Evidence map›Paper›PMID 26357847›Full record

ArticleBMC pregnancy and childbirth2015

Quality of prenatal care questionnaire: psychometric testing in an Australia population.

Wendy Sword, Maureen Heaman, Mary Anne Biro, Caroline Homer, Jane Yelland, Noori Akhtar-Danesh, Amanda Bradford-Janke

Abstract readValidation Study
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
  6. Article
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  9. Article
  10. Patient Satisfaction with Health Care Services; An Application of Physician's Behavior as a Moderator.International journal of environmental research and public health · 2019
    Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wendy SwordSchool of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada. wendy.sword@uottawa.ca.
Maureen HeamanCollege of Nursing and Departments of Community Health Sciences and Obstetrics, Gynecology and Reproductive Sciences, College of Medicine, Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, MB, R3T 2N2, Canada. maureen.heaman@umanitoba.ca.
Mary Anne BiroSchool of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, VIC, 3800, Australia. maryanne.biro@monash.edu.
Caroline HomerCentre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, 15 Broadway, Ultimo, NSW, 2007, Australia. caroline.homer@uts.edu.au.
Jane YellandHealthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute and General Practice and Primary Health Care Academic Centre, University of Melbourne, Parkville, 3052, Australia. jane.yelland@mcri.edu.au.
Noori Akhtar-DaneshSchool of Nursing and Department of Clinical Epidemiology & Biostatics, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. daneshn@mcmaster.ca.
Amanda Bradford-JankeGilbrea Centre for Studies in Aging, Faculty of Social Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4M4, Canada. bradfor@mcmaster.ca.

Funding

Canadian Institutes of Health Research MOP-84427
6 · The paper itself

Abstract

backgroundThe quality of antenatal care is recognized as critical to the effectiveness of care in optimizing maternal and child health outcomes. However, research has been hindered by the lack of a theoretically-grounded and psychometrically sound instrument to assess the quality of antenatal care. In response to this need, the 46-item Quality of Prenatal Care Questionnaire (QPCQ) was developed and tested in a Canadian context. The objective of this study was to validate the QPCQ and to establish its internal consistency reliability in an Australian population.

methodsStudy participants were recruited from two public maternity services in two Australian states: Monash Health, Victoria and Wollongong Hospital, New South Wales. Women were eligible to participate if they had given birth to a single live infant, were 18 years or older, had at least three antenatal visits during the pregnancy, and could speak, read and write English. Study questionnaires were completed in hospital. A confirmatory factor analysis (CFA) was conducted. Construct validity, including convergent validity, was further assessed against existing questionnaires: the Patient Expectations and Satisfaction with Prenatal Care (PESPC) and the Prenatal Interpersonal Processes of Care (PIPC). Internal consistency reliability of the QPCQ and each of its six subscales was assessed using Cronbach's alpha.

resultsTwo hundred and ninety-nine women participated in the study. CFA verified and confirmed the six factors (subscales) of the QPCQ. A hypothesis-testing approach and an assessment of convergent validity further supported construct validity of the instrument. The QPCQ had acceptable internal consistency reliability (Cronbach's alpha = 0.97), as did each of the six factors (Cronbach's alpha = 0.74 to 0.95).

conclusionsThe QPCQ is a valid and reliable self-report measure of antenatal care quality. This instrument fills a scientific gap and can be used in research to examine relationships between the quality of antenatal care and outcomes of interest, and to examine variations in antenatal care quality. It also will be useful in quality assurance and improvement initiatives.

Indexed as

Patient SatisfactionAdultCanadaFactor Analysis, StatisticalFemaleHumansLanguagePregnancyPrenatal CarePsychometricsReproducibility of ResultsSurveys and QuestionnairesVictoria

Identifiers

PMID26357847
PMCPMC4566370

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.