Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Quality of Prenatal Care Questionnaire (QPCQ)
DOI:
https://doi.org/10.11606/S1518-8787.2019053000565Palavras-chave:
Prenatal Care, psychology, Psychometrics, Surveys and Questionnaires, utilization, Translations, Health Care Quality, Access, and EvaluationResumo
OBJECTIVE: To translate and to observe the psychometric measures of the Brazilian version of the Quality of Prenatal Care Questionnaire. METHODS: The translation protocol followed the standards of the International Society for Pharmacoeconomics and Outcomes Research. Descriptive statistics were performed to identify characteristics of 280 literate postpartum women in a public hospital. We examined the internal consistency using Cronbach’s alfa. To determine the test-retest reproducibility and the instrument’s stability, we performed the intraclass correlation coefficient and Bland and Altman plot between two applications. We investigated the item’s properties using the item response theory. RESULTS: The overall Cronbach’s alpha index was 0.975. The intraclass correlation coefficient was 0.995 (95%CI 0.993–0.996) and a uniform distribution was visualized at the Bland and Altman plot. The item response theory identified the discriminatory power and the difficulty level of the instrument and of each item. The instrument showed acute angulation of the expected total score, and good concentrate information and good standard error curves, preserving the latent construct and its original items. CONCLUSIONS: This analysis concluded that the Brazilian version of the Quality of Prenatal Care Questionnaire is a high-quality, reliable and valid questionnaire to determine the quality of prenatal care among Brazilian women. The questionnaire is suitable for the cultural context represented.
Referências
Tunçalp Ö, Were WM, MacLennan C, Oladapo OT, Gulmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns: the WHO vision. BJOG . 2015;122(8):1045-9. https://doi.org/10.1111/1471-0528.13451
World Health Organization. Strategies toward ending preventable maternal mortality (EPMM). Geneva: WHO Press; 2015 [cited 2016 Jun 29]. Available from: http://who.int/reproductivehealth/ topics/maternal_perinatal/epmm/en/
Biza A, Jille-Traas I, Colomar M, Belizan M, Harris JR, Crahay B, et al. Challenges and opportunities for implementing evidence-based antenatal care in Mozambique: a qualitative study. BMC Pregnancy Childbirth. 2015;15:200. https://doi.org/10.1186/s12884-015-0625-x
Edie GEHE, Obinchemti TE, Tamufor EN, Njie MM, Njamen TN, Achidi EA. Perceptions of antenatal care services by pregnant women attending government health centres in the Buea Health District, Cameroon: a cross sectional study. Pan Afr Med J. 2015;21:45. https://doi.org/10.11604/pamj.2015.21.45.4858
Fagbamigbe AF, Idemudia ES. Assessment of quality of antenatal care services in Nigeria: evidence from a population-based survey. Reprod Health. 2015;12:88. https://doi.org/10.1186/s12978-015-0081-0
Kyei NN, Chansa C, Gabrysch S. Quality of ante-natal care in Zambia: a national assesment. BMC Pregnancy Childbirth. 2012;12:151. https://doi.org/10.1186/1471-2393-12-151
Viellas EF, Domingues RMSM, Dias MAB, Gama SGN, Theme Filha MM, Costa JV, et al. Prenatal care in Brazil.
Cad Saude Publica . 2014;30 Suppl 1:S85-100. https://doi.org/10.1590/0102-311X00126013
Santos Neto ET, Oliveira AE, Zandonade E, Leal MC. Access to prenatal care: assessment of the adequacy of different índices. Cad Saude Publica. 2013;29(8):1664-74. https://doi.org/10.1590/0102-311X00125612
Shi L, Lebrun LA, Zhu J, Hayashi AS, Sherma R, Daly CA, et al. Clinical quality performance in U.S. health centers.
Health Serv Res . 2012;47(6):2225-49. https://doi.org/10.1111/j.1475-6773.2012.01418.x
Tetui M, Ekirapa EK, Bua J, Mutebi A, Tweheyo R, Waiswa P. Quality of antenatal care services in eastern Uganda: implications for interventions. Pan Afr Med J. 2012;13:27. https://doi.org/10.11604/pamj.2012.13.27.1427
Andreucci CB, Cecatti JG, Macchetti CE, Souza MH. SISPRENATAL as a tool for evaluating quality of prenatal care.
