Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
Abstract Background Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mife...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01763-5 |
| _version_ | 1818207913695510528 |
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| author | Rosa Cabedo-Ferreiro Maria-Mercedes Vicente-Hernández Josep-Maria Manresa-Domínguez Miriam Gómez-Masvidal Laura Montero-Pons Azahara Reyes-Lacalle Gemma Falguera-Puig |
| author_facet | Rosa Cabedo-Ferreiro Maria-Mercedes Vicente-Hernández Josep-Maria Manresa-Domínguez Miriam Gómez-Masvidal Laura Montero-Pons Azahara Reyes-Lacalle Gemma Falguera-Puig |
| author_sort | Rosa Cabedo-Ferreiro |
| collection | DOAJ |
| description | Abstract Background Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. Methods Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. Results The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862. Conclusion This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality. |
| first_indexed | 2024-12-12T04:36:29Z |
| format | Article |
| id | doaj.art-e02078cc74084298aa6e31a2e3417a33 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-12T04:36:29Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-e02078cc74084298aa6e31a2e3417a332022-12-22T00:37:57ZengBMCBMC Women's Health1472-68742022-05-0122111010.1186/s12905-022-01763-5Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestationRosa Cabedo-Ferreiro0Maria-Mercedes Vicente-Hernández1Josep-Maria Manresa-Domínguez2Miriam Gómez-Masvidal3Laura Montero-Pons4Azahara Reyes-Lacalle5Gemma Falguera-Puig6Atenció a la Salut Sexual i Reproductiva, Institut Català de la SalutAtenció a la Salut Sexual i Reproductiva, Institut Català de la SalutUnitat de Suport a la Recerca Metropolitana Nord, Institut Universitari de Investigació en Atenció Primaria (IDIAPJGol)Atenció a la Salut Sexual i Reproductiva, Institut Català de la SalutAtenció a la Salut Sexual i Reproductiva, Institut Català de la SalutAtenció a la Salut Sexual i Reproductiva, Institut Català de la SalutAtenció a la Salut Sexual i Reproductiva, Institut Català de la SalutAbstract Background Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. Methods Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. Results The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862. Conclusion This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality.https://doi.org/10.1186/s12905-022-01763-5Service qualityMedical abortionInduced abortionSatisfactionHealthcare qualityValidation studies |
| spellingShingle | Rosa Cabedo-Ferreiro Maria-Mercedes Vicente-Hernández Josep-Maria Manresa-Domínguez Miriam Gómez-Masvidal Laura Montero-Pons Azahara Reyes-Lacalle Gemma Falguera-Puig Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation BMC Women's Health Service quality Medical abortion Induced abortion Satisfaction Healthcare quality Validation studies |
| title | Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| title_full | Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| title_fullStr | Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| title_full_unstemmed | Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| title_short | Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| title_sort | validation of a spanish language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation |
| topic | Service quality Medical abortion Induced abortion Satisfaction Healthcare quality Validation studies |
| url | https://doi.org/10.1186/s12905-022-01763-5 |
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