Development, woman-centricity and psychometric properties of maternity patient-reported experience measures: a systematic review

Bull, Claudia; Carrandi, Alayna; Slavin, Valerie; Teede, Helena; Callander, Emily

doi:10.1016/j.ajogmf.2023.101102

Cited by 3 publications

(3 citation statements)

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“…Item scores range from 0 (none) to 3 (almost every day) for each item, with total scores ranging from 0 to 21 [29]. Total scores can be categorized as, normal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), or severe (15)(16)(17)(18)(19)(20)(21) [28]. In the Chinese validation study, the GAD-7 was found to have a very good internal reliability (α = 0.88) [30].…”

Section: The Edinburgh Postnatal Depression Scale (Epds)mentioning

confidence: 99%

“…Furthermore, there is compelling evidence that indicates that improving birth satisfaction enhances women's trust in facility-based care, which includes access to quality postnatal care [12][13][14]. As such, it is imperative to develop a short, valid, reliable, and theoretically supported measure to evaluate levels of childbirth experience and formulate effective strategies to improve intranatal care [15].…”

Section: Introductionmentioning

confidence: 99%

“…Several tools have been designed to measure women's childbirth experience, among these existing scales [15], the questionnaire for assessing the childbirth experience (QACE) was designed from an extensive psychometric assessment, which resulted in production of a 13-item short-form version incorporated four sub-scales (1) emotional status, (2) relationship with staff, (3) rst moments with the new born, and (4) feelings at one month postpartum [16]. Since the founder English -QACE was validated by [16], translations and validations have been carried out in French [17], Iran [18] and Spain [19], and good psychometric properties of QACE was con rmed.…”

Section: Introductionmentioning

confidence: 99%

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Validation and psychometric properties of the Chinese version of the questionnaire for assessing the childbirth experience (QACE)

Zhong,

Wang,

et al. 2024

Preprint

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Background:The aim of this paper was to translate and determine the psychometric properties of the questionnaire for assessing the childbirth experience (QACE) among Chinese postpartum women (C-QACE). Method:The cross-cultural adaptation process followed Beaton (2000) intercultural debugging guidelines. A total of 235 women were included to test the psychometric properties of the C-QACE. Participants were asked to complete the demographic characteristics form, the C-QACE, Edinburgh Postnatal Depression Scale (EPDS), and the Generalized Anxiety Disorder-7 (GAD-7). The psychometric testing of the C-QACE were evaluate through item analysis, exploratory factor analysis, divergent validity and internal consistency reliability. Results: Item analysis showed that the critical ratios of all items were greater than 3 , and all item-total correlation coefficients were greater than 0.4. The finding of the exploratory factor analysis (EFA) revealed the presence of four components with eigenvalues greater than 1, explaining a total variance of 67.682%. And the scree plot showed it was acceptable to retain four factors (emotional status, relationship with staff, first moments with the new born, and feelings at one month postpartum). In terms of the divergent validity, the QACE subscale and total score were in a significant positive correlations with the EPDS and GAD-7. Regarding the internal consistency reliability, the Cronbach’s alpha of the QACE total score was 0.812, and the subscales was ranging of 0.611 to 0.844. Conclusion: The Chinese version of QACE is a relevant tool for measuring childbirth experience into the Chinese context with acceptable validity and stability.

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Section: The Edinburgh Postnatal Depression Scale (Epds)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validation and psychometric properties of the Chinese version of the questionnaire for assessing the childbirth experience (QACE)

Zhong,

Wang,

et al. 2024

Preprint

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Society for Maternal-Fetal Medicine Special Statement: Clinical quality measures in obstetrics

Combs,

Kern-Goldberger,

Bauer

2024

American Journal of Obstetrics and Gynecology

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Psychometric properties of the experiences of maternity care scale among Iranian women

Jafari,

Asghari-Jafarabadi,

Mirghafourvand

et al. 2024

BMC Health Serv Res

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Background Assessing women’s perceptions of the care they receive is crucial for evaluating the quality of maternity care. Women’s perceptions are influenced by the care received during pregnancy, labour and birth, and the postpartum period, each of which with unique conditions, expectations, and requirements. In England, three Experience of Maternity Care (EMC) scales – Pregnancy, Labour and Birth, and Postnatal – have been developed to assess women’s experiences from pregnancy through the postpartum period. This study aimed to validate these scales within the Iranian context. Methods A methodological cross-sectional study was conducted from December 2022 to August 2023 at selected health centers in Tabriz, Iran. A panel of 16 experts assessed the qualitative and quantitative content validity of the scales and 10 women assessed the face validity. A total of 540 eligible women, 1–6 months postpartum, participated in the study, with data from 216 women being used for exploratory factor analysis (EFA) and 324 women for confirmatory factor analysis (CFA) and other analyses. The Childbirth Experience Questionnaire-2 was employed to assess the convergent validity of the Labour and Birth Scale, whereas women’s age was used to assess the divergent validity of the scales. Test-retest reliability and internal consistency were also examined. Results All items obtained an impact score above 1.5, with Content Validity Ratio and Content Validity Index exceeding 0.8. EFA demonstrated an excellent fit with the data (all Kaiser-Meyer-Olkin measures > 0.80, and all Bartlett’s p < 0.001). The Pregnancy Scale exhibited a five-factor structure, the Labour and Birth Scale a two-factor structure, and the Postnatal Scale a three-factor structure, explaining 66%, 57%, and 62% of the cumulative variance, respectively, for each scale. CFA indicated an acceptable fit with RMSEA ≤ 0.08, CFI ≥ 0.92, and NNFI ≥ 0.90. A significant correlation was observed between the Labour and Birth scale and the Childbirth Experience Questionnaire-2 (r = 0.82, P < 0.001). No significant correlation was found between the scales and women’s age. All three scales demonstrated good internal consistency (all Cronbach’s alpha values > 0.9) and test-retest reliability (all interclass correlation coefficient values > 0.8). Conclusions The Persian versions of all three EMC scales exhibit robust psychometric properties for evaluating maternity care experiences among urban Iranian women. These scales can be utilized to assess the quality of current care, investigate the impact of different care models in various studies, and contribute to maternal health promotion programs and policies.

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Development, woman-centricity and psychometric properties of maternity patient-reported experience measures: a systematic review

Cited by 3 publications

References 72 publications

Validation and psychometric properties of the Chinese version of the questionnaire for assessing the childbirth experience (QACE)

Validation and psychometric properties of the Chinese version of the questionnaire for assessing the childbirth experience (QACE)

Society for Maternal-Fetal Medicine Special Statement: Clinical quality measures in obstetrics

Psychometric properties of the experiences of maternity care scale among Iranian women

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