Background: Surveys are a popular method of collecting data to explore factors associated with midwives’ emotional wellbeing, yet existing survey instruments lack consideration of how working practices may influence outcomes.

Aim: To test the face and content validity of a new instrument by assessing midwives’ comprehension of bespoke survey items.

Methods: Twenty-four cognitive interviews were conducted with midwives working across the United Kingdom. A framework matrix method facilitated descriptive and explanatory analysis of the interpretation of survey items. The interviews were followed by a discussion group with midwifery academics to help identify the optimal wording of one problematic survey question.

Findings: A range of potential comprehension and response problems were identified, resulting in modifications and addition of new survey items.

Conclusions: Cognitive interviews can be an effective method to confirm the relevance and usability of bespoke survey items and offer opportunities to improve wording to reduce potential sources of error, thus enhancing the face and content validity of surveys.
Original languageEnglish
JournalBritish Journal of Midwifery
Publication statusAccepted/In press - 4 Apr 2023


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