scholarly journals Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
May Sudhinaraset ◽  
Amanda Landrian ◽  
Patience A. Afulani ◽  
Beth Phillips ◽  
Nadia Diamond-Smith ◽  
...  
Keyword(s):  
Criterion Validity ◽  
Validity And Reliability ◽  
Safe Abortion ◽  
Medication Abortion ◽  
Expert Review ◽  
Abortion Care ◽  
Health Clinics ◽  
Exploratory Factor Analyses ◽  
Centered Care ◽  
Surgical Abortion

Abstract Background There is a need for a standardized way to measure person-centered care for abortion. This study developed and validated a measure of person-centered abortion care. Methods Items for person-centered abortion care were developed from literature reviews, expert review, and cognitive interviews, and administered with 371 women who received a safe abortion service from private health clinics in Nairobi, Kenya. Exploratory factor analyses were performed and stratified by surgical abortion procedures and medication abortion. Bivariate linear regressions assessed for criterion validity. Results We developed a 24-item unifying scale for person-centered abortion care including two sub-scales. The two sub-scales identified were: 1) Respectful and Supportive Care (14 items for medication abortion, 15 items for surgical abortion); and 2) Communication and Autonomy (9 items for both medication and surgical abortion). The person-centered abortion care scale had high content, construct, criterion validity, and reliability. Conclusions This validated scale will facilitate measurement and further research to better understand women’s experiences during abortion care and to improve the quality of women’s overall reproductive health experiences to improve health outcomes.

Understanding the Abortion Experiences of Young People to Inform Quality Care in Argentina, Bangladesh, Ethiopia, and Nigeria

2021 ◽  
pp. 0044118X2110110
Author(s):  
Laura E. Jacobson ◽  
Ana Maria Ramirez ◽  
Chiara Bercu ◽  
Anna Katz ◽  
Caitlin Gerdts ◽  
...  
Keyword(s):  
Young People ◽  
Quality Care ◽  
First Trimester ◽  
Structural Barriers ◽  
Structured Interviews ◽  
Safe Abortion ◽  
Medication Abortion ◽  
Abortion Care ◽  
The Mean ◽  
Reproductive Healthcare

Young people face social and structural barriers when accessing abortions. High-quality, sexual and reproductive healthcare is needed; however, literature on youth-informed abortion services is limited. This study assesses accounts of youth who obtained an abortion in Argentina, Bangladesh, Ethiopia, and Nigeria and provides recommendations to improve person-centered aspects of abortion quality. We analyzed 48 semi-structured interviews with clients recruited from clinics, safe abortion hotlines, and patent and proprietary medicine vendors. We coded transcripts and conducted a thematic analysis. The mean age was 21 years (range 16–24), and the majority had a first trimester, medication abortion. Prominent themes included access to information; privacy; stigma associated with age or marital status; the decision-making process; and comfort and rapport with providers. Youth-centered abortion care should anticipate the distinct needs of younger clients. Supportive providers have an important role in offering a non-judgmental service that makes young clients feel comfortable and prepared.

scholarly journals Drug sellers’ knowledge and practices, and client perspectives after an intervention to improve the quality of safe abortion care outside of formal clinics in Nigeria

2021 ◽  
pp. bmjsrh-2020-200955
Author(s):  
Yinka Abiola Adojutelegan ◽  
Amy J Coughlin ◽  
Kristen Shellenberg ◽  
Ayodeji Babatunde Oginni ◽  
Bridget Okeke ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Quality Of Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safe Abortion ◽  
Medication Abortion ◽  
Abortion Care ◽  
Women's Experience ◽  
Drug Sellers

