Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India.

Autor: Holt K; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, United States of America., Gebrehanna E; School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia., Sarnaik S; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, United States of America., Kanchan L; Centre for Operations Research and Training, Vadodara, India., Reed R; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, United States of America., Yesuf A; School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia., Uttekar BV; Centre for Operations Research and Training, Vadodara, India.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Mar 31; Vol. 18 (3), pp. e0283925. Date of Electronic Publication: 2023 Mar 31 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0283925
Abstrakt: We adapted the Quality of Contraceptive Counseling (QCC) scale, originally constructed in Mexico, for Ethiopia and India to expand its utility for measurement of client experiences with counseling. Scale items were modified based on prior research on women's preferences for counseling in each country, and refined through cognitive interviews (n = 20 per country). We tested the items through client exit surveys in Addis Ababa, Ethiopia (n = 599), and Vadodara, India (n = 313). Psychometric analyses revealed the adapted scales were valid and reliable for use, and the final scales retained content validity according to the original published QCC construct definition. Specifically, confirmatory factor analysis revealed high factor loadings for almost all items on the original dimensions: Information Exchange, Interpersonal Relationship, Disrespect and Abuse. Internal consistency reliability was high in both settings (Alpha = 0.92 for QCC-Ethiopia and 0.74 for QCC-India). Final item pools contained 26 items in the QCC-Ethiopia Scale and 23 in the QCC-India Scale. Correlation analyses established convergent validity. QCC Scales and subscales fill a gap in measurement tools for ensuring high quality of care and fulfillment of human rights in contraceptive services, and consistent findings across continents suggest versatility in use across different contexts.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Holt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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