Working Version of Assessment Tool for Mothers' Child-Rearing Competence during Pregnancy and Postpartum Period

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The purpose of this study was to develop a working version of an assessment tool for mothers' child-rearing competence during pregnancy and the postpartum period (AT-Pg-/Post-MCCR). These tools should provide consistent contents of questionnaires for both periods to make comparisons easy and transitions clear. They had to be suitable for pregnant Japanese women and mothers in the early postpartum period, and be based on concepts of ego state, nurturance and social support. Of 810 primiparous women in the last trimester of pregnancy at a maternal & women's hospital, two general hospitals and an university hospital in O. and H. prefectures, 395 gave their informed consent to take part in this study lasting from June, 2004 through March, 2005. For the postpartum period, 397 of 720 primiparas participated for 4-6 weeks after delivery. The rates of valid responses were 44.0% during pregnancy and 46.0% for the postpartum period questionnaire. The Working Version of the AT-Pg-/Post-MCCR consisted of five sub-scales: I. Mother's gratification, acceptance and readiness for her pregnancy, labor and delivery experience, and adult ego state ; II. Mother's acceptance and confidence to cope with the tasks of motherhood and infant care, mother's satisfaction with the tasks, and nurtural parent-ego or child-ego state ; III. Mother's acceptance of and satisfaction with her life situation and circumstances ; IV. Support for the maternal role from parents, friends and other family members ; V. The quality of the relationship with husband, and mother's perception of the father's participation in child care and nurturance. Of the 161 questions of the Prenatal/Postpartum Self-Evaluation Questionnaires by Lederman (1981), 51 were adopted for the 90 items of the AT-Pg-/Post-MCCR after the addition of images, including those related to social and cultural backgrounds, in order to make them easy for pregnant Japanese women and mothers to understand and conceptualize. Thirty-nine questions were originally developed by us for nurturance and ego-state concepts for the AT-Pg-/Post-MCCR. As a result, significantly or considerably strong and negative correlations were observed between the total or mean scores of the five sub-scales of the AT-Pg-/Post-MCCR and each of the items of the State Anxiety Scale (S-AS) and the Trait Anxiety Inventory (T-AS) of the State Trait Anxiety Inventory (STAI). Next, the sub-scales I, III, IV, V of the AT-Pg-MCCR were selected by means of multiple regression analysis in order to establish their contribution to the prediction of mothers' anxiety but using a different concept of anxiety (R=0.719, R^2=0.511 for the S-AS, R=0.716, R^2=0.507 for the T-AS). For the AT-Post-MCCR, the sub-scales I, II, III, V were selected as respective predictors of the S-AS (R=0.774, R^2=0.596), and the sub-scales I, II, III, V for the T-AS (R=0.755, R^2=0.565). These results led to the conclusion that the AT-Pg-/Post-MCCR can be used to assess a mother's child-rearing competence during pregnancy and postpartum period because its validity and reliability were verified.
神戸大学の論文

Working Version of Assessment Tool for Mothers' Child-Rearing Competence during Pregnancy and Postpartum Period

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