LAUSR

PURPOSE This study aims to evaluate the fitness of the Barkin Index of Maternal Functioning (BIMF) for postpartum functional assessment in a low-income obstetric population in medically underserved, Central Georgia (USA). DESIGN AND METHODS Cognitive interviewing, a best practices approach to instrument development and validation, was performed on 24 new mothers. FINDINGS The BIMF was comprehensible to this population of disadvantaged women. PRACTICE IMPLICATIONS The BIMF has broad appeal due to its comprehensibility, patient-centered assessment style, and psychometric profile. Method of questionnaire administration and characteristics of the study and/or patient population should routinely be considered when implementing any type of self-reported health screening.