Development of the Pregnancy and Childbirth Questionnaire (PCQ)

Evaluating quality of care as perceived by women who recently gave birth

S.E.M. Truijens, A.M. Pommer, P.J. van Runnard Heimel, C.J. Verhoeven, S.G. Oei, V.J.M. Pop

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
To develop an instrument to the assess quality of care during pregnancy and delivery as perceived by women who recently gave birth.
Study design
Prospective design from focus group interviews to validation of the questionnaire. The focus groups consisted of seven care providers, ten pregnant women and six women who recently gave birth. With the results of the focus group interviews, a draft questionnaire of 52 items was composed and its psychometric properties were tested in a first cohort of 300 women who recently gave birth (sample I) by means of exploratory factor analysis (EFA) and reliability analysis. The final version was further explored by confirmatory factor analyses (CFA) in another sample of 289 women (sample II) with similar characteristics as sample I.
Results
EFA in sample I suggested an 18-item scale with two components concerning the quality of care during pregnancy: ‘personal treatment’ (11 items, Cronbach's alpha (α) = 0.87) and ‘educational information’ (7 items, α = 0.90); the ‘delivery’ scale showed a single domain (7 items, α = 0.88). CFA in sample II confirmed both factor structures with an adequate model fit. Overall, satisfaction with care was highest among women who only received midwife-led care, while women who were referred to an obstetrician during pregnancy reported less satisfaction.
Conclusions
The 25-item PCQ, primarily based on the experiences and perceptions of pregnant women and women who recently gave birth, showed adequate psychometric properties evaluating the quality of care during pregnancy and delivery. This user-friendly instrument might be a valuable instrument for future research to further evaluate the quality of care to pregnant women.
Keywords: Patient perspective, Satisfaction, Quality of care, Pregnancy, Childbirth
Original languageEnglish
Pages (from-to)35–40
JournalEuropean Journal of Obstetrics & Gynaecology and Reproductive Biology
Volume174
DOIs
Publication statusPublished - 2014

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Focus Groups
Statistical Factor Analysis
Interviews
Midwifery
Surveys and Questionnaires

Cite this

@article{a90a546bd25f47d49b1068de5edc7c22,
title = "Development of the Pregnancy and Childbirth Questionnaire (PCQ): Evaluating quality of care as perceived by women who recently gave birth",
abstract = "ObjectiveTo develop an instrument to the assess quality of care during pregnancy and delivery as perceived by women who recently gave birth.Study designProspective design from focus group interviews to validation of the questionnaire. The focus groups consisted of seven care providers, ten pregnant women and six women who recently gave birth. With the results of the focus group interviews, a draft questionnaire of 52 items was composed and its psychometric properties were tested in a first cohort of 300 women who recently gave birth (sample I) by means of exploratory factor analysis (EFA) and reliability analysis. The final version was further explored by confirmatory factor analyses (CFA) in another sample of 289 women (sample II) with similar characteristics as sample I.ResultsEFA in sample I suggested an 18-item scale with two components concerning the quality of care during pregnancy: ‘personal treatment’ (11 items, Cronbach's alpha (α) = 0.87) and ‘educational information’ (7 items, α = 0.90); the ‘delivery’ scale showed a single domain (7 items, α = 0.88). CFA in sample II confirmed both factor structures with an adequate model fit. Overall, satisfaction with care was highest among women who only received midwife-led care, while women who were referred to an obstetrician during pregnancy reported less satisfaction.ConclusionsThe 25-item PCQ, primarily based on the experiences and perceptions of pregnant women and women who recently gave birth, showed adequate psychometric properties evaluating the quality of care during pregnancy and delivery. This user-friendly instrument might be a valuable instrument for future research to further evaluate the quality of care to pregnant women.Keywords: Patient perspective, Satisfaction, Quality of care, Pregnancy, Childbirth",
author = "S.E.M. Truijens and A.M. Pommer and {van Runnard Heimel}, P.J. and C.J. Verhoeven and S.G. Oei and V.J.M. Pop",
year = "2014",
doi = "10.1016/j.ejogrb.2013.11.019",
language = "English",
volume = "174",
pages = "35–40",
journal = "European Journal of Obstetrics & Gynaecology and Reproductive Biology",
issn = "0301-2115",
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}

Development of the Pregnancy and Childbirth Questionnaire (PCQ) : Evaluating quality of care as perceived by women who recently gave birth. / Truijens, S.E.M.; Pommer, A.M.; van Runnard Heimel, P.J.; Verhoeven, C.J.; Oei, S.G.; Pop, V.J.M.

