Translation, cultural adaptation, and validation of the maternal health promotion behavior scale.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Health Promotion*/methods ; Health Behavior* ; Maternal Health*; Humans ; Female ; Pregnancy ; Psychometrics ; Cross-Sectional Studies ; Adult ; Reproducibility of Results ; Translations ; China ; Surveys and Questionnaires/standards ; Young Adult ; Translating

Competing Interests: Declarations. Ethics approval and consent to participate: The Ethics Committee of Shenzhen Renhe Hospital approved this study (No. 2023–002). All methods were performed in accordance with the relevant guidelines and regulations of the Helsinki Declaration. Before collecting data, we obtained informed consent from all respondents. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
Background: United Nations reports show that maternal health is currently deteriorating in most parts of the world, which is far from achieving the 2030 goal of ensuring good maternal health. Adopting health-promoting behaviors during pregnancy is a safe strategy for maintaining and improving maternal and child health. Owing to the high-dimensional, multivariate, and non-directly measurable characteristics of health-promoting behaviors, a comprehensive assessment of these behaviors will help improve population health. The purpose of this study was to translate and cross-culturally adapt Maternal Health Promotion Behavior Scale, which was specifically developed for the maternal population, and to assess the psychometric properties of its Chinese version.
Method: This cross-sectional study was conducted between May 2023 and August 2024; convenience sampling was used to select pregnant women in late pregnancy who underwent antenatal checkups. First, the original Maternal Health Promotion Behavior Scale was translated into Chinese and culturally adapted. The psychometric properties of the Chinese version of the Scale were subsequently assessed, including item analysis, content validity, construct validity, internal consistency reliability, and test-retest reliability.
Results: A total of 296 pregnant women were included. The Chinese version of the Maternal Health Promotion Behavior Scale consists of 36 scored items in 6 dimensions, with item-level Content Validity Index ranging from 0.83 to 1, and the mean scale-level Content Validity Index of all the items is 0.95. Exploratory factor analysis identified 6 potential factors, and confirmatory factor analysis demonstrated a good fit of the data for this structural equation model. The total Cronbach's α coefficient for the scale was 0.837, McDonald's ω coefficient was 0.848, and test-retest reliability was 0.990.
Conclusion: The Chinese version of the Maternal Health Promotion Behavior Scale is a valid and reliable instrument for measuring maternal health-promoting behaviors.
(© 2025. The Author(s).)

J Obstet Gynaecol Res. 2022 Oct;48(10):2541-2551. (PMID: 35871536)
J Med Ethics Hist Med. 2022 Mar 8;15:1. (PMID: 36046545)
Int J Nurs Stud. 2012 Mar;49(3):327-37. (PMID: 22035966)
Lancet. 2021 Jun 26;397(10293):2497-2536. (PMID: 34043953)
West J Nurs Res. 2017 Nov;39(11):1429-1446. (PMID: 27885154)
BMC Public Health. 2022 Dec 9;22(1):2310. (PMID: 36494799)
Res Nurs Health. 2012 Jun;35(3):301-13. (PMID: 22434744)
BMC Pregnancy Childbirth. 2016 Nov 21;16(1):361. (PMID: 27871320)
Am J Clin Nutr. 2019 Mar 1;109(Suppl_7):705S-728S. (PMID: 30982868)
Educ Psychol Meas. 2019 Apr;79(2):310-334. (PMID: 30911195)
Front Cell Infect Microbiol. 2021 Sep 16;11:727665. (PMID: 34604111)
Int J Obes (Lond). 2013 Jun;37(6):814-21. (PMID: 23032404)
BMC Pregnancy Childbirth. 2019 Apr 30;19(1):145. (PMID: 31039753)
Chang Gung Med J. 2009 Nov-Dec;32(6):650-61. (PMID: 20035645)
Cent Eur J Public Health. 2022 Jun;30(Supplement):S32-S36. (PMID: 35841223)
JMIR Public Health Surveill. 2022 Jan 24;8(1):e29718. (PMID: 35072649)
J Diabetes Investig. 2022 Jul;13(7):1262-1276. (PMID: 35171528)
Drug Alcohol Depend. 2020 Sep 1;214:108168. (PMID: 32736316)
BMC Med Educ. 2023 Feb 22;23(1):127. (PMID: 36814275)
Pediatrics. 2018 Jan;141(1):. (PMID: 29288161)
Eur J Public Health. 2018 Apr 1;28(2):321-325. (PMID: 29342261)
J Eval Clin Pract. 2011 Apr;17(2):268-74. (PMID: 20874835)
J Acad Nutr Diet. 2014 Jul;114(7):1099-1103. (PMID: 24956993)
Educ Psychol Meas. 2021 Jun;81(3):413-440. (PMID: 33994558)
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Feb;37(2):152-5. (PMID: 22561427)
Eur J Obstet Gynecol Reprod Biol. 2019 May;236:148-153. (PMID: 30927706)
Obesity (Silver Spring). 2018 Mar;26(3):588-596. (PMID: 29399981)
Pharmacoecon Open. 2020 Sep;4(3):499-510. (PMID: 32026397)
J Behav Med. 2022 Aug;45(4):589-602. (PMID: 35449357)
Health Qual Life Outcomes. 2022 Mar 28;20(1):52. (PMID: 35346224)
Front Endocrinol (Lausanne). 2020 Dec 14;11:552054. (PMID: 33381082)
Eur J Clin Nutr. 2011 Apr;65(4):470-9. (PMID: 21364609)
BMJ. 2023 Feb 24;380:454. (PMID: 36828552)
J Cell Mol Med. 2018 Mar;22(3):1769-1777. (PMID: 29168342)
BMC Public Health. 2020 Oct 28;20(1):1624. (PMID: 33115451)
Eur J Contracept Reprod Health Care. 2017 Aug;22(4):321-325. (PMID: 28650726)
Nurs Res. 1987 Mar-Apr;36(2):76-81. (PMID: 3644262)
Ann Thorac Med. 2020 Oct-Dec;15(4):215-222. (PMID: 33381236)
J Pediatr Gastroenterol Nutr. 2018 Feb;66(2):299-305. (PMID: 28953526)
Int J Womens Health. 2020 Feb 24;12:71-77. (PMID: 32158276)
BMJ Open. 2021 Dec 2;11(12):e049084. (PMID: 34857559)
MMWR Morb Mortal Wkly Rep. 2019 Apr 26;68(16):365-368. (PMID: 31022164)
Front Psychol. 2018 Jul 18;9:1232. (PMID: 30072940)
Semin Reprod Med. 2016 Mar;34(2):e28-37. (PMID: 27169984)
Am J Community Psychol. 2013 Mar;51(1-2):76-89. (PMID: 22638902)
Psychol Methods. 2021 Feb;26(1):69-73. (PMID: 33617276)
Int J Nurs Pract. 2014 Aug;20(4):390-7. (PMID: 24118372)

202430553 2025 Higher Education Reform Project of Guangdong Province; 2025 2025 Natural Science Foundation of Guangdong Province, Guangdong; 2023ANLK_018 2023 Guangdong Postgraduate Education Innovation Programme Project; SZSM202211044 Shenzhen Sanming Project; ZL2022007 2022 Teaching Quality and Teaching Reform Project

Keywords: Health promotion; Lifestyle; Maternal; Psychometric properties

Date Created: 20250326 Date Completed: 20250326 Latest Revision: 20250514

20250515

PMC11934477

10.1186/s12884-025-07463-w

40133864