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J Korean Soc Matern Child Health > Volume 26(3); 2022 > Article
Journal of The Korean Society of Maternal and Child Health 2022;26(3):171-182.
DOI: https://doi.org/10.21896/jksmch.2022.26.3.171    Published online July 31, 2022.
Development Process for Preterm Birth Risk Assessment Scale in High-Risk Pregnancy: 1st Phase of Preliminary Scale Development
Jeung-Im Kim 
School of Nursing, Soonchunhyang University College of Medicine, Cheonan, Korea
고위험 임산부의 조산위험 사정도구 개발 과정: 1단계 예비도구 개발
순천향대학교 의과대학 간호학과
Correspondence:  Jeung-Im Kim, Tel: +82-41-570-2493, Fax: +82-41-570-2498, 
Email: jeungim@sch.ac.kr
Received: 16 May 2022   • Revised: 23 June 2022   • Accepted: 23 June 2022
To pool preliminary items based on nine domains as the first phase of developing a preterm birth risk assessment scale (PBRAS).
Item generation was performed using deductive methods, such as literature review and related scales, and inductive methods through in-depth interviews with 11 preterm birth (PTB) women, and ex­perts validated the content. The experts were clinical nurses who worked in delivery rooms, and professors who taught on the subject of women's health nursing. Preliminary survey for 32-item was conducted among 27 women with PTB.
After item generation and pooling for the PBRAS, a total of 84 items were developed. A 32-item questionnaire was integrated with rigorous review by experts. Internal consistency of the 32-item PBRAS had a Cronbach alpha of 0.90. The PBRAS was significantly correlated with pregnancy stress (r= 0.77, p<0.001), somatic awareness scale (r=0.72, p<0.001), and risk scoring for PTB (r=0.44, p<0.001).
The 32-item PBRAS has content validity, but exploratory and confirmatory factor analyses for the 2nd phase of scale development needs to be performed.
Key Words: Instrumentation, Premature birth, Risk assessment
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