Development and validation of a novel, person-centered measure of post-conception pregnancy acceptability

开发和验证一种新颖的、以人为本的受孕后妊娠可接受性测量方法

• 批准号: 10066512
• 负责人: SONYA B. BORRERO
• 金额: $ 66.92万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10066512
• 关键词: Advocate; Affect; Affective; Age; Alcohol or Other Drugs use; Automobile Driving; Benchmarking; Cognitive; Communities; Complex; Conceptions; Conscious; Consensus; Contraception Behavior; Contraceptive methods; Development; Elements; Emotional; Epidemiologic Monitoring; Epidemiology; Evaluation; Family Planning Programs; Feedback; Fertility; Goals; Health; Health behavior outcomes; Improve Access; Individual; Intention; Intervention; Interview; Judgment; Life; Link; Longitudinal cohort; Measurement; Measures; Mediating; Methods; Modeling; Outcome; Planned Pregnancy; Policies; Population; Pregnancy; Pregnancy Outcome; Premature Birth; Prenatal care; Property; Psychometrics; Public Health; Qualitative Research; Rationalization; Reporting; Reproductive Health; Research; Research Personnel; Review Literature; Social support; Structure; Testing; Validation; Validity and Reliability; Woman; Women' s Health; Work; abortion; adverse outcome; base; child bearing; cognitive interview; cohort; driving force; evidence base; experience; health organization; improved; neglect; novel; person centered; programs; reproductive; response; social; sound; trend; unintended pregnancy

PROJECT SUMMARY Traditional epidemiologic measures of pregnancy intention are fraught with psychometric and conceptual limitations. Measures focused on whether pregnancy was intended or optimally timed omit emotional aspects of pregnancy, do not account for fluctuating or uncertain intentions, and may neglect the reproductive experiences of significant segments of the US population for whom pregnancy planning may not be salient or feasible, including socially and economically marginalized populations. Furthermore, there is emerging evidence that the associations between pre-conception intentions and reproductive health outcomes may be relatively weak. Extensive qualitative work suggests that women’s responses to existing pregnancies within the complex contexts of their lives may drive pregnancy-related decisions and reproductive outcomes more than pre-conception intentions. New measures are needed to more fully assess the cognitive, affective and circumstantial factors that influence orientations toward, or “acceptability” of, existing pregnancies and affect downstream outcomes associated with these pregnancies. In this proposal, we aim to develop a multidimensional, quantitative measure of post-conception pregnancy acceptability (the Post-CAP). Our specific aims are to: 1) create a comprehensive conceptual framework of post-conception pregnancy acceptability via in-depth interviews with diverse women of reproductive age; 2) generate quantitative items based on Aim 1 qualitative findings and existing measures, with subsequent refinement and evaluation using Delphi methods with lay and academic experts and cognitive interviews; 3) test the Post-CAP in a large, longitudinal cohort of women seeking abortion or prenatal care, to assess psychometric properties including factor structure, reliability and validity. Completion of these aims will produce a novel, psychometrically sound measure which will facilitate a critical expansion of our understanding of associations between pre-conception intentions, post-conception orientations, and reproductive health outcomes.

项目摘要 传统的怀孕意向的流行病学措施充满了心理测量和概念 局限性。措施侧重于怀孕是否有意或最佳时机忽略情感方面 怀孕，不占波动或不确定的意图，并可能忽视生殖 怀孕计划可能不突出的美国人群的重要部分的经验，或 这是可行的，包括社会和经济边缘化人口。此外，出现了 有证据表明，孕前意图和生殖健康结果之间的联系可能是 相对较弱。广泛的定性研究表明，妇女对现有怀孕的反应， 她们生活的复杂背景可能会促使她们做出与怀孕有关的决定和生育结果， 怀孕前的意图需要新的措施来更全面地评估认知、情感和 影响现有怀孕的取向或“可接受性”的环境因素， 与这些妊娠相关的下游结果。在这项建议中，我们的目的是发展一个 多维度、定量的测量怀孕后的可接受性（后CAP）。我们 具体目标是：1）建立一个关于怀孕后怀孕的全面概念框架 通过与不同育龄妇女的深入访谈，确定可接受性; 2）生成定量项目 基于目标1的定性结果和现有措施，随后使用 德尔菲法与外行和学术专家和认知访谈; 3）在一个大的， 寻求堕胎或产前护理的妇女的纵向队列，以评估心理测量特性，包括 因子结构、信度和效度。这些目标的完成将产生一个新的，心理测量声音 这将有助于我们对怀孕前的联系的理解的关键扩展。 意图、受孕后取向和生殖健康结果。