Evidence map›Paper›PMID 34853033›Full record

ArticleBMJ global health2021

Self-reported provision of person-centred maternity care among providers in Kenya and Ghana: scale validation and examination of associated factors.

Patience A Afulani, Raymond A Aborigo, Jerry John Nutor, Jaffer Okiring, Irene Kuwolamo, Beryl A Ogolla, Edwina N Oboke, John Baptist K Dorzie, Osamuedeme J Odiase, Jody Steinauer and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ global 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 NCT06085105 (Caring for Providers to Improve Patient Experience), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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.

NCT06085105 nacompletednot on this mapstarted 2024, after this paper: background citation

Caring for Providers to Improve Patient Experience (CPIPE) Study: A Cluster Randomized-controlled Trial to Assess the Impact of the CPIPE Intervention on Person-centered Maternity Care

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2026Enrolled6,379ConditionsStress, Psychological, Maternal Health, Healthcare Provider, Adverse OutcomesArmsCPIPE Training, Peer support groups, Mentorship, Leadership engagement, Embedded champions
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Mixed methods evaluation of the Caring for Providers to Improve Patient Experience intervention.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2024
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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

11 authors.

Patience A AfulaniDepartment of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, California, USA Patience.Afulani@ucsf.edu.ORCID 0000-0002-6739-234X
Raymond A AborigoNavrongo Health Research Centre, Navrongo, Ghana.
Jerry John NutorDepartment of Family Health Care Nursing, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-7562-6281
Jaffer OkiringInfectious Diseases Research Collaboration, Kampala, Uganda.
Irene KuwolamoNavrongo Health Research Centre, Navrongo, Ghana.
Beryl A OgollaGlobal Programs for Research and Programs, Nairobi, Kenya.
Edwina N ObokeGlobal Programs for Research and Programs, Nairobi, Kenya.
John Baptist K DorzieNavrongo Health Research Centre, Navrongo, Ghana.
Osamuedeme J OdiaseInstitute for Global Health Sciences, University of California San Francisco, San Francisco, California, USA.
Jody SteinauerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.
Dilys WalkerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.

Funding

Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health CareR00HD093798 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AFULANI, PATIENCE A · 2020 to 2022
$737k
Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health CareK99HD093798 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AFULANI, PATIENCE A · 2018 to 2019
$263k
NICHD NIH HHS K99 HD093798NICHD NIH HHS R00 HD093798
6 · The paper itself

Abstract

introductionPerson-centred maternity care (PCMC), which refers to care that is respectful and responsive to women's preferences needs, and values, is core to high-quality maternal and child health. Provider-reported PCMC provision is a potentially valid means of assessing the extent of PCMC and contributing factors. Our objectives are to assess the psychometric properties of a provider-reported PCMC scale, and to examine levels and factors associated with PCMC provision.

methodsWe used data from two cross-sectional surveys with 236 maternity care providers from Ghana (n=150) and Kenya (n=86). Analysis included factor analysis to assess construct validity and Cronbach's alpha to assess internal consistency of the scale; descriptive analysis to assess extent of PCMC and bivariate and multivariable linear regression to examine factors associated with PCMC.

findingsThe 9-item provider-reported PCMC scale has high construct validity and reliability representing a unidimensional scale with a Cronbach's alpha of 0.72. The average standardised PCMC score for the combined sample was 66.8 (SD: 14.7). PCMC decreased with increasing report of stress and burnout. Compared with providers with no burnout, providers with burnout had lower average PCMC scores (β: -7.30, 95% CI:-11.19 to -3.40 for low burnout and β: -10.86, 95% CI: -17.21 to -4.51 for high burnout). Burnout accounted for over half of the effect of perceived stress on PCMC.

conclusionThe provider PCMC scale is a valid and reliable measure of provider self-reported PCMC and highlights inadequate provision of PCMC in Kenya and Ghana. Provider burnout is a key driver of poor PCMC that needs to be addressed to improve PCMC.

Indexed as

Maternal Health ServicesChildCross-Sectional StudiesFemaleGhanaHumansKenyaPatient-Centered CarePregnancyReproducibility of ResultsSelf Reporthealth services researchmaternal health

Identifiers

PMID34853033
PMCPMC8638154

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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.