Cross-cultural adaptation and validation of the Chinese version of the Maternal Adaptation Scale: a methodological study.

Participants were recruited by convenience sampling from two hospitals in specific regions, so the results may not apply to mothers elsewhere. The study included only mothers raising infants with a spouse, so it does not cover single mothers or other family structures. The scale was tested only at 4 to 6 months postpartum, so it is not validated for other postpartum periods. The design was cross-sectional at one time point, so it cannot show how maternal adaptation changes over time. Marital satisfaction and perceived economic status had limited variability, which may affect some subdomain scores. The overall reliability was .96, and the authors noted that very high reliability may mean some items overlap. The fear and inexperience reverse-coded items were removed. The final scale has 26 items, so it may not capture those concepts directly.

An author was a Statistics Editor of the journal but was not involved in the review process. No other conflicts of interest were declared. The study was funded by Chungnam National University and the National Research Foundation of Korea.

Do not conclude that nurses using this scale will improve maternal adaptation. The study tested an assessment tool and did not evaluate any nurse-delivered intervention.