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The Development of a Conceptual Framework and Preliminary Item Bank for Childbirth‐Specific Patient‐Reported Outcome Measures
Author(s) -
Korst Lisa M.,
Fridman Moshe,
Saeb Samia,
Greene Naomi,
Fink Arlene,
Gregory Kimberly D.
Publication year - 2018
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12856
Subject(s) - childbirth , item bank , logistic regression , medicine , conceptual framework , conceptual model , focus group , family medicine , psychology , pregnancy , item response theory , clinical psychology , psychometrics , computer science , marketing , business , genetics , biology , philosophy , epistemology , database
Objective To develop a conceptual framework and preliminary item bank for childbirth‐specific patient‐reported outcome ( PRO ) domains. Data Sources Women, who were U.S. residents, ≥18 years old, and ≥20 weeks pregnant, were surveyed regarding their childbirth values and preferences (V&P) using online panels. Study Design Using community‐based research techniques and Patient‐Reported Outcomes Management Information System ( PROMIS ® ) methodology, we conducted a comprehensive literature review to identify self‐reported survey items regarding patient‐reported V&P and childbirth experiences and outcomes ( PRO s). The V&P/ PRO domains were validated by focus groups. We conducted a cross‐sectional observational study and fitted a multivariable logistic regression model to each V&P item to describe “who” wanted each item. Principal Findings We identified 5,880 V&P/ PRO items that mapped to 19 domains and 58 subdomains. We present results for the 2,250 survey respondents who anticipated a vaginal delivery in a hospital. Wide variation existed regarding each V&P item, and personal characteristics, such as maternal confidence and ability to cope well with pain, were frequent predictors in the models. The resulting preliminary item bank consisted of 60 key personal characteristics and 63 V&P/ PRO s. Conclusions The conceptual framework and preliminary ( PROMIS ® ) item bank presented here provide a foundation for the development of childbirth‐specific V&P/ PRO s.