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Title Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya.
Full text https://escholarship.org/uc/item/8jn2b144
Date 2020
Author(s) Sudhinaraset, May; Landrian, Amanda; Afulani, Patience A; Phillips, Beth; Diamond-Smith, Nadia; Cotter, Sun
Abstract BackgroundThere 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.MethodsItems 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.ResultsWe 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.ConclusionsThis 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.
Subject(s) Humans; Abortion; Induced; Reproducibility of Results; Communication; Professional-Patient Relations; Pregnancy; Child; Patient Satisfaction; Patient-Centered Care; Delivery of Health Care; Quality Assurance; Health Care; Kenya; Female; Surveys and Questionnaires; Private Facilities; Abortion; Patient experience; Patient-provider communication; Person-centered care; Quality of care; Health Services; Contraception/Reproduction; Behavioral and Social Science; Clinical Research; 8.1 Organisation and delivery of services; Reproductive health and childbirth; Nursing; Paediatrics and Reproductive Medicine; Public Health and Health Services; Obstetrics & Reproductive Medicine
Coverage 208
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source BMC women's health, vol 20, iss 1
Rights public
Identifier qt8jn2b144
Repository Berkeley - University of California
Added to C-A: 2022-07-20;10:41:38