Reliability tests and validation tests of the client satisfaction questionnaire (CSQ-8) as an index of satisfaction with childbirth-related care among Filipino women

Abstract

BackgroundSatisfaction is an important indicator of the quality of care during childbirth. Previous research found that a good environment at a health facility can increase the number of deliveries at that facility. In contrast, an unsatisfying childbirth experience could cause postpartum mental disorder. Therefore it is important to measure mothers’ satisfaction with their childbirth experiences. We tested whether the eight-item Client Satisfaction Questionnaire (CSQ-8) provided useful information about satisfaction with childbirth-related care. The government of the Philippines promotes childbirth at health facilities, so we tested the CSQ-8 in the Philippine cities of Ormoc and Palo.MethodsThis was a cross-sectional study. We targeted multigravid mothers whose last baby had been delivered at a hospital (without complications) and whose 2nd-to-last baby had been delivered at a hospital or at home (without complications). We developed versions of the CSQ-8 in Cebuano and Waray, which are two of the six major Filipino languages. Reliability tests and validation tests were done with data from 100 Cebuano-speaking mothers and 106 Waray-speaking mothers.ResultsBoth the Cebuano and Waray versions of the CSQ-8 had high coefficients of internal-consistency reliability (greater than 0.80). Both versions were also unidimensional, which is generally consistent with the English CSQ-8 in a mental-health setting. As hypothesized, the scores for data regarding the second-to-last delivery were higher for mothers who had both their second-to-last and their last delivery in a hospital, than for mothers who had their second-to-last delivery at home and their last delivery in a hospital (Cebuano: p < 0.001, rho = 0.51, Waray: p < 0.001, rho = 0.55).ConclusionsScores on the CSQ-8 can be used as indices of general satisfaction with childbirth-related services in clinical settings. This study also exemplifies a convenient method for developing versions of the CSQ-8 in more than one language. These versions of the CSQ-8 can now be used to assess mothers’ satisfaction, so that mothers’ opinions can be taken into account in efforts to improve childbirth-related services, which could increase the proportion of deliveries in medical facilities and thus reduce maternal mortality.

A Self-Help Guided Psychoeducational Intervention for Indonesian Women with Breast Cancer Symptoms: Development and Pilot Feasibility Study

“…To assess feasibility and acceptability, we used the modified version of the Client Satisfaction Questionnaire (CSQ)-8 to fit the context of the use of the psychoeducation intervention (PERANTARA) in Indonesia. The original CSQ-8 has eight questions assessing the global client's satisfaction in a clinical setting (Larsen et al, 1979;Matsubara et al, 2013). The patients respond to those items using a 4-point Likert scale, and the total scores range from 8 to 32.…”

Acceptance, satisfaction and cost of an integrative anthroposophic program for pediatric respiratory diseases in a Swiss teaching hospital: An implementation report

“…Overall patient satisfaction (CSQ-8) was high in literature comparison: median scores between 26 and 27 have been report from childbirth related care, family and mental health care. 21,22 As a limitation, CSQ-8 scores were not measured for children receiving conventional care only. The relatively low response rate to the questionnaire was mainly a result of failing to consistently distribute the questionnaire at the end of hospitalization rather than a lack of parental unwillingness to respond.…”

Design of a Guided Internet- and Mobile-Based Intervention for Internet Use Disorder—Study Protocol for a Two-Armed Randomized Controlled Trial

“…Global client satisfaction with the internet-and mobile-based intervention is measured by eight items. Previous research indicated good psychometric properties (α = 0.84-0.97) (70).…”