Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting

Ängeby, Karin; Sandin‐Bojö, Ann‐Kristin; Persenius, Mona; Wilde‐Larsson, Bodil

doi:10.1016/j.midw.2018.06.008

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…A series of descriptive and factor analyses led to removing 24 items because of low Spearman's rho with the rest of the item pool, low R 2 , high residual correlations, or inappropriate content. The remaining 57 items formed three unidimensional measures (0 existing items as-is, 34 significantly modified existing items, [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] and 9 de novo items). Results of a bi-factor analysis support the sufficient unidimensionality of the "Humanity" measure, in which the general factor was defined as "humanity" and four local factors (or subdomains) were as follows: safety and accountability, autonomy, communication and information exchange, and empathy.…”

Section: Analysis Resultsmentioning

confidence: 99%

“…Our measure was developed following the Patient‐Reported Outcome Measurement Information System (PROMIS ® ) instrument development and validation scientific standards, 28 in which rigorous mixed‐methods approaches are recommended to develop person‐centered instruments. Specifically, qualitative approaches were used to define the priority concept and conceptual model; compile and/or compose individual items; and subsequently construct an (or more) item pool(s) 29‐43 . Quantitative approaches were then used to evaluate psychometric properties of the item bank(s).…”

Section: Methodsmentioning

confidence: 99%

“…Specifically, qualitative approaches were used to define the priority concept and conceptual model; compile and/or compose individual items; and subsequently construct an (or more) item pool(s). [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] Quantitative approaches were then used to evaluate psychometric properties of the item bank(s). The study team provided significant content expertise DD and KS, whereas multiple research librarians were consulted to conduct a comprehensive literature search using keywords relevant to reproductive justice, birth equity, Black feminism, Obstetric Racism, and patient-reported birth experiences.…”

Section: Methodsmentioning

confidence: 99%

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Psychometric validation of a patient‐reported experience measure of obstetric racism© (The PREM‐OB Scale™ suite)

VanGompel

Lai

Davis

et al. 2022

Birth

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Background Perinatal quality improvement lacks valid tools to measure adverse hospital experiences disproportionately impacting Black mothers and birthing people. Measuring and mitigating harm requires using a framework that centers the lived experiences of Black birthing people in evaluating inequitable care, namely, obstetric racism. We sought to develop a valid patient‐reported experience measure (PREM) of Obstetric Racism© in hospital‐based intrapartum care designed for, by, and with Black women as patient, community, and content experts. Methods PROMIS© instrument development standards adapted with cultural rigor methodology. Phase 1 included item pool generation, modified Delphi method, and cognitive interviews. Phase 2 evaluated the item pool using factor analysis and item response theory. Results Items were identified or written to cover 7 previously identified theoretical domains. 806 Black mothers and birthing people completed the pilot test. Factor analysis concluded a 3 factor structure with good fit indices (CFI = 0.931‐0.977, RMSEA = 0.087‐0.10, R2 > .3, residual correlation < 0.15). All items in each factor fit the IRT model and were able to be calibrated. Factor 1, “Humanity,” had 31 items measuring experiences of safety and accountability, autonomy, communication, and empathy. A 12‐item short form was created to ease respondent burden. Factor 2, “Racism,” had 12 items measuring experiences of neglect and mistreatment. Factor 3, “Kinship,” had 7 items measuring hospital denial and disruption of relationships between Black mothers and their child or support system. Conclusions The PREM‐OB Scale™ suite is a valid tool to characterize and quantify obstetric racism for use in perinatal improvement initiatives.