BackgroundIn Nigeria, where abortion is legally restricted, individuals seek medication abortion drugs, including misoprostol, directly from pharmacies or drug sellers. However, knowledge of drug sellers or patent medicine vendors (PMVs) dispensation practices and women’s experience with self-management is limited and research suggests poor quality of services. This study assesses the knowledge and practices of PMVs and women’s experiences after a harm reduction intervention to improve the provision of medication abortion using misoprostol.MethodsWe conducted a retrospective descriptive analysis of anonymised logbook data collected from 141 Nigerian PMVs who provided misoprostol for abortion to 4924 clients between February 2015 and July 2018. We conducted a descriptive analysis of self-reported misoprostol dispensation practices with data from a cross-sectional survey of PMVs (n=120) from June 2016 to December 2018. We collected data on women’s experience obtaining misoprostol from 37 PMVs through a cross-sectional survey of women (n=260) from 4–19 June 2018.ResultsFor clients where the misoprostol dose dispensed was recorded (n=3784), 86% of clients were given 800 μg or more misoprostol, pain medication (97%) and a contraceptive method (92%). Most clients with an outcome recorded in the logbook (n=4431) had a complete abortion (86%). Almost all women reported that they would return to the PMV for future services (99%).ConclusionsThe majority of PMVs dispensed misoprostol in appropriate dosages and provided clients with information on drug administration and methods of contraception. Interventions designed to improve PMVs’ best practices around the provision of abortion care may help ensure the quality of services received by clients.

scholarly journals Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran

2011 ◽  
Vol 15 (1) ◽  
pp. 149-157 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Nasrin Omidvar ◽  
Anahita Houshiar-Rad ◽  
Mohammad-Reza Khoshfetrat ◽  
Morteza Abdollahi ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Food Insecurity ◽  
Internal Consistency ◽  
Criterion Validity ◽  
Household Food Insecurity ◽  
Validity And Reliability ◽  
Urban Households ◽  
Household Food ◽  
Food Insecure Households ◽  
Food Insecurity Access

AbstractObjectiveTo assess the validity of a locally adapted Household Food Insecurity Access Scale (HFIAS) in the measurement of household food insecurity (FI) in the city of Tehran.DesignA cross-sectional study.SettingUrban households were selected through a systematic cluster sampling method from six different districts of Tehran. The socio-economic status of households was evaluated using a questionnaire by means of interviews. An adapted HFIAS was used to measure FI. Content validity was assessed by an expert panel, and the questionnaire was then tested among ten households for clarity. Criterion validity was assessed by comparing the measure with a number of determinants and consequences of FI. Internal consistency was evaluated by Cronbach'sαand exploratory factor analysis. For repeatability, the questionnaire was administered twice to twenty-five households at an interval of 20 d and Pearson's correlation coefficient was calculated.SubjectsA total of 416 households.ResultsIn all, 11·8 %, 14·4 % and 17·5 % of the households were severely, moderately and mildly food insecure, respectively. Cronbach'sαwas 0·855. A significant correlation was observed between the two administrations of the questionnaire (r= 0·895,P< 0·001). Factor analysis of HFIAS items revealed two factors: the first five items as factor 1 (mild-to-moderate FI) and the last four as factor 2 (severe FI). Heads of food-secure households had higher education and higher job position compared with heads of food-insecure households (P< 0·001). Income and expenditure were lower in food-insecure households compared with food-secure households.ConclusionsAdapted HFIAS showed acceptable levels of internal consistency, criterion validity and reliability in assessing household FI among Tehranians.

The experiences of nurses and midwives who provide surgical abortion care: A qualitative systematic review

2021 ◽  
Author(s):  
Jia‐lu Qian ◽  
Pang‐e Pan ◽  
Meng‐wei Wu ◽  
Qiong Zheng ◽  
Shi‐wen Sun ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abortion Care ◽  
Qualitative Systematic Review ◽  
Surgical Abortion ◽  
Nurses And Midwives

Validity and reliability of the Self-administered-Psycho-TherApy-SystemS (SELFPASS) depression and anxiety self-assessment item pool: a cross-sectional online survey (Preprint)

2021 ◽  
Author(s):  
Gwendolyn Mayer ◽  
Svenja Hummel ◽  
Nadine Gronewold ◽  
Oetjen Neele ◽  
Thomas Hilbel ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Healthy Subjects ◽  
Criterion Validity ◽  
Depression And Anxiety ◽  
Item Pool ◽  
Validity And Reliability ◽  
Self Assessment ◽  
Underlying Factor

