Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India.
We adapted the Quality of Contraceptive Counseling (QCC) scale, originally constructed in Mexico, for Ethiopia and India to expand its utility for measurement of client experiences with counseling. Scale items were modified based on prior research on women's preferences for counseling in each c...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0283925 |
| _version_ | 1797843077426053120 |
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| author | Kelsey Holt Ewenat Gebrehanna Shashi Sarnaik Lakhwani Kanchan Reiley Reed Aman Yesuf Bella Vasant Uttekar |
| author_facet | Kelsey Holt Ewenat Gebrehanna Shashi Sarnaik Lakhwani Kanchan Reiley Reed Aman Yesuf Bella Vasant Uttekar |
| author_sort | Kelsey Holt |
| collection | DOAJ |
| description | We adapted the Quality of Contraceptive Counseling (QCC) scale, originally constructed in Mexico, for Ethiopia and India to expand its utility for measurement of client experiences with counseling. Scale items were modified based on prior research on women's preferences for counseling in each country, and refined through cognitive interviews (n = 20 per country). We tested the items through client exit surveys in Addis Ababa, Ethiopia (n = 599), and Vadodara, India (n = 313). Psychometric analyses revealed the adapted scales were valid and reliable for use, and the final scales retained content validity according to the original published QCC construct definition. Specifically, confirmatory factor analysis revealed high factor loadings for almost all items on the original dimensions: Information Exchange, Interpersonal Relationship, Disrespect and Abuse. Internal consistency reliability was high in both settings (Alpha = 0.92 for QCC-Ethiopia and 0.74 for QCC-India). Final item pools contained 26 items in the QCC-Ethiopia Scale and 23 in the QCC-India Scale. Correlation analyses established convergent validity. QCC Scales and subscales fill a gap in measurement tools for ensuring high quality of care and fulfillment of human rights in contraceptive services, and consistent findings across continents suggest versatility in use across different contexts. |
| first_indexed | 2024-04-09T16:58:38Z |
| format | Article |
| id | doaj.art-e39ae521ab8a4c4fb9ff2fc2bf89286a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-09T16:58:38Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e39ae521ab8a4c4fb9ff2fc2bf89286a2023-04-21T05:34:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183e028392510.1371/journal.pone.0283925Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India.Kelsey HoltEwenat GebrehannaShashi SarnaikLakhwani KanchanReiley ReedAman YesufBella Vasant UttekarWe adapted the Quality of Contraceptive Counseling (QCC) scale, originally constructed in Mexico, for Ethiopia and India to expand its utility for measurement of client experiences with counseling. Scale items were modified based on prior research on women's preferences for counseling in each country, and refined through cognitive interviews (n = 20 per country). We tested the items through client exit surveys in Addis Ababa, Ethiopia (n = 599), and Vadodara, India (n = 313). Psychometric analyses revealed the adapted scales were valid and reliable for use, and the final scales retained content validity according to the original published QCC construct definition. Specifically, confirmatory factor analysis revealed high factor loadings for almost all items on the original dimensions: Information Exchange, Interpersonal Relationship, Disrespect and Abuse. Internal consistency reliability was high in both settings (Alpha = 0.92 for QCC-Ethiopia and 0.74 for QCC-India). Final item pools contained 26 items in the QCC-Ethiopia Scale and 23 in the QCC-India Scale. Correlation analyses established convergent validity. QCC Scales and subscales fill a gap in measurement tools for ensuring high quality of care and fulfillment of human rights in contraceptive services, and consistent findings across continents suggest versatility in use across different contexts.https://doi.org/10.1371/journal.pone.0283925 |
| spellingShingle | Kelsey Holt Ewenat Gebrehanna Shashi Sarnaik Lakhwani Kanchan Reiley Reed Aman Yesuf Bella Vasant Uttekar Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. PLoS ONE |
| title | Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. |
| title_full | Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. |
| title_fullStr | Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. |
| title_full_unstemmed | Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. |
| title_short | Adaptation and validation of the quality of contraceptive counseling (QCC) scale for use in Ethiopia and India. |
| title_sort | adaptation and validation of the quality of contraceptive counseling qcc scale for use in ethiopia and india |
| url | https://doi.org/10.1371/journal.pone.0283925 |
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