RESUMEN
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.