Evidence map›Paper›PMID 34273951›Full record

ArticleBMC public health2021

Assessing the reliability and validity of attitudes and confidence scales for the care of women and girls affected by female genital mutilation/cutting.

Christina X Marea, Nicole Warren, Nancy Glass, Crista Johnson-Agbakwu, Nancy Perrin

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03249649 (Enhancing Culturally-Informed Health Care Services for Women Affected by Female Genital Cutting in Arizona), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
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.

NCT03249649 completednot on this map

Enhancing Culturally-Informed Health Care Services for Women Affected by Female Genital Cutting in Arizona

TypeobservationalSponsorArizona State UniversityRan2016 to 2019Enrolled1,736ConditionsFemale Genital Mutilation Type I Status, Female Genital Mutilation Type II Status, Female Genital Mutilation Type III StatusArmsComprehensive Healthcare Needs Assessment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Christina X MareaSchool of Nursing and Health Studies, Georgetown University, Washington D.C., USA. cflemi10@jhu.edu.ORCID 0000-0003-3820-2452
Nicole WarrenSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Nancy GlassSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Crista Johnson-AgbakwuSouthwest Interdisciplinary Research Center, Arizona State University, Phoenix, AZ, USA.
Nancy PerrinSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Johns Hopkins University · USArizona State University · US

Funding

U.S. Department of Health and Human Services ASTWH160045-02-00
6 · The paper itself

Abstract

backgroundApproximately 545,000 women and girls in the USA have undergone Female Genital Mutilation/ Cutting (FGM/C) or have mothers from a country where FGM/C is practiced. Women and girls living with FGM/C in the USA may experience stigma and bias due to their FGM/C, immigration, racial, and language status. Health care provider attitudes toward FGM/C and confidence for related clinical care may affect the quality of care, yet there are no validated instruments to measure these constructs.

methodsWe developed the instruments via review of the FGM/C literature, the development of scale items, expert review, and pre-testing. We validated the instruments using a convenience sample of providers in Arizona and Maryland. We used exploratory factor analysis (EFA) to confirm factor structures, and compared scores between known groups to assess validity.

resultsThe EFA revealed a two-factor solution for attitudes, including subscales for Negative Attitudes and Empathetic Attitudes toward FGM/C and those who practice with Cronbach's alphas of 0.814 and 0.628 respectively. The EFA for confidence revealed a two-factor solution including Confidence in Clinical FGM/C Care and Confidence in Critical Communication Skills for FGM/C Care with Cronbach's alphas of 0.857 and 0.694 respectively.

conclusionsHealth care provider attitudes and confidence toward FGM/C care may affect quality of care and health outcomes for women and girls. Our study describes the rigorous psychometric analysis to create reliable and valid instruments to assess health care provider attitudes and confidence for the care of women and girls who have experienced FGM/C.

trial registrationClinicalTrials.gov , NCT03249649 . Registered on 15 August 2017. Retrospectively registered.

Indexed as

Circumcision, FemaleArizonaAttitude of Health PersonnelFemaleHealth PersonnelHumansMarylandReproducibility of ResultsAttitudesConfidenceFemale circumcisionFemale genital mutilation/ cuttingHealth care providerValidation

Identifiers

PMID34273951
PMCPMC8285805
OpenAlexW3116374256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.