# A Protocol for the International Translation and Validation of the Postpartum Specific Anxiety Scale for Preterm Birth [PSAS‐PTB] and Neonatal Intensive Care Unit [PSAS‐NICU] Contexts

## TL;DR

This paper provides a standardized protocol for translating and validating anxiety scales for postpartum women in preterm birth and NICU contexts.

## Contribution

A four-stage protocol for international translation and validation of two postpartum anxiety scales is introduced.

## Key findings

- A four-stage process for translation and validation of PSAS-PTB and PSAS-NICU is outlined.
- Standardized procedures are proposed to ensure cultural and contextual relevance in assessing postpartum anxiety.

## Abstract

To describe the process for the translation and validation of the Postpartum Specific Anxiety Scale—Preterm Birth [PSAS‐PTB] and the Postpartum Specific Anxiety Scale—Neonatal Intensive Care Unit [PSAS‐NICU].

We outline a four‐stage process for translation and validation of the 10‐item PSAS‐PTB and the 16‐item PSAS‐NICU.

The protocol outlines a multi‐stage translation and validation process, including (1) independent forward translation, (2) independent back translation, (3) final approval following review, and (4) validity and reliability study.

Culturally and contextually relevant assessment of postpartum anxiety is vital, particularly in vulnerable populations. Following standardised procedures will support broader applicability across diverse populations, providing a reliable self‐report tool for both research and clinical use.