Patience A. Afulani|Nadia Diamond?Smith|Ginger Golub|May Sudhinaraset
Development of a tool to measure person-centered maternity care in developing settings: validation in a rural and urban Kenyan population
University of California, San Francisco|University of California, San Francisco|Practical Action|Fielding Graduate University|University of California, Los Angeles
personcentered reproductive health care recognized critical improving reproductive health outcomes yet little research exists operationalize extend literature area developing validating tool measure personcentered maternity care describe process developing tool present results psychometric analyses assess validity reliability rural urban setting kenya followed standard procedures scale development first reviewed literature define construct identify domains developed items measure domain next conducted expert reviews assess content validity cognitive interviews potential respondents assess clarity appropriateness relevance questions questions refined administered surveys survey results used assess construct criterion validity reliability exploratory factor analysis yielded one dominant factor rural urban settings three factors eigenvalues greater one identified rural sample four factors identified urban sample thirty 38 items administered survey retained based factors loadings correlation items twentyfive items load well onto single factor rural urban sample five items loading well either rural urban sample samples 30 items also load three subscales created measure dignified respectful care communication autonomy supportive care chronbach alpha main scale greater 08 samples subscales 06 08 main scale subscales correlated global measures satisfaction maternity services suggesting criterion validity present 30item scale three subscales measure personcentered maternity care scale high validity reliability rural urban setting kenya validation additional settings however needed scale facilitate measurement improve personcentered maternity care subsequently improve reproductive outcomes