BACKGROUND E-mental-health applications targeting at depression and anxiety have gained increased attention in mental health care. Daily self-assessment is an essential part of e-mental-health apps. The app SELFPASS (Self-administered-Psycho-TherApy-SystemS) is a self-management app to manage depressive and anxious symptoms. A self-developed item pool with 40 depression items and 12 anxiety items is included to provide symptom specific suggestions for interventions. However, the psychometric properties of the item pool have not yet been tested. OBJECTIVE The aim of this study is to investigate the validity and reliability of the SELFPASS item pool that has been developed for an internet-based daily self-assessment of depressive and anxious symptoms. METHODS An online link with the SELFPASS item pool and validated mood assessment scales were distributed to healthy subjects and patients who had received a diagnosis of a depressive disorder within the last year. Two scores were derived from the SELFPASS item pool: SELFPASS depression (SP-D) and SELFPASS anxiety (SP-A). The reliability was examined using Cronbach’s α. The construct validity was assessed via Pearson correlations with the Patients Health Questionnaire-9 (PHQ-9), the General Anxiety Disorder Scale-7 (GAD-7) and the WHO-5-Wellbeing-Scale (WHO-5). A logistic regression was performed as an indicator for concurrent criterion validity of SP-D and SP-A. A factor analysis provides information about the underlying factor structure of the item pool. Item-scale-correlations were calculated in order to determine item quality. RESULTS A total of n=284 participants were included, with n=192 (67.6%) healthy subjects and n=92 (32.4%) patients. Cronbach’s α was α=0.94 for SP-D and α=0.88 for SP-A. We found significant positive correlations of SP-D and PHQ-9 (r=0.87, P<.001), SP-A and GAD-7 (r=0.80, P<.001), and negative correlations of SP-D and WHO-5 (r=-0.80, P<.001) and SP A and WHO-5 (r=-.69, P<.001). Increasing scores of SP-D and SP-A led to increased odds of belonging to the patient group (SP-D: OR=1.03 (1.01 – 1.05), P<.001; SP-A: 1.05 (1.05 – 1.01), P=.01). The item pool showed two factors with one that consisted of mood-related items and another factor with somatic-related items. CONCLUSIONS The SELFPASS item pool showed good psychometric properties in terms of reliability, construct and criterion validity. However, the underlying factor structure could not be reduced to the two diagnostic categories depression and anxiety, but to a more mood related and a rather somatic factor. Few items should be replaced for future use.

scholarly journals The Zarit Burden Interview in Portugal: Validity and Recommendations in Dementia and Palliative Care

2014 ◽  
Vol 27 (2) ◽  
pp. 163 ◽  
Author(s):  
Manuel Gonçalves-Pereira ◽  
Steven H. Zarit
Keyword(s):  
Palliative Care ◽  
Social Impact ◽  
Epidemiological Studies ◽  
Public Health Issue ◽  
Small Scale ◽  
Validity And Reliability ◽  
Services Research ◽  
Zarit Burden Interview ◽  
Exploratory Factor Analyses ◽  
The Impact

<p>The impact of dementia on informal or family caregivers became a public health issue. One well-established tool for the assessment of emotional, physical and social impact on caregivers is the Zarit Burden Interview. Worldwide, it is widely used in epidemiological studies, drug or psychosocial clinical trials, and health services research. The original focus on burden among dementia caregivers has spread to other clinical contexts, mostly in old age and palliative care. Given these diverse applications, issues around the validity and reliability of national translations are crucial to assure that all evidence gathered is indeed of high quality. Moreover, caution is needed on the use of cut-offs for categorizing levels of caregiver strain or of subscales derived from recurrent exploratory factor analyses in small-scale local studies. As with other translations of measures in the health field, researchers and clinicians in Portugal must be aware of how to address bias in using the Zarit Burden Interview and interpreting findings.</p>

scholarly journals A Health-Related Satisfaction with Life Scale Measure for Use with Cross-National Older Adults: A Validation Study

2017 ◽  
Vol 9 (3) ◽  
pp. 21 ◽  
Author(s):  
Sofia von Humboldt ◽  
Isabel Leal
Keyword(s):  
Older Adults ◽  
Psychometric Properties ◽  
Validation Study ◽  
Satisfaction With Life ◽  
Item Analysis ◽  
Criterion Validity ◽  
Satisfaction With Life Scale ◽  
Validity And Reliability ◽  
Life Scale ◽  
Health Related

