Adaptation of the Person-Centered Maternity Care Scale in the United States: Prioritizing the Experiences of Black Women and Birthing People.

Autor: Afulani PA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, California. Electronic address: Patience.Afulani@ucsf.edu., Altman MR; Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, Washington., Castillo E; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, California; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Bernal N; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Jones L; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Camara T; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Carrasco Z; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Williams S; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, California; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California., Sudhinaraset M; Department of Community Health Science, University of California, Los Angeles, Los Angeles, California., Kuppermann M; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California; Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, California; California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California.
Jazyk: angličtina
Zdroj: Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2022 Jul-Aug; Vol. 32 (4), pp. 352-361. Date of Electronic Publication: 2022 Mar 09.
DOI: 10.1016/j.whi.2022.01.006
Abstrakt: Introduction: Mistreatment by health care providers disproportionately affects Black, Indigenous, and other people of color in the United States. The goal of this study is to adapt the global Person-Centered Maternity Care (PCMC) scale for use in the United States, with particular attention to the experiences of Black women and birthing people.
Methods: We used a community-engaged approach including expert reviews and cognitive interviews to assess content validity, relevance, comprehension, and comprehensiveness of the PCMC items. Surveys of 297 postpartum people, 82% of whom identified as Black, were used for psychometric analysis in which we assessed construct and criterion validity and reliability. The University of California, San Francisco California Preterm Birth Initiative's Community Advisory Board, which consists of community members, community-based health workers, and social service providers in Northern California, provided input during all stages of the project.
Results: Through an iterative process of factor analysis, discussions with the Community Advisory Board, and a prioritization survey, we eliminated items that performed poorly in psychometric analysis, yielding a 35-item PCMC-U.S. scale with subscales for dignity and respect, communication and autonomy, and responsive and supportive care. The Cronbach's alpha for the full scale is 0.95 and for the subscales is 0.87. Standardized summative scores range from 0 to 100, with higher scores indicating more PCMC. Correlations with related measures indicated high criterion validity.
Conclusions: The 35-item PCMC-U.S. scale and its subscales have high validity and reliability in a sample of predominantly Black women. This scale provides a tool to support efforts to reduce the inequities in birth outcomes experienced by Black, Indigenous, and other people of color.
(Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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