Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care
Background. The ReproQuestionnaire (ReproQ) measures the client’s experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using th...
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PeerJ Inc.
2016-07-01
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| Series: | PeerJ |
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| Online Access: | https://peerj.com/articles/2092.pdf |
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| author | Marisja Scheerhagen Henk F. van Stel Dominique J.C. Tholhuijsen Erwin Birnie Arie Franx Gouke J. Bonsel |
| author_facet | Marisja Scheerhagen Henk F. van Stel Dominique J.C. Tholhuijsen Erwin Birnie Arie Franx Gouke J. Bonsel |
| author_sort | Marisja Scheerhagen |
| collection | DOAJ |
| description | Background. The ReproQuestionnaire (ReproQ) measures the client’s experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using the ReproQ in quality improvement, the questionnaire should be able to identify best and worst practices. To achieve this, ReproQ should be reliable and able to identify relevant differences. Methods and Findings. We sent questionnaires to 17,867 women six weeks after labor (response 32%). Additionally, we invited 915 women for the retest (response 29%). Next we determined the test–retest reliability, the Minimally Important Difference (MID) and six known group comparisons, using two scorings methods: the percentage women with at least one negative experience and the mean score. The reliability for the percentage negative experience and mean score was both ‘good’ (Absolute agreement = 79%; intraclass correlation coefficient = 0.78). The MID was 11% for the percentage negative and 0.15 for the mean score. Application of the MIDs revealed relevant differences in women’s experience with regard to professional continuity, setting continuity and having travel time. Conclusions. The measurement characteristics of the ReproQ support its use in quality improvement cycle. Test–retest reliability was good, and the observed minimal important difference allows for discrimination of good and poor performers, also at the level of specific features of performance. |
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| id | doaj.art-1e62904ac66b44c292ebf12e64db33b8 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:22:31Z |
| publishDate | 2016-07-01 |
| publisher | PeerJ Inc. |
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| spelling | doaj.art-1e62904ac66b44c292ebf12e64db33b82023-12-03T11:33:59ZengPeerJ Inc.PeerJ2167-83592016-07-014e209210.7717/peerj.2092Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity careMarisja Scheerhagen0Henk F. van Stel1Dominique J.C. Tholhuijsen2Erwin Birnie3Arie Franx4Gouke J. Bonsel5Department of Obstetrics and Gynecology, Erasmus Medical Centre, Rotterdam, The NetherlandsJulius Center for Health Sciences and Primary Care, Department of Health Technology Assessment, University Medical Center Utrecht, Utrecht, The NetherlandsInstitute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Academic Collaborative Maternity Care, University Medical Center Utrecht, Utrecht, The NetherlandsDepartment of Obstetrics and Gynecology, University Medical Center Utrecht, Utrecht, The NetherlandsDepartment of Obstetrics and Gynecology, Erasmus Medical Centre, Rotterdam, The NetherlandsBackground. The ReproQuestionnaire (ReproQ) measures the client’s experience with maternity care, following the WHO responsiveness model. In 2015, the ReproQ was appointed as national client experience questionnaire and will be added to the national list of indicators in maternity care. For using the ReproQ in quality improvement, the questionnaire should be able to identify best and worst practices. To achieve this, ReproQ should be reliable and able to identify relevant differences. Methods and Findings. We sent questionnaires to 17,867 women six weeks after labor (response 32%). Additionally, we invited 915 women for the retest (response 29%). Next we determined the test–retest reliability, the Minimally Important Difference (MID) and six known group comparisons, using two scorings methods: the percentage women with at least one negative experience and the mean score. The reliability for the percentage negative experience and mean score was both ‘good’ (Absolute agreement = 79%; intraclass correlation coefficient = 0.78). The MID was 11% for the percentage negative and 0.15 for the mean score. Application of the MIDs revealed relevant differences in women’s experience with regard to professional continuity, setting continuity and having travel time. Conclusions. The measurement characteristics of the ReproQ support its use in quality improvement cycle. Test–retest reliability was good, and the observed minimal important difference allows for discrimination of good and poor performers, also at the level of specific features of performance.https://peerj.com/articles/2092.pdfClient experiencesMaternity CareMinimally Important DifferenceTest–retest reliabilityQuality ImprovementResponsiveness |
| spellingShingle | Marisja Scheerhagen Henk F. van Stel Dominique J.C. Tholhuijsen Erwin Birnie Arie Franx Gouke J. Bonsel Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care PeerJ Client experiences Maternity Care Minimally Important Difference Test–retest reliability Quality Improvement Responsiveness |
| title | Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care |
| title_full | Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care |
| title_fullStr | Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care |
| title_full_unstemmed | Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care |
| title_short | Applicability of the ReproQ client experiences questionnaire for quality improvement in maternity care |
| title_sort | applicability of the reproq client experiences questionnaire for quality improvement in maternity care |
| topic | Client experiences Maternity Care Minimally Important Difference Test–retest reliability Quality Improvement Responsiveness |
| url | https://peerj.com/articles/2092.pdf |
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