Scholarlink

Introduction <p>Person-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.</p> Methods <p>The 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.</p> Results <p>A 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.</p> Conclusions <p>The 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.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Person-centered maternity care: adaptation and validation of a tool to measure person-centered maternity care in Sri Lanka

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月24日

查看全文
  • Mohamed Rishard,
  • MSD Wijesinghe,
  • D. Samaranayake,
  • H. Senanayake,
  • M. Lazzerini

摘要

Introduction

Person-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.

Methods

The 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.

Results

A 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.

Conclusions

The 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.