Die KINDEX-App : ein Instrument zur Erfassung und unmittelbaren Auswertung von psychosozialen Belastungen bei Schwangeren in der täglichen Praxis bei Gynäkologinnen, Hebammen und in Frauenkliniken

Background: The Konstanzer Index (KINDEX) is a structured interview developed to comprehensively and reliably assess psychosocial risk factors, prenatally, for a healthy development of mother and child. To meet the need for an immediate, fully automatic analysis of the data, we developed a tablet-based self-rating instrument, the KINDEX App, which can be operated by the pregnant woman herself. Methods: In this study, N = 956 pregnant women completed the tablet-based KINDEX App as a self-rating in gynecological practices or women's hospitals. To assess the validity of the instrument, we compared the prevalences of psychosocial risk factors of this sample with representative samples and calculated Cronbachs alpha. In addition, the acceptance of the instrument was recorded in pregnant women, gynecologists, and midwives. Results: The prevalence rates of our survey correspond to the prevalence rates in comparable samples. Therefore, the external validity of the App seems to be good. The number of missing answers was remarkably low (< 6%), indicating that the acceptance of the instrument is high. The internal consistency of the App was acceptable (alpha = 0.68). Conclusions: The KINDEX App is a convenient and valid screening instrument for the assessment of psychosocial risk factors during pregnancy and, thus, an important tool for prevention and early intervention, facilitating a successful mother-child relationship and a healthy child development.