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Section: Analysis Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Psychometric validation of a patient‐reported experience measure of obstetric racism© (The PREM‐OB Scale™ suite)

VanGompel

Lai

Davis

et al. 2022

Birth

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“…To react to such requests, Edmonds et al [11] described the need of reassurance about the normality of the situation and the foetal wellbeing. Furthermore, knowledge about labour progress is reported as helpful to cope with the process and release insecurities [11,14]. However, the timing of women's needs to seek hospital admission in early labour is in conflict with institutional guidelines that recommend women to stay at home for as long as possible [6].…”

Section: Introductionmentioning

confidence: 99%

Self-management, care needs and clinical management of primiparous mothers during early labour – a qualitative content analysis

Mueller

Grylka‐Baeschlin

2023

BMC Pregnancy Childbirth

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Background Childbearing women face the problem of managing spontaneous onset of labour without professional support. It is their responsibility to diagnose and react to early labour and subsequently recognise the right time to seek support. Institutional guidelines of clinics aim to admit childbearing women when in established labour. This explains why women in early labour are often advised to stay at home, which can be overwhelming and dissatisfying. This study aims to understand the self- and clinical management of early labour and care needs of first-time mothers during early labour. Methods A qualitative approach was used involving four focus group discussions with a total of N = 18 mothers. Included were primiparous women who had given birth at term within the last 6 months and who experienced spontaneous onset of labour. Elective caesarean section or induction of labour were thereby exclusion criteria. The interviews followed a semi-structured, literature-based guide. Content analysis was applied. Results Thirteen codes were summarised within three themes: ‘self-management’, ‘care needs’ and ‘professional management’. Various coping strategies and measures such as positive thinking or taking a bath helped women in managing early labour at home. The need for reassurance, professional guidance and pain management led them to seek professional support, which was initially accompanied by a feeling of inhibition. This negative emotion was mostly unjustified since many women felt well cared for and taken seriously in their needs. Conclusion Coping strategies and professional care help women going through early labour. Yet, there still exists insecurity about the justified timing in seeking professional support. An individual assessment of the women’s coping resources and their needs is required to promote shared decision making and give high-standard care.

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“…There are various instruments that measure the satisfaction of women with childbirth [ 2 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. The Women’s Views of Birth Labor Satisfaction Questionnaire (WOMBLSQ4) [ 23 ] has been used extensively in the recent literature and identifies women’s satisfaction with their birth labor and delivery experiences, as well as the pain relief received during and after.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Women’s Views of Birth Labor Satisfaction Questionnaire (WOMBLSQ4) in the Spanish Population

Pozo-Cano

Martín-Salvador

Pérez-Morente

et al. 2020

IJERPH

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The satisfaction of women with the birth experience has implications for the health and wellness of the women themselves and also of their newborn baby. The objectives of this study were to determine the factor structure of the Women’s Views of Birth Labor Satisfaction Questionnaire (WOMBLSQ4) questionnaire on satisfaction with the attention received during birth delivery in Spanish women and to compare the level of satisfaction of pregnant women during the birth process with that in other studies that validated this instrument. A cross-sectional study using a self-completed questionnaire of 385 Spanish-speaking puerperal women who gave birth in the Public University Hospitals of Granada (Spain) was conducted. An exploratory factor analysis of the WOMBLSQ4 questionnaire was performed to identify the best fit model. Those items that showed commonalities higher than 0.50 were kept in the questionnaire. Using the principal components method, nine factors with eigenvalues greater than one were extracted after merging pain-related factors into a single item. These factors explain 90% of the global variance, indicating the high internal consistency of the full scale. In the model resulting from the WOMBLSQ4 questionnaire, its nine dimensions measure the levels of satisfaction of puerperal women with childbirth care. Average scores somewhat higher than those of the original questionnaire and close to those achieved in the study carried out in Madrid (Spain) were obtained. In clinical practice, this scale may be relevant for measuring the levels of satisfaction during childbirth of Spanish-speaking women.

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Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting

Cited by 11 publications

References 36 publications

Psychometric validation of a patient‐reported experience measure of obstetric racism© (The PREM‐OB Scale™ suite)

Psychometric validation of a patient‐reported experience measure of obstetric racism© (The PREM‐OB Scale™ suite)

Self-management, care needs and clinical management of primiparous mothers during early labour – a qualitative content analysis

Validation of the Women’s Views of Birth Labor Satisfaction Questionnaire (WOMBLSQ4) in the Spanish Population

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