Development of a tool to measure person-centered maternity care in developing settings: validation in a rural and urban Kenyan population
Development of a tool to measure person-centered maternity care in developing settings: validation in a rural and urban Kenyan population
复制标题
DOI：
10.1186/s12978-017-0381-7
复制
发表时间：
2017-09-22
影响因子：
3.4
通讯作者：
Sudhinaraset, May
中科院分区：
文献类型：
--
作者：
Afulani, Patience A.;Diamond-Smith, Nadia;Sudhinaraset, May
背景：以人为本的生殖保健被认为是改善生殖健康结果的关键。然而，很少有研究存在于如何操作它。我们扩展了在这方面的文献，开发和验证的工具来衡量以人为本的孕产妇保健。我们描述了开发工具的过程，并提出了心理测量分析的结果，以评估其有效性和可靠性，在农村和城市settinginKeny.Methods：我们遵循标准程序规模发展。首先，我们回顾了文献，以定义我们的结构和识别域，并开发项目来衡量每个域。接下来，我们进行了专家评审，以评估内容的有效性;并与潜在受访者进行认知访谈，以评估问题的清晰度，适当性和相关性。然后，这些问题进行了改进，并在调查管理;和调查结果用于评估结构和标准的效度和信度。结果：探索性因素分析得出了一个主导因素，在农村和城市的设置。特征值大于1的三个因素被确定为农村样本和四个因素确定为城市样本。在调查中管理的38个项目中，有30个项目是根据因素负荷和项目之间的相关性保留的。在农村和城市样本中，有25个项目在一个因素上加载得很好，有5个项目在农村或城市样本中加载得很好，但在两个样本中都不是。这30个项目还加载在我们创建的三个分量表中，以衡量有尊严和尊重的护理、沟通和自主性以及支持性护理。两个样本中主量表的Chronbach α均大于0.8，子量表的Chronbach α介于0.6和0.8之间。的主要规模和子规模与全球措施的满意度与孕产妇services. Conclusions，建议标准validation.Conclusions：我们提出了一个30个项目的规模与三个子规模来衡量以人为本的孕产妇保健。该量表在肯尼亚的农村和城市环境中具有较高的有效性和可靠性。然而，需要在其他设置中进行验证。该量表将有助于衡量改善以人为本的孕产妇保健，并随后改善生殖结果。
Background: Person-centered reproductive health care is recognized as critical to improving reproductive health outcomes. Yet, little research exists on how to operationalize it. We extend the literature in this area by developing and validating a tool to measure person-centered maternity care. We describe the process of developing the tool and present the results of psychometric analyses to assess its validity and reliability in a rural and urban setting in Kenya.Methods: We followed standard procedures for scale development. First, we reviewed the literature to define our construct and identify domains, and developed items to measure each domain. Next, we conducted expert reviews to assess content validity; and cognitive interviews with potential respondents to assess clarity, appropriateness, and relevance of the questions. The questions were then refined and administered in surveys; and survey results used to assess construct and criterion validity and reliability.Results: The exploratory factor analysis yielded one dominant factor in both the rural and urban settings. Three factors with eigenvalues greater than one were identified for the rural sample and four factors identified for the urban sample. Thirty of the 38 items administered in the survey were retained based on the factors loadings and correlation between the items. Twenty-five items load very well onto a single factor in both the rural and urban sample, with five items loading well in either the rural or urban sample, but not in both samples. These 30 items also load on three sub-scales that we created to measure dignified and respectful care, communication and autonomy, and supportive care. The Chronbach alpha for the main scale is greater than 0.8 in both samples, and that for the sub-scales are between 0.6 and 0.8. The main scale and sub-scales are correlated with global measures of satisfaction with maternity services, suggesting criterion validity.Conclusions: We present a 30-item scale with three sub-scales to measure person-centered maternity care. This scale has high validity and reliability in a rural and urban setting in Kenya. Validation in additional settings is however needed. This scale will facilitate measurement to improve person-centered maternity care, and subsequently improve reproductive outcomes.