Postpartum Excessive Social Support Scale: A Scale Development and Psychometric Testing Study

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dc.contributor.authorTurkmen, Hulya
dc.contributor.authorOran, Nazan Tuna
dc.contributor.authorGurol, Serpil
dc.contributor.authorInce, Kuebra Aydin
dc.date.accessioned2024-08-31T07:48:20Z
dc.date.available2024-08-31T07:48:20Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: In Turkey and other collectivist cultures, child-rearing is a communal effort provided by multiple family members, especially female relatives such as mothers-in-law, aunts, and sisters. Environments with excessively controlling social factors can adversely affect their maternal roles. This study was conducted to develop a measurement tool for determining postpartum excessive social support. Methods: This is a scale development and psychometric evaluation study. In the study, a draft of the Postpartum Excessive Social Support Scale (PESSS) was created, subsequently submitted to expert opinion, and administered to mothers in the postpartum period of 1 to 6 weeks online between March and December 2023 (n = 440). A factor analysis (including explanatory factor analysis [EFA] and confirmatory factor analysis) was conducted to determine the construct validity of the scale, while Cronbach's alpha was examined to establish its reliability. Response bias (Hotelling T-2) and additivity (Tukey's test of additivity) of the scale were also determined in the study. Results: For the content validity of the scale, 10 experts from the field of midwifery were consulted (content validity index [CVI] = 0.80). As a result of the EFA, Kaiser-Meyer-Olkin value was found as 0.916. Through factor analysis using the direct oblimin rotation technique, a four-factor structure was identified for the scale, explaining 64.197% of the total variance (social pressure, effect of environmental factors on paternal role, effect of environmental factors on maternal role, and barriers in mother-infant interaction). The internal reliability coefficient of the scale was highly reliable (Cronbach's alpha = 0.936). There was no response bias in the scale (Hotelling's T-2 = 433.558, p < .001) and it was additive (Tukey's Non-additivity = 0.000, p < .001). Discussion: The PESSS is a 20-item scale measuring excessive social support between 1 and 6 weeks postpartum. The PESSS serves as a guiding tool for health care professionals to identify excessive environmental pressure hindering mothers' maternal role and to provide care accordingly. In this context, health care professionals can readily utilize the PESSS in routine postpartum assessments for mothers.en_US
dc.identifier.doi10.1177/10436596241259198
dc.identifier.issn1043-6596
dc.identifier.issn1552-7832
dc.identifier.pmid38874214en_US
dc.identifier.scopus2-s2.0-85196180481en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1177/10436596241259198
dc.identifier.urihttps://hdl.handle.net/11454/104737
dc.identifier.wosWOS:001247643700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofJournal of Transcultural Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectExcessive Social Supporten_US
dc.subjectCollectivist Cultureen_US
dc.subjectPostpartum Perioden_US
dc.subjectMaternal Roleen_US
dc.titlePostpartum Excessive Social Support Scale: A Scale Development and Psychometric Testing Studyen_US
dc.typeArticleen_US

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