Ronelle Hewetson, Petrea Cornwell, David H K Shum
Relationship and Social Network Change in People With Impaired Social Cognition Post Right Hemisphere Stroke
American journal of speech-language pathology
patient agency contraceptive decisionmaking essential component reproductive autonomy aimed develop psychometrically robust measure patient contraceptive agency clinic visit measure yet exist scale development generated field tested 54 questionnaire items grounded qualitative research used item response theorybased methods select evaluate scale items psychometric performance iteratively examined model fit dimensionality internal consistency internal structure validity differential item functioning arrive final scale raciallyethnically diverse sample 338 individuals aged 1534 years receiving contraceptive care across nine california clinics 20192020 contraceptive agency scale cas patient agency preventive care participants 205 mean years 36 identifying latinx 26 white 20 black 10 asiannative hawaiianpacific islander scale items covered domains freedom coercion nonjudgmental care active decisionmaking loaded single factor cronbachs 080 item responses fit unidimensional partial credit item response model weighted mean square statistic within 075133 item met criteria internal structure validity showed meaningful differential item functioning participants expressed high agency contraceptive visit mean score 96 14 onefifth however experienced low agency coercion provider wanting use specific method make decisions agency scores lowest among asiannative hawaiianpacific islander participants adjusted coefficient 15 29 01 vs white among whose mothers less high school education adjusted coefficient 21 33 08 vs college degree contraceptive agency scale used research clinical care reinforce noncoercive service provision standard care