In: European Journal of Obstetrics & Gynaecology and Reproductive Biology, Vol. 174, 2014, p. 35–40.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Development of the Pregnancy and Childbirth Questionnaire (PCQ)

T2 - Evaluating quality of care as perceived by women who recently gave birth

AU - Truijens, S.E.M.

AU - Pommer, A.M.

AU - van Runnard Heimel, P.J.

AU - Verhoeven, C.J.

AU - Oei, S.G.

AU - Pop, V.J.M.

PY - 2014

Y1 - 2014

N2 - ObjectiveTo develop an instrument to the assess quality of care during pregnancy and delivery as perceived by women who recently gave birth.Study designProspective design from focus group interviews to validation of the questionnaire. The focus groups consisted of seven care providers, ten pregnant women and six women who recently gave birth. With the results of the focus group interviews, a draft questionnaire of 52 items was composed and its psychometric properties were tested in a first cohort of 300 women who recently gave birth (sample I) by means of exploratory factor analysis (EFA) and reliability analysis. The final version was further explored by confirmatory factor analyses (CFA) in another sample of 289 women (sample II) with similar characteristics as sample I.ResultsEFA in sample I suggested an 18-item scale with two components concerning the quality of care during pregnancy: ‘personal treatment’ (11 items, Cronbach's alpha (α) = 0.87) and ‘educational information’ (7 items, α = 0.90); the ‘delivery’ scale showed a single domain (7 items, α = 0.88). CFA in sample II confirmed both factor structures with an adequate model fit. Overall, satisfaction with care was highest among women who only received midwife-led care, while women who were referred to an obstetrician during pregnancy reported less satisfaction.ConclusionsThe 25-item PCQ, primarily based on the experiences and perceptions of pregnant women and women who recently gave birth, showed adequate psychometric properties evaluating the quality of care during pregnancy and delivery. This user-friendly instrument might be a valuable instrument for future research to further evaluate the quality of care to pregnant women.Keywords: Patient perspective, Satisfaction, Quality of care, Pregnancy, Childbirth

AB - ObjectiveTo develop an instrument to the assess quality of care during pregnancy and delivery as perceived by women who recently gave birth.Study designProspective design from focus group interviews to validation of the questionnaire. The focus groups consisted of seven care providers, ten pregnant women and six women who recently gave birth. With the results of the focus group interviews, a draft questionnaire of 52 items was composed and its psychometric properties were tested in a first cohort of 300 women who recently gave birth (sample I) by means of exploratory factor analysis (EFA) and reliability analysis. The final version was further explored by confirmatory factor analyses (CFA) in another sample of 289 women (sample II) with similar characteristics as sample I.ResultsEFA in sample I suggested an 18-item scale with two components concerning the quality of care during pregnancy: ‘personal treatment’ (11 items, Cronbach's alpha (α) = 0.87) and ‘educational information’ (7 items, α = 0.90); the ‘delivery’ scale showed a single domain (7 items, α = 0.88). CFA in sample II confirmed both factor structures with an adequate model fit. Overall, satisfaction with care was highest among women who only received midwife-led care, while women who were referred to an obstetrician during pregnancy reported less satisfaction.ConclusionsThe 25-item PCQ, primarily based on the experiences and perceptions of pregnant women and women who recently gave birth, showed adequate psychometric properties evaluating the quality of care during pregnancy and delivery. This user-friendly instrument might be a valuable instrument for future research to further evaluate the quality of care to pregnant women.Keywords: Patient perspective, Satisfaction, Quality of care, Pregnancy, Childbirth

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DO - 10.1016/j.ejogrb.2013.11.019

M3 - Article

VL - 174

SP - 35

EP - 40

JO - European Journal of Obstetrics & Gynaecology and Reproductive Biology

JF - European Journal of Obstetrics & Gynaecology and Reproductive Biology

SN - 0301-2115

ER -