Rev Saude Publica . 2011;45(5):854-64. https://doi.org/10.1590/S0034-89102011005000064
Leal MC, Gama SGN, Ratto KMN, Cunha CB. Use of the modified Kotelchuck index in the evaluation of prenatal care and its relationship to maternal characteristics and birth weight in Rio de Janeiro, Brazil. Cad Saude Publica
. 2004;20 Suppl 1:S63-72. https://doi.org/10.1590/S0102-311X2004000700007
Pilau GM, Volpato LK, Nunes RD. [Evaluation of factors associated with quality of prenatal assistance of patients admitted to the Maternity of the Hospital Regional de São José - SC]. Arq Catarin Med. 2014;43(4)09-16. Portuguese.
Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas, Área Técnica de Saúde da Mulher. Pré-natal e puerpério: atenção qualificada e humanizada: manual técnico. Brasília (DF); 2005 [cited 2016 Jun 29]. (Série A. Normas e Manuais Técnicos) (Série Direitos Sexuais e Direitos Reprodutivos; Caderno nº 5). Available from: http://bvsms.saude.gov.br/bvs/publicacoes/manual_pre_natal_
puerperio_3ed.pdf
Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. Am J Public Health. 1994;84(9):1414-20. https://doi.org/10.2105/AJPH.84.9.1414
Alexander GR, Kotelchuck M. Assessing the role and effectiveness of prenatal care: history, challenges and directions for future research. Public Health Rep. 2001;116(4):306-16. https://doi.org/10.1016/S0033-3549(04)50052-3
Till SR, Everetts D, Haas DM. Incentives for increasing prenatal care use by women in order to improve maternal and neonatal outcomes. Cochrane Database Sys Rev. 2015;(12):CD009916. https://doi.org/10.1002/14651858.CD009916.pub2
Catling CJ, Medley N, Foureur M, Ryan C, Leap N, Teate A, et al. Group versus conventional antenatal care for women. Cochrane Database Sis Rev. 2015;(2):CD007622. https://doi.org/10.1002/14651858.CD007622.pub3
Sword W, Heaman MI, Brooks S, Tough S, Janssen PA, Young D, et al. Women’s and care providers’ perspectives of quality prenatal care: a qualitative descriptive study. BMC Pregnancy Childbirth. 2012;12:29. https://doi.org/10.1186/1471-2393-12-29
Heaman MI, Sword W, Akhtar-Danesh N, Bradford A, Tough S, Janssen PA, et al. Quality of prenatal care questionnaire: instrument development and testing. BMC Pregnancy Childbirth. 2014;14:188. https://doi.org/10.1186/1471-2393-14-188
Sword W, Heaman M, Biro MA, Homer C, Yelland J, Akhtar-Danesh N, Bradford-Janke A. Quality of prenatal care questionnaire: psychometric testing in an Australia population. BMC Pregnancy Childbirth. 2015;15:214. https://doi.org/10.1186/s12884-015-0644-7
Sword W, Heaman M, Peterson WE, Salvador A, Akhtar-Danesh N, Bradford-Janke A. Psychometric t of the French Language Quality of Prenatal Care Questionnaire. J Nurs Meas. 2015;23(3):436-51. https://doi.org/10.1891/1061-3749.23.3.436
Sword W, Heaman M; QPCQ Research Team. Quality of Prenatal Care Questionnaire. Hamilton (CA): McMaster University; 2013 [cited 2017 July 20]. Available from: https://milo.mcmaster.ca/questionnaires/request-for-a-quality-of-prenatal-care-questionnaire-qpc
Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Análise multivariada de dados. 6.ed. Porto Alegre: Bookman; 2009. cap.3; p.100-46.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P. Principles of Good Practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health . 2005 [cited 2016 Jun 29];8(2):94-104. Available from: https://www.ispor.org/workpaper/research_practices/PROTranslation_Adaptation.pd
