Translation, adaptation, and validation of Indonesian version of Prenatal Health Behavior Scale

Abstract

Objective: To translate, adapt, and validate the Indonesian version of the Prenatal Health Behavior Scale.

Methods: This cross-sectional, cross-cultural adaptation study was conducted between September 2024 and October 2024 in Ngrambe and Sine, subdistricts in Ngawi, East Java, Indonesia. We selected participants using purposive convenience sampling and matched them with inclusion and exclusion criteria. We collected sociodemographic, Prenatal Health Behavior Scale, and anthropometrics (height, weight, body mass index, and middle-upper arm circumference) data. We analyzed the content validity using the content validity index and Gwet's chance-corrected Agreement Coefficient 2, face validity by pilot-testing on several pregnant women, and construct validity using exploratory factor analysis. We measured reliability using McDonald's omega coefficient.

Results: We recruited 183 pregnant women in this study (median age 28 years). The item-content validity index (I-CVI) of all items was 1.00, with Gwet's chance-corrected Agreement Coefficient 2 was 0.945. The face validity resulted in a clear statement of all items. The exploratory factor analysis showed the two-factor model best suited to the questionnaire. Omega coefficients for the overall scale, health-impairing, and health-promoting domains were 0.696, 0.507, and 0.678, respectively.

Conclusions: The Indonesian version of the Prenatal Health Behavior Scale is a valid and reliable instrument to assess prenatal health behavior in Indonesian-speaking pregnant women. Future studies may implement this scale in community and clinical settings.

Keywords

Prenatal / Health behavior / Scale / Validation study

Conflict of interest statement

Authors declare that they have no conflicts of interest.

Funding

This study receives no extramural funding.

Authors’ contributions

Rizky F. Mubasir contributed in conceptualization, data curation, formal analysis, investigation, supervision, and visualization. Brenda A. Putri contributed in data curation, formal analysis, investigation, and writing the original draft. Valda Y. Annisa' and Dwi R. Meilina contributed in project administration, methodology, resources, and writing the original manuscript. All of the authors involved in writing, reviewing, editing, and approving the final version of the manuscript.

Publisher’s Note

The Publisher of the Journal remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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