J. Drummond et D. Rickwood, CHILDBIRTH CONFIDENCE - VALIDATING THE CHILDBIRTH SELF-EFFICACY INVENTORY (CBSEI) IN AN AUSTRALIAN SAMPLE, Journal of advanced nursing, 26(3), 1997, pp. 613-622
This study examined the reliability and validity of the Childbirth Sel
f-Efficacy Inventory (CBSEI) (Lowe 1993) in a sample of 100 Australian
women. Consistent with US data, the measure was shown to have high in
ternal consistency. Validity of the instrument was determined by apply
ing self-efficacy theory (Bandura 1982), which predicts that parity sh
ould have the largest effect on childbirth self-efficacy, followed by
knowledge, then support and finally anxiety. Results revealed that hav
ing a prior good birth experience and knowledge about childbirth had s
ignificant effects on childbirth self-efficacy. A factor analysis was
performed to determine whether the original factor structure of this i
nstrument held for Australian women, While outcome expectancies and se
lf-efficacy expectancies emerged as distinct factors, the results show
ed that Australian women did not differentiate between active and seco
nd-stage labour, Rather than the two stages of labour emerging as dime
nsions of the CBSEI, two externally focused coping strategies were rev
ealed.