ArticleReproductive health2025
Person-centered maternity care: adaptation and validation of a tool to measure person-centered maternity care in Sri Lanka.
Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Women's reported experience of respectful maternity care measures worldwide: a systematic review.BMC public health · 2026Pooled it
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPerson-centered maternity care (PCMC) is recognized as a crucial component in improving maternal health outcomes by addressing patients' experiences. Although Sri Lanka has made progress in reducing maternal mortality, validated tools to assess PCMC are lacking, limiting the understanding of care quality from the patient's perspective. This study aimed to adapt and validate a PCMC scale specifically for Sri Lanka's context.
methodsThe PCMC scale, originally validated in Kenya, Ghana, and India, was adapted through expert reviews and cognitive interviews, followed by psychometric testing. The tool was translated into Sinhala and Tamil. Sixteen experts evaluated the tool for content validity, and 20 postpartum women provided feedback on its contextual relevance. Psychometric analysis included exploratory factor analysis and Cronbach's alpha to establish construct validity and reliability of the scale.
resultsA total of 400 postpartum women, with a mean age of 27.3 years (SD = 5.51), participated in the study. Multivariate normality checks revealed that all items except Q2, Q14, and Q22 fell within acceptable skewness and kurtosis ranges. The KMO measure of sampling adequacy ranged from 0.512 to 0.891 (overall KMO = 0.811), indicating suitability for factor analysis. Items Q11, Q17, and Q18 had borderline adequacy but were retained. Using principal axis factoring with Oblimin rotation, two factors were extracted based on the Kaiser criterion. Factor 1, named respectful and supportive care, included 14 items (Cronbach's α = 0.788). Factor 2, communication, autonomy, and privacy, included ten items (Cronbach's α = 0.708). The refined 24-item scale demonstrated good internal consistency and reliability (Cronbach's α = 0.813). The factor structure reflects the tool's construct validity, aligning with the goal of capturing the dimensions of respectful maternity care while addressing contextual and cultural factors.
conclusionsThe Sri Lanka-specific PCMC scale provides a culturally tailored measure to assess the experience of care, addressing a crucial gap in maternal health evaluations. This tool enables healthcare providers and policymakers to identify areas for quality improvement in maternity services, aligning with the WHO recommendations for respectful, person-centered care. Future research should explore the utility of this tool in diverse settings in Sri Lanka.
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