title: Childbirth confidence: validating the Childbirth Self-Efficacy Inventory (CBSEI) in an Australian sample.
abstract: This study examined the reliability and validity of the Childbirth Self-Efficacy Inventory (CBSEI) (Lowe 1993) in a sample of 100 Australian women. Consistent with US data, the measure was shown to have high internal consistency. Validity of the instrument was determined by applying self-efficacy theory (Bandura 1982), which predicts that parity should have the largest effect on childbirth self-efficacy, followed by knowledge, then support and finally anxiety. Results revealed that having prior good birth experience and knowledge about childbirth had significant effects on childbirth self-efficacy. A factor analysis was performed to determine whether the original factor structure of this instrument held for Australian women. While outcome expectancies and self-efficacy expectancies emerged as distinct factors, the results showed that Australian women did not differentiate between active and second-stage labour. Rather than the two stages of labour emerging as dimensions of the CBSEI, two externally focused coping strategies were revealed.
authors.affiliation: University of Canberra, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Drummond
authors.forename: D
authors.initials: D
authors.lastname: Rickwood
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000175:diagnosis; D001315:Australia; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007389:Internal-External Control; D007743:Labor, Obstetric / Q000523:psychology*; D011247:Pregnancy; D011581:Psychological Tests; D011594:Psychometrics; D015203:Reproducibility of Results; D017584:Reproductive History; D012944:Social Support