Childbirth Research Associates, LLC, Los Angeles, CA.
AMF Consulting, Los Angeles, CA.
Health Serv Res. 2018 Oct;53(5):3373-3399. doi: 10.1111/1475-6773.12856. Epub 2018 May 24.
To develop a conceptual framework and preliminary item bank for childbirth-specific patient-reported outcome (PRO) domains.
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.
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 (PROs). 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.
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/PROs.
The conceptual framework and preliminary (PROMIS ) item bank presented here provide a foundation for the development of childbirth-specific V&P/PROs.
开发一个针对分娩特定患者报告结局（PRO）领域的概念框架和初步条目库。
通过在线小组调查，对居住在美国、年龄≥18 岁且怀孕≥20 周的女性进行了关于其分娩价值观和偏好（V&P）的调查。
使用基于社区的研究技术和患者报告结局管理信息系统（PROMIS）方法，我们进行了全面的文献回顾，以确定关于患者报告的 V&P 和分娩经历和结局（PROs）的自我报告调查项目。V&P/PRO 领域通过焦点小组进行了验证。我们进行了一项横断面观察性研究，并对每个 V&P 项目进行了多变量逻辑回归模型拟合，以描述“谁”想要每个项目。
我们确定了 5880 个 V&P/PRO 项目，这些项目映射到 19 个领域和 58 个子领域。我们展示了预期在医院进行阴道分娩的 2250 名调查受访者的结果。每个 V&P 项目之间存在很大差异，个人特征，如母亲的信心和应对疼痛的能力，在模型中经常是预测因素。由此产生的初步条目库由 60 个关键个人特征和 63 个 V&P/PROs 组成。
本文提出的概念框架和初步（PROMIS）条目库为开发分娩特定的 V&P/PRO 提供了基础。