Objectives: Literature suggests some inconsistent results in the validity and reliability of the Satisfaction with Life Scale (SwLS) in older samples. The objective was to evaluate the psychometric properties of the SwLS in a cross-cultural sample of older adults.Methods: This is a validation study to assess the psychometric properties of the SWLS in a sample of 1291 older adults 75 years of age or older, cross-culturally diverse and living in the community. A confirmatory factor analysis was performed. Item analysis and reliability, were also assessed.Results: The systematic procedure used in the SwLS validation points to a good level of psychometric properties, such as reliability, construct, criterion validity, external validity and divergent criterion validity, suggesting that the SwL is assessing a construct different from the ones evaluated by PANAS and OtLQ.Conclusion: The SwLS has demonstrated reliability, validity, and reproducibility for use in measuring health-related satisfaction with life among older adults in policy programs and interventions in community settings.

scholarly journals Psychometric Properties of the Romanian Version of Champion’s Health Belief Model Scale for Breast Self-examination

2021 ◽  
Author(s):  
Adelina Mihaela Stefanut ◽  
Mona Vintilă ◽  
Paul Sârbescu
Keyword(s):  
Factor Analysis ◽  
Health Belief Model ◽  
Convergent Validity ◽  
Health Belief ◽  
Criterion Validity ◽  
Validity And Reliability ◽  
Breast Self Examination ◽  
Model Scale ◽  
Belief Model ◽  
Self Examination

Abstract Background: This study set out to translate Champion’s Health Belief Model Scale and to test its properties on a Romanian sample. Methods: The study included 502 participants. The structural validity, convergent validity, criterion validity and reliability were evaluated for the Romanian version. Results: The exploratory factor analysis highlighted six factors. The confirmatory factor analysis upheld the correctness of the six-subscale model as presenting a good fit for the 34-item version. Convergent validity was supported by the fact that the constructs included in the model correlated significantly with similar constructs evaluated using other questionnaires. In terms of criterion validity, those women who perceived fewer barriers and more cues to action and had greater self-efficacy practiced more frequent breast self-examination. α Cronbach coefficients ranged between 0.74 and 0.87 and test-retest correlation coefficients for the six subscales fell between 0.47 and 0.69. Conclusions: The Romanian version of the Champion Health Belief Model Scale is valid and reliable tool.

scholarly journals Identifying National Availability of Abortion Care and Distance From Major US Cities: Systematic Online Search (Preprint)

2017 ◽  
Author(s):  
Alice F Cartwright ◽  
Mihiri Karunaratne ◽  
Jill Barr-Walker ◽  
Nicole E Johns ◽  
Ushma D Upadhyay
Keyword(s):  
United States ◽  
The United States ◽  
Online Information ◽  
Medical Procedure ◽  
Online Search ◽  
Facility Locations ◽  
Medication Abortion ◽  
Abortion Care ◽  
Online Searches ◽  
Us Cities

BACKGROUND Abortion is a common medical procedure, yet its availability has become more limited across the United States over the past decade. Women who do not know where to go for abortion care may use the internet to find abortion facility information, and there appears to be more online searches for abortion in states with more restrictive abortion laws. While previous studies have examined the distances women must travel to reach an abortion provider, to our knowledge no studies have used a systematic online search to document the geographic locations and services of abortion facilities. OBJECTIVE The objective of our study was to describe abortion facilities and services available in the United States from the perspective of a potential patient searching online and to identify US cities where people must travel the farthest to obtain abortion care. METHODS In early 2017, we conducted a systematic online search for abortion facilities in every state and the largest cities in each state. We recorded facility locations, types of abortion services available, and facility gestational limits. We then summarized the frequencies by region and state. If the online information was incomplete or unclear, we called the facility using a mystery shopper method, which simulates the perspective of patients calling for services. We also calculated distance to the closest abortion facility from all US cities with populations of 50,000 or more. RESULTS We identified 780 facilities through our online search, with the fewest in the Midwest and South. Over 30% (236/780, 30.3%) of all facilities advertised the provision of medication abortion services only; this proportion was close to 40% in the Northeast (89/233, 38.2%) and West (104/262, 39.7%). The lowest gestational limit at which services were provided was 12 weeks in Wyoming; the highest was 28 weeks in New Mexico. People in 27 US cities must travel over 100 miles (160 km) to reach an abortion facility; the state with the largest number of such cities is Texas (n=10). CONCLUSIONS Online searches can provide detailed information about the location of abortion facilities and the types of services they provide. However, these facilities are not evenly distributed geographically, and many large US cities do not have an abortion facility. Long distances can push women to seek abortion in later gestations when care is even more limited.

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