Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya
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Authors
Sudhinaraset, May
Landrian, Amanda
Afulani, Patience A.
Phillips, Beth
Diamond-Smith, Nadia
Cotter, Sun
Issue Date
2020-09-19
Type
Article
Language
en_US
Keywords
Abortion , Quality of Care , Person-Centered Care , Kenya , Patient Experience , Patient-Provider Communication
Alternative Title
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.
Description
Citation
Sudhinaraset, M., Landrian, A., Afulani, P.A. et al. Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya. BMC Women's Health 20, 208 (2020). https://doi.org/10.1186/s12905-020-01071-w
Publisher
BMC Women's Health