Quality of prenatal care questionnaire: instrument development and testing
department or school: Population and Public Health (SPPH), School of
department or school: Medicine, Faculty of
data provider: DSpace
identifier citation: BMC Pregnancy and Childbirth. 2014 Jun 03;14(1):188
rights copyright: Heaman et al.; licensee BioMed Central Ltd.
creator: Heaman, Maureen I.
creator: Sword, Wendy A.
creator: Akhtar-Danesh, Noori
creator: Bradford, Amanda
creator: Tough, Suzanne
creator: Janssen, Patricia A.
creator: Young, David C.
creator: Kingston, Dawn A.
creator: Hutton, Eileen K.
creator: Helewa, Michael E.
issued: 2016-01-14T21:50:05Z
issued: 2014-06-03
description: Background: Utilization indices exist to measure quantity of prenatal care, but currently there is no published instrument to assess quality of prenatal care. The purpose of this study was to develop and test a new instrument, the Quality of Prenatal Care Questionnaire (QPCQ). Methods: Data for this instrument development study were collected in five Canadian cities. Items for the QPCQ were generated through interviews with 40 pregnant women and 40 health care providers and a review of prenatal care guidelines, followed by assessment of content validity and rating of importance of items. The preliminary 100-item QPCQ was administered to 422 postpartum women to conduct item reduction using exploratory factor analysis. The final 46-item version of the QPCQ was then administered to another 422 postpartum women to establish its construct validity, and internal consistency and test-retest reliability. Results: Exploratory factor analysis reduced the QPCQ to 46 items, factored into 6 subscales, which subsequently were validated by confirmatory factor analysis. Construct validity was also demonstrated using a hypothesis testing approach; there was a significant positive association between women’s ratings of the quality of prenatal care and their satisfaction with care (r = 0.81). Convergent validity was demonstrated by a significant positive correlation (r = 0.63) between the “Support and Respect” subscale of the QPCQ and the “Respectfulness/Emotional Support” subscale of the Prenatal Interpersonal Processes of Care instrument. The overall QPCQ had acceptable internal consistency reliability (Cronbach’s alpha = 0.96), as did each of the subscales. The test-retest reliability result (Intra-class correlation coefficient = 0.88) indicated stability of the instrument on repeat administration approximately one week later. Temporal stability testing confirmed that women’s ratings of their quality of prenatal care did not change as a result of giving birth or between the early p…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/56501
note: RESEARCH ARTICLE Open AccessQuality of prenatal care questionnaire: instrumentdevelopment and testingMaureen I Heaman1*†, Wendy A Sword2†, Noori Akhtar-Danesh2, Amanda Bradford3, Suzanne Tough4,Patricia A Janssen5, David C Young6, Dawn A Kingston7, Eileen K Hutton8 and Michael E Helewa9AbstractBackground: Utilization indices exist to measure quantity of prenatal care, but currently there is no publishedinstrument to assess quality of prenatal care. The purpose of this study was to develop and test a new instrument,the Quality of Prenatal Care Questionnaire (QPCQ).Methods: Data for this instrument development study were collected in five Canadian cities. Items for the QPCQwere generated through interviews with 40 pregnant women and 40 health care providers and a review ofprenatal care guidelines, followed by assessment of content validity and rating of importance of items. Thepreliminary 100-item QPCQ was administered to 422 postpartum women to conduct item reduction using exploratoryfactor analysis. The final 46-item version of the QPCQ was then administered to another 422 postpartum women toestablish its construct validity, and internal consistency and test-retest reliability.Results: Exploratory factor analysis reduced the QPCQ to 46 items, factored into 6 subscales, which subsequently werevalidated by confirmatory factor analysis. Construct validity was also demonstrated using a hypothesis testingapproach; there was a significant positive association between women’s ratings of the quality of prenatal care and theirsatisfaction with care (r = 0.81). Convergent validity was demonstrated by a significant positive correlation (r = 0.63)between the “Support and Respect” subscale of the QPCQ and the “Respectfulness/Emotional Support” subscale of thePrenatal Interpersonal Processes of Care instrument. The overall QPCQ had acceptable internal consistency reliability(Cronbach’s alpha = 0.96), as did each of the subscales. The test-retest reliability result (Intra-class co…
has type: Article
is shown at: 10.14288/1.0448004
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/1471-2393-14-188
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Prenatal care
subject: Quality of care
subject: Measurement
subject: Instrument
subject: Reliability
subject: Validity
subject: Psychometric testing
type: Text
identifier URI: http://hdl.handle.net/2429/56501