Persian version of the Barkin Index of Maternal Functioning (BIMF): a cross-cultural adaptation and psychometric evaluation

BMC Pregnancy Childbirth. 2021 Jan 25;21(1):83. doi: 10.1186/s12884-021-03556-4.

Abstract

Background: Postpartum maternal functioning has the potential to affect the quality of interaction between mother and child. A proper assessment of maternal functioning requires a comprehensive and accurate tool. The objective of this study was to prepare a Persian version of the Barkin Index of Maternal Functioning (BIMF) and evaluate its psychometric properties in order to determine its applicability in Iranian mothers.

Methods: The BIMF was translated into Persian and then culturally adapted for Iranian women. After evaluating face and content validity, to perform factor analysis, a cross-sectional study was conducted using the Persian version of BIMF. The data was collected from two unique groups of 250 mothers (in all 500 mothers) who had infants 2 to 12-months old and who were selected using a two-stage cluster sampling method. Factor analysis, Pearson's correlation, intra-class correlation coefficients (ICC), composite reliability (CR) and Cronbach's alpha were employed in order to evaluate structural validity and reliability.

Results: Exploratory factor analysis resulted in a five-factor structure consisting of 20 items. Subsequently, confirmatory factor analysis (X 2/ df = 1.61, RMSEA = 0.050, GFI = 0.91, CFI = 0.91) confirmed that the Persian version had satisfactory goodness of fit. Reliability and internal consistency were confirmed with a CR of 0.77, an ICC of 0.87 and a Cronbach's alpha of 0.81.

Conclusions: The findings indicated that the Persian version of the BIMF is a valid and reliable instrument for assessing maternal functioning among Iranian mothers.

Keywords: Barkin-index of maternal functioning; Maternal health; Postpartum functioning; Postpartum mental health; Psychometrics.

Publication types

  • Validation Study

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Cultural Characteristics
  • Female
  • Humans
  • Infant
  • Infant Care / psychology
  • Maternal Behavior / psychology*
  • Mother-Child Relations*
  • Persia
  • Postpartum Period / psychology*
  • Psychometrics
  • Surveys and Questionnaires / standards*