2019-11-27
The discriminative power of the ReproQ
Publication
Publication
a client experience questionnaire in maternity care
PeerJ , Volume 7 p. e7575
Background. The aim of the ReproQuestionnaire (ReproQ) is to measure the
client's experience with maternity care, following WHO's responsiveness model. To
support quality improvement, ReproQ should be able to discriminate best from worst
organisational units.
Methods. We sent questionnaires to 27,487 third-trimester pregnant women (response
31%) and to 37,230 women 6 weeks after childbirth (response 39%). For analysis we
first summarized the ReproQ domain scores into three summary scores: total score
(all eight domains), personal score (four personal domains), and setting score (four
setting domains). Second, we estimated the proportion of variance across perinatal units
attributable to the `actual' difference across perinatal units using intraclass correlation
coefficients (ICCs). Third, we assessed the ability of ReproQ to discriminate between
perinatal units based on both a statistical approach using multilevel regression analyses,
and a relevance approach based on the minimally important difference (MID). Finally,
we compared the domain scores of the best and underperforming units.
Results. ICCs ranged between 0.004 and 0.025 for the summary scores, and between
0.002 and 0.125 for the individual domains. ReproQ was able to identify the best and
worst performing units with both the statistical and relevance approach. The statistical
approach was able to identify four underperforming units during childbirth (total
score), while the relevance approach identified 10 underperforming units.
Conclusions. ReproQ, a valid and efficient measure of client experiences in maternity
care, has the ability to discriminate well across perinatal units, and is suitable for
benchmarking under routine conditions.
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doi.org/10.7717/peerj.7575, hdl.handle.net/1765/123939 | |
PeerJ | |
Organisation | Department of Gynaecology & Obstetrics |
Scheerhagen, M., van Stel, H., Franx, A., Birnie, E., & Bonsel, G. (2019). The discriminative power of the ReproQ. PeerJ, 7. doi:10.7717/peerj.7575 |