Table 1 Modifications to the WiP questionnaire
Phase 1a | |
|---|---|
Reason for revision | Instructions and format |
Participants experienced difficulties differentiating between six response options | Response options reduced from a six-point response scale to a four-point response scale |
Preamble added for LTC standalone module | Wording added: ‘A long-term condition (LTC) is any health issue that has lasted, or will last, for at least 12 months. LTCs include memory problems, depression and other mental health conditions as well as physical health conditions such as diabetes and heart disease. When answering the following questions, please think about your long-term health condition(s)’ |
Reason for revision | Items selected for revision |
Terminology (to reduce risk of socially desirable responses) | Bonded with baby |
Given purpose in life | |
Felt supported by the health professionals involved in care | |
Reason for revision | Items added |
Eight items added to reflect further identified areas of well-being during pregnancy | Enough social contact with other people |
Enjoying pregnancy | |
Concerned not enough support from health services after birth | |
Confident about caring for baby | |
Worried about support after birth | |
Prepared for life as a mother | |
Concerned about coping when baby is born | |
Confident of support from other people after birth | |
Five items relating to pregnancy and living with a LTC added (stand-alone module) | Able to cope well during pregnancy, despite health condition(s) |
Symptoms of long term health condition(s) bother me during pregnancy | |
Confident in managing the day-to-day aspects of health condition(s) during pregnancy | |
Able to cope after the birth of baby, despite health condition(s) | |
Concerned about managing the day-to-day aspects of health condition(s) after the birth of baby | |
Phase 1b | |
No revisions required, two items identified as potentially eliciting socially desirable responses | |
Phase 2 | |
Reason for removal | Items selected for deletion |
Floor and ceiling effects | Concerned that relationships with other people important to me are changing |
Poor correlations with a large number of items and reduction of Cronbach’s alpha | Concerned about the health of baby |
Concerned about my health during pregnancy | |
Pregnancy adds purpose in life | |
Physical symptoms of pregnancy upset me | |
Anxious about giving birth | |
Not conceptually integrating with extracted factors and highlighted potentially eliciting socially desirable responses during Phases 1a and 1b | Satisfied with experience of health care during pregnancy |
Overall, supported by the health professionals involved in care during pregnancy | |