ERA

Download the full-sized PDF of Quality of prenatal care questionnaire: instrument development and testing.Download the full-sized PDF

Analytics

Share

Permanent link (DOI): https://doi.org/10.7939/R3RN30F3N

Download

Export to: EndNote  |  Zotero  |  Mendeley

Communities

This file is in the following communities:

Nursing, Faculty of

Collections

This file is in the following collections:

Health Equity

Quality of prenatal care questionnaire: instrument development and testing. Open Access

Descriptions

Author or creator
Heaman, M. I.
Sword, W.A.
Akhtar-Danesh, N.
Bradford, A.
Tough, S.
Janssen, P. A.
Young, D.C.
Kingston, D. A.
Hutton, E. K.
Helewa, M. E.
Additional contributors
Subject/Keyword
quality of care
validity
instrument
measurement
reliability
prenatal care
psychometric testing
Type of item
Journal Article (Published)
Language
English
Place
Time
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 postpartum period and 4 to 6 weeks postpartum. Conclusion The QPCQ is a valid and reliable instrument that will be useful in future research as an outcome measure to compare quality of care across geographic regions, populations, and service delivery models, and to assess the relationship between quality of care and maternal and infant health outcomes.
Date created
2014
DOI
doi:10.7939/R3RN30F3N
License information
Creative Commons Attribution-Non-Commercial-No Derivatives 3.0 Unported
Rights

Citation for previous publication
Heaman, M.I., Sword, W.A., Akhtar-Danesh, N., Bradford, A., Tough, S., Janssen, P.A., Young, D.C.,Kingston, D.A., Hutton, E.K., Helewa, M.E. (2014). Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy and Childbirth, 2014, 14: 188. doi:10.1186/1471-2393-14-188
Source
Link to related item

File Details

Date Uploaded
Date Modified
2014-09-01T07:00:09.312+00:00
Audit Status
Audits have not yet been run on this file.
Characterization
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 879417
Last modified: 2015:10:12 21:01:29-06:00
Filename: BMC_PC_2014_14_188.pdf
Original checksum: 13108a4b363271d602d994969b4022ac
Well formed: false
Valid: false
Status message: Invalid object number or object stream offset=2425
Status message: Invalid object number or object stream offset=2425
Status message: Invalid Annotation list offset=2425
Status message: Outlines contain recursive references.
File title: Start of article
Activity of users you follow
User Activity Date