Psychosocial wellbeing among new mothers with diabetes: exploratory analysis of the postnatal wellbeing in transition questionnaire

Rasmussen, Bodil, Nankervis, Alison, Skouteris, Helen, McNamara, Catharine, Nagle, Cate, Steele, Cheryl, Bruce, Lauren, Holton, Sara, and Wynter, Karen (2019) Psychosocial wellbeing among new mothers with diabetes: exploratory analysis of the postnatal wellbeing in transition questionnaire. Sexual & Reproductive Healthcare, 22. 100457.

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The Postnatal Wellbeing in Transition (PostTrans) Questionnaire assesses psychosocial wellbeing among women transitioning to motherhood while managing pre-existing diabetes. Face and content validity have been previously reported; however the PostTrans questionnaire has 51 items which imposes a substantial burden on respondents. The aim of this study was exploratory analysis of the PostTrans questionnaire to investigate whether a reduction in the number of items was statistically supported, and whether clinically meaningful subscales could be derived.


A prospective cohort of women with type 1 or type 2 diabetes was recruited from three metropolitan hospitals in Melbourne, Australia. Women completed surveys across three postnatal time points. Data were pooled for the analysis. Suitability for factor analysis was confirmed and exploratory Principal Components Analysis with oblique rotation was conducted.


The number of responses in the pooled dataset was 117. The reduced PostTrans scale has 27 items and six factors, which together explain 68.7% of the variance. The subscales assess: feeling as if one is coping with diabetes and the infant; feeling anxious and guilty about diabetes; feeling supported by family; sensitivity to the opinions of others; prioritising self-care; and health professional support.


The number of items in the PostTrans Questionnaire was reduced from 51 to 27 items. Six meaningful subscales emerged, which can help health professionals identify and address areas in which women with diabetes are experiencing psychosocial difficulties. The revised scale provides a feasible instrument to be tested for psychometric properties in a larger sample.

Item ID: 59868
Item Type: Article (Research - C1)
ISSN: 1877-5764
Keywords: Women, Diabetes, Social support, Psychological wellbeing, Australia, Factor analysis, Transition
Copyright Information: © 2019 Elsevier B.V. All rights reserved.
Funders: Nurses Board of Victoria Legacy Limited (NBoVLL)
Projects and Grants: NBoVLL Ella Lowe Grant
Date Deposited: 28 Aug 2019 00:13
FoR Codes: 42 HEALTH SCIENCES > 4204 Midwifery > 420403 Psychosocial aspects of childbirth and perinatal mental health @ 50%
42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care @ 50%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 100%
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