Cross-Cultural Adaptation and Psychometric Properties of the French Version of the EXIT to Measure Women's Experiences of Induction of Labor.

EXIT cross-cultural adaptation induction of labor patient-reported outcome measure psychometric properties

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
20 Jul 2022
Historique:
received: 22 04 2022
revised: 01 07 2022
accepted: 18 07 2022
entrez: 27 7 2022
pubmed: 28 7 2022
medline: 28 7 2022
Statut: epublish

Résumé

In France, more than 20% of women require induction of labor (IOL), which can be psychologically and emotionally challenging for patients. It is important to assess how they feel about their IOL experiences. Our aim was to cross-culturally adapt and evaluate the psychometric properties of a French version of the EXIT to assess women's experiences of IOL. The EXIT was cross-culturally adapted by conducting forward and backward translations following international guidelines. A cross-sectional study was conducted to assess the psychometric properties of the ten French EXIT items: data completeness, factor analysis, internal consistency, score distribution, floor and ceiling effects, inter-subscale correlations, convergent validity, and test-retest reliability. The EXIT was successfully cross-culturally adapted to the French context and any IOL method. The results obtained from 163 patients requiring IOL showed good acceptability. Exploratory factor analysis resulted in a three-factor solution with subscales reflecting the experiential aspects of time taken to give birth, discomfort with IOL, and subsequent contractions. Good internal consistency (Cronbach's alpha or Spearman correlation coefficients ranging from 0.55 to 0.84) and good test-retest reliability (intraclass correlation coefficients ranging from 0.66 to 0.85) for the three identified subscales were found. The ten-item French EXIT is a valid and reliable instrument for the self-assessment of women's experiences of IOL in the three weeks following delivery for any method of IOL used. As a patient-reported outcome measure, it would allow the comparison of experiential outcomes across IOL studies in order to include women's preferences in decisions regarding their care.

Sections du résumé

BACKGROUND BACKGROUND
In France, more than 20% of women require induction of labor (IOL), which can be psychologically and emotionally challenging for patients. It is important to assess how they feel about their IOL experiences. Our aim was to cross-culturally adapt and evaluate the psychometric properties of a French version of the EXIT to assess women's experiences of IOL.
METHODS METHODS
The EXIT was cross-culturally adapted by conducting forward and backward translations following international guidelines. A cross-sectional study was conducted to assess the psychometric properties of the ten French EXIT items: data completeness, factor analysis, internal consistency, score distribution, floor and ceiling effects, inter-subscale correlations, convergent validity, and test-retest reliability.
RESULTS RESULTS
The EXIT was successfully cross-culturally adapted to the French context and any IOL method. The results obtained from 163 patients requiring IOL showed good acceptability. Exploratory factor analysis resulted in a three-factor solution with subscales reflecting the experiential aspects of time taken to give birth, discomfort with IOL, and subsequent contractions. Good internal consistency (Cronbach's alpha or Spearman correlation coefficients ranging from 0.55 to 0.84) and good test-retest reliability (intraclass correlation coefficients ranging from 0.66 to 0.85) for the three identified subscales were found.
CONCLUSIONS CONCLUSIONS
The ten-item French EXIT is a valid and reliable instrument for the self-assessment of women's experiences of IOL in the three weeks following delivery for any method of IOL used. As a patient-reported outcome measure, it would allow the comparison of experiential outcomes across IOL studies in order to include women's preferences in decisions regarding their care.

Identifiants

pubmed: 35887980
pii: jcm11144217
doi: 10.3390/jcm11144217
pmc: PMC9317795
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Candy Guiguet-Auclair (C)

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France.
Department of Public Health, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Marion Rouzaire (M)

Department of Obstetrics and Gynecology, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Anne Debost-Legrand (A)

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France.
Réseau de Santé Périnatale d'Auvergne, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Sigrid Dissard (S)

Department of Obstetrics and Gynecology, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Manon Rouille (M)

Department of Obstetrics and Gynecology, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Amélie Delabaere (A)

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, Institut Pascal, F-63000 Clermont-Ferrand, France.
Department of Obstetrics and Gynecology, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.

Denis Gallot (D)

Department of Obstetrics and Gynecology, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.
Translational Approach to Epithelial Injury and Repair, Faculty of Medicine, Université Clermont-Auvergne, CNRS 6293, INSERM 1103, GReD, F-63000 Clermont-Ferrand, France.

Classifications MeSH