TY - JOUR
T1 - WHO Standards-based questionnaire to measure health workers' perspective on the quality of care around the time of childbirth in the WHO European region
T2 - development and mixed-methods validation in six countries
AU - Valente, Emanuelle Pessa
AU - Covi, Benedetta
AU - Mariani, Ilaria
AU - Morano, Sandra
AU - Otalea, Marina
AU - Nanu, Ioana
AU - Nanu, Micaela Iuliana
AU - Elden, Helen
AU - Linden, Karolina
AU - Zaigham, Mehreen
AU - Vik, Eline Skirnisdottir
AU - Kongslien, Sigrun
AU - Nedberg, Ingvild
AU - Costa, Raquel
AU - Rodrigues, Carina
AU - Dias, Heloísa
AU - Drandić, Daniela
AU - Kurbanović, Magdalena
AU - Sacks, Emma
AU - Muzigaba, Moise
AU - Lincetto, Ornella
AU - Lazzerini, Marzia
AU - IMAgiNE EURO study group
A2 - Pumpure, Elizabete
A2 - Rezeberga, Dace
A2 - Vaska, Agnija
A2 - Jakovicka, Dārta
A2 - Rudzīte, Paula
A2 - Ērmane, Elīna
A2 - Vilcāne, Katrīna Paula
N1 - © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/4/8
Y1 - 2022/4/8
N2 - OBJECTIVES: Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective.DESIGN: Mixed-methods study.SETTING: Six countries of the WHO European Region.PARTICIPANTS AND METHODS: The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.RESULTS: The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.CONCLUSIONS: Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.TRAIL REGISTRATION NUMBER: NCT04847336.
AB - OBJECTIVES: Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective.DESIGN: Mixed-methods study.SETTING: Six countries of the WHO European Region.PARTICIPANTS AND METHODS: The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.RESULTS: The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.CONCLUSIONS: Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.TRAIL REGISTRATION NUMBER: NCT04847336.
KW - COVID-19
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Pregnancy
KW - Psychometrics
KW - Quality of Health Care
KW - Reproducibility of Results
KW - Surveys and Questionnaires
KW - World Health Organization
UR - https://www-webofscience-com.db.rsu.lv/wos/alldb/full-record/WOS:000781254200042
U2 - 10.1136/bmjopen-2021-056753
DO - 10.1136/bmjopen-2021-056753
M3 - Article
C2 - 35396296
SN - 2044-6055
VL - 12
SP - e056753
JO - BMJ Open
JF - BMJ Open
IS - 4
ER -
