliability were examined. CV was evaluated using confirmatory factor analysis (CFA) and concurrent validity through previously validated and reliable measurement instruments. The mean LPRAQ-p scores were compared across different groups in terms of age, spouse’s age, education level, planning for pregnancy, number of pregnancies and childbirths, depression and distress, history of analgesia use, and delivery mode. A higher P-LPRAQ score indicated a greater willingness to seek labor pain relief. RESULTS: A total of 355 pregnant women who sought medical care in Tehran during 2022 were studied. During the face and content validity assessment, all six items of the instrument were retained. CFA of six items with two factors showed a good model fit index (X 2 /df < 5, (Comparative Fit Index) CFI = 0.91, (Normed Fit Index) NFI = 0.880.01, (Root Mean Square Error of Approximation) RMSEA = 0.04). The questionnaire also exhibited good convergent validity with (Tilburg Pregnancy Distress-negative -negative affect)TPDS-NA and Edinburg depression questionnaire ( P < 0.05). Additionally, significant difference in the mean P-LPRAQ-p scores was observed in terms of the age, education level, spouse’s age, employment status, mode of delivery, depression, and distress level ( P < 0.001). CONCLUSION: The P-LPRAQ is a brief, concise, and straightforward questionnaire demonstrating optimal validity and reliability, making it a suitable tool for assessing pregnant women’s attitudes toward labor pain relief.
Safarnavadeh et al. (Wed,) studied this question.