Development and validation of a structured observation scale to measure responsiveness of physicians in rural Bangladesh

Joarder, Taufique; Mahmud, Ilias; Sarker, Malabika; George, Asha; Rao, Krishna D.

doi:10.1186/s12913-017-2722-1

Cited by 10 publications

(17 citation statements)

References 43 publications

(35 reference statements)

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“…The statistically significant Bartlett's test and > 0.80 KMO statistic indicated the data suitability for the factor analysis . In this study, the KMO index was 0.86 for VPI patients and 0.92 for VPI parents.…”

Section: Resultsmentioning

confidence: 50%

“…Factor analysis was also applied, which is usually used for a construct validation test . Construct validity assesses whether the observed data are consistent with theoretically derived predictions.…”

Section: Methodsmentioning

confidence: 99%

“…Bartlett's test and the Kaiser‐Meyer‐Olkin (KMO) test checked the suitability for factor analysis. A statistically significant Bartlett's test and > 0.80 KMO statistic indicate the data's suitability for factor analysis . Kaiser's K1 rule and scree plots were considered in factor retention.…”

Section: Methodsmentioning

confidence: 99%

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Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument

et al. 2019

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Objectives/Hypothesis: To translate the Velopharyngeal Insufficiency Effects on Life Outcomes (VELO) instrument into Chinese and test its psychometric properties.Study Design: Quality of life instrument translation and validation. Methods: The original English version of the VELO instrument was translated into Mandarin, back-translated, and adapted among the Chinese population, based on the standardized guidelines for the cross-culture adaption process. Velopharyngeal insufficiency (VPI) patients were identified by a professional speech and language pathologist. Internal reliability of the VELO instrument was assessed by the Cronbach's α coefficient. Discriminant validity was tested by the Mann-Whitney U test. Construct validity was assessed by factor analysis.Results: A total of 113 patients with VPI and 72 parents of the patients were enrolled. The mean age of the VPI patients was 14.8 years. Internal reliability was excellent; Cronbach's α coefficients were 0.92 and 0.94 for VPI patients and their parents, respectively. The Chinese VELO discriminated well between the VPI group and the controls, with a mean (standard deviation) score that was significantly lower for the VPI group (74.8 [25.7]) than the control group (98.0 [15.9]) (P < .001). The total scores and scores in the emotional domain or perception domain showed differences between VPI patients and their parents. Similar to the original study, the factor loading after rotation followed hypothesized domains largely, in spite of items from several domains loaded on the same factor.Conclusions: The translated Chinese version of the VELO instrument demonstrated an acceptable reliability, discriminant validity, and construct validity. These psychometric properties suggested theoretical evidence for the further use of the VELO instrument among Chinese patients with VPI.

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Section: Resultsmentioning

confidence: 50%

Section: Methodsmentioning

confidence: 99%

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Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument

et al. 2019

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“…Finally, to address the growing mistrust in the service providers, contextually aligned treatment guidelines exploiting telemedicine technology [41,42] should be developed. Service providers should be trained and directed to provide services equitably and professionally [43,44], while those in charge should address their legitimate demands, especially those pertaining to workplace security.…”

Section: Policy Recommendationsmentioning

confidence: 99%

Trust in the Bangladeshi Health System During the COVID-19 Pandemic: A Mixed-Methods Exploration

Joarder

Khaled²,

Zaman

2020

Preprint

Self Cite

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BackgroundLack of trust in public health institutions hinders care-seeking and limits community support for contact tracing, information and communication uptake, and multi-sectoral or multi-stakeholder engagement. In light of these understandings, our aim was to determine levels of impersonal and interpersonal trust in the context of COVID-19 pandemic response in Bangladesh.MethodsAs this mixed-methods research was conducted during the pandemic, data was gathered via an online survey involving 508 respondents, along with seven online focus group discussions in which 50 purposively selected male and female clinicians and non-clinicians took part. Quantitative data was subjected to descriptive and comparative analysis, whereas content analysis was applied to the qualitative data.ResultsSurvey respondents have less trust in the health system (a mean score of 3.77/10) than in the service providers (4.95/10). In the context of impersonal trust, the lowest level of trust is observed in the Fairness domain (3.12/10), followed by the Confidence domain (3.38/10). In the context of interpersonal trust, the lowest level of trust is observed in the Fairness domain (3.81/10), followed by the Communication domain (4.83/10). While some non-clinical participants blamed doctors for shying away from caregiving during the early days of the pandemic, most praised them for providing care, risking their life due to the shortage of PPE, and even sacrificing their life in the process. Several participants also cited lack of fairness in pandemic management, such as imposing lockdown in periphery areas of the country without arranging transport for those requiring medical help to the centrally located modern health facilities, and visible attempts by the political decision-makers to protect the business interests without consideration for the safety of the poor. However, both clinicians and non-clinicians concurred on the need for the service providers to improve communication related to COVID-19 management.ConclusionsHealth sector stewards in Bangladesh should learn the lessons from other countries, ensure multi-sectoral engagement involving the community and political forces, and empower public health experts to organize and consolidate a concerted health system effort in gaining trust in the short term while striving to build a resilient and responsive health system in the long term.

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“…There have been efforts to capture the newer constructs (e.g. empowering service providers, mutual responsibility, increased confidence of service users) using psychometric measures and structured observations, which have been tested and are now moving into multi-country validation [2, 14, 20]. Others have been using approaches such as the Bellwether approach, outcome mapping and process tracing to assess changes in duty-bearers’ actions as a consequence of such interventions [3, 27, 28].…”

Section: Introductionmentioning

confidence: 99%

Studying social accountability in the context of health system strengthening: innovations and considerations for future work

Boydell

McMullen

Cordero

et al. 2019

Health Res Policy Sys

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There is a growing body of research on the role of social accountability in bringing about more accessible and better-quality healthcare. Here, we refer to social accountability as “ citizens’ efforts at ongoing meaningful collective engagement with public institutions for accountability in the provision of public goods ” (Joshi, World Dev 99:160–172, 2017). These processes have multiple interrelated components and sub-processes and engage a range of actors in community-driven, often unpredictable and context-dependent actions, which pose many methodological challenges for researchers. In June 2017, scientists and implementers working in this area came together to share experiences, discuss approaches, identify research gaps and consider directions for future studies. This paper shares learnings from this discussion. In particular, participants considered (1) how best to define and measure the complex processual nature of social accountability; (2) the study of social accountability as an inherently political process; and (3) the challenges of generalising unpredictable, community-driven and context-dependent processes. Key among a range of consensus areas was the need for researchers to capture a broader range of outcomes and better understand the nuances of implementation processes in order to effectively test theories and assumptions. Furthermore, power relationships are inherent in social accountability and the research process itself. In presenting details on these deliberations, we hope to prompt a wider discussion on the study of social accountability in health programming.

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Development and validation of a structured observation scale to measure responsiveness of physicians in rural Bangladesh

Cited by 10 publications

References 43 publications

Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument

Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument

Trust in the Bangladeshi Health System During the COVID-19 Pandemic: A Mixed-Methods Exploration

Studying social accountability in the context of health system strengthening: innovations and considerations for future work

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