Translation, Validation, and Reliability Testing of the Persian Version of the Angel Labor Pain Questionnaire (A-LPQ)

Document Type : Original Article

Authors

1 Reproductive Health Promotion Research Center, Midwifery and Reproductive Health Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Associate Professor, Department of Language, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Biostatistics Department, Student Research Committee, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Associate Professor of Anesthesiology, Health Management and Evaluation, Faculty of Medicine, Harvard University, Toronto.

5 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

10.22038/ijogi.2025.89565.6489

Abstract

Introduction: Labor pain is a complex experience influenced by various physiological, psychological, and environmental factors. Due to its multidimensional nature, comprehensive tools are essential for accurate assessment and improved maternity care. This study aimed to evaluate the psychometric properties of the Persian version of the Angle Labor Pain Questionnaire (A-LPQ) among Iranian women.

Methods: This methodological study was conducted in three stages: translation, validation, and practical testing of the Persian A-LPQ. After completing the standard translation process and qualitative and quantitative assessments of face and content validity, construct validity was examined through exploratory and confirmatory factor analyses on a sample of 200 pregnant women. Convergent validity was assessed via correlation with the Persian short form of the McGill Pain Questionnaire. Reliability was evaluated using Cronbach’s alpha coefficient.

Results: The mean total questionnaire score was 32.41 (SD = 5.29). Exploratory factor analysis extracted five factors explaining 71.3% of the total variance. The five-factor model demonstrated good fit in confirmatory factor analysis (RMSEA = 0.062). Reliability was confirmed with Cronbach’s alpha of 0.91 for the total scale and between 0.79 and 0.86 for the subscales. Convergent validity was supported by a significant positive correlation with the McGill Pain Questionnaire short form (r = 0.68, p < 0.001).

Conclusion: The Persian version of the Angle Labor Pain Questionnaire demonstrates satisfactory validity and reliability, with its five-factor structure well-supported by the collected data. This instrument is capable of assessing the multidimensional experience of labor pain among Iranian women.

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