Validity and reliability of the turkish version of “Labor Pain Relief Attitude Questionnaire for Pregnant Women”

Labor pain management is a critical concern in maternal healthcare due to its influence on the health and comfort of a mother. The “Labor Pain Relief Attitude Questionnaire for Pregnant Women” (LPRAQ-p) is a tool used to assess the opinions of pregnant women about pain relief during labor. Therefore, a Turkish version of the LPRAQ-p was developed and evaluated for its reliability and validity. An optimal sample size is five to ten times more than the number of components on the scale for investigations. Reports indicate that test-retest evaluation requires a minimum of 30 data pairs. This methodological descriptive study involved 90 pregnant women attending family health institutions within a district health directorate from May to November 2021. Eligibility criteria included participants in their third trimester and devoid of pregnancy-related complications. The Turkish translations of the LPRAQ-p were conducted using linguistic validation protocols. Data were collected using a “Pregnancy Introductory Form” and the LPRAQ-p, provided to the mothers at 30 and 32 weeks of gestation. The data were analyzed on SPSS 23 and AMOS 25 software tools. Experts mostly agreed on the language’s validity, as shown by Kendall’s W test (W=0.805, p=0.000). Consistent with the original scale, exploratory factor analysis revealed a two-factor structure with factor loadings ranging from 0.439 to 0.769. The Cronbach’s alpha values indicated a substantial degree of internal consistency, with an overall scale value of 0.733 and sub-dimension values of 0.853 and 0.699, respectively. The temporal stability was confirmed by test-retest correlations between r=0.849 and r=0.868. Confirmatory factor analysis fit indices showed that the model performance was satisfactory. The Turkish adaptation of LPRAQ-p is a viable and accurate tool for evaluating pregnant women’s attitudes towards labor pain relief. Its use may improve maternal care by identifying patients who may need supplementary assistance during childbirth. Additional investigation is advised to examine its relevance in various therapeutic environments.