文献类型：期刊文献

英文题名：Development and psychometric validation of the fear of physical activity during pregnancy scale

作者：Han, Rong-rong[1];Zeng, Lei[1];Peng, Jing[2];Du, Jie[3];Xu, Qian[1];Cheng, Li[1];Gao, Ling-ling[4]

第一作者：Han, Rong-rong

通信作者：Cheng, L[1];Gao, LL[2]

机构：[1]Sun Yat sen Univ, Sch Nursing, Guangzhou, Peoples R China;[2]Guangdong Women & Children Hosp, Dept Obstet, Guangzhou, Peoples R China;[3]Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou, Peoples R China;[4]Macao Polytech Univ, Fac Hlth Sci & Sports, Macau, Peoples R China

第一机构：Sun Yat sen Univ, Sch Nursing, Guangzhou, Peoples R China

通信机构：[1]corresponding author), 74 Zhongshan Rd 2, Guangzhou 510089, Peoples R China;[2]corresponding author), Room 702,MengTak Bldg,Rua Luis Gonzaga Gomes, Macau, Peoples R China.

年份：2026

卷号：162

外文期刊名：MIDWIFERY

收录：;Scopus(收录号：2-s2.0-105047334314);WOS:【SSCI(收录号:WOS:001853798600001)，SCI-EXPANDED(收录号:WOS:001853798600001)】；

基金：This study was supported by the research grant 'Development and evaluation of a precise intervention on physical inactivity to prevent gestational diabetes mellitus based on the ecological model' (Grant No. 72174216) from the National Natural Science Foundation of China.

语种：英文

外文关键词：Pregnancy; Physical activity; Fear of physical activity; Scale development; Psychometric validation

摘要：Objective: To develop and evaluate the psychometric properties of the Fear of Physical Activity During Pregnancy Scale (FPAPS) among Chinese pregnant women. Design: A methodological study. Methods: The study was conducted in three phases. Phase I involved item generation informed by the fearavoidance model, a literature review, and semi-structured interviews. Phase II refined the item pool through expert consultation and pilot testing. Phase III evaluated the scale in a cross-sectional sample of 507 pregnant women. The sample was divided into two non-overlapping subsamples for item analysis and exploratory factor analysis (n = 230) and confirmatory factor analysis (n = 277). Content validity, structural validity, hypotheses testing for construct validity, internal consistency, two-week test-retest reliability, and floor and ceiling effects were evaluated. Results: The final FPAPS comprised seven items and showed a unidimensional structure. Exploratory factor analysis explained 50.5% of the variance, and a revised confirmatory factor analysis model showed acceptable fit. The S-CVI/Ave for the final scale was 1.000. Average variance extracted was 0.578, composite reliability was 0.900, Cronbach's alpha was 0.863, McDonald's omega was 0.870, and the two-week test-retest intraclass correlation coefficient was 0.706. No floor or ceiling effects were observed. Higher FPAPS scores were associated with lower total physical activity, moderate-intensity activity, vigorous-intensity activity, moderate-to-vigorous physical activity, and exercise/sports activity. Women without pre-pregnancy physical activity habits and primiparous women reported higher FPAPS scores. Conclusion: The FPAPS is a brief, pregnancy-specific scale with acceptable initial psychometric properties for assessing fear-related cognitions about physical activity during pregnancy among Chinese pregnant women.