Renner Regina M, Ennis Madeleine, Maazi Mahan, Dunn Sheila, Norman Wendy V, Kaczorowski Janusz, Guilbert Edith
Department of Obstetrics and Gynaecology, University of British Columbia, Suite 930, 1125 Howe Street, Vancouver, BC Canada, V6Z 2K8, Canada.
Contraception and Abortion Research Team, Women's Health Research Institute, BC Women's Hospital and Health Centre, 4500 Oak Street, Vancouver, BC Canada, V6H 3N1, Canada.
Pilot Feasibility Stud. 2023 Mar 23;9(1):49. doi: 10.1186/s40814-023-01279-1.
Substantial changes in abortion care regulations, available medications and national clinical practice guidelines have occurred since a 2012 national Canadian Abortion Provider Survey (CAPS). We developed and piloted the CAPS 2019 survey instrument to explore changes of the abortion provider workforce, their clinical care as well as experiences with stigma and harassment.
We undertook development and piloting in three phases: (1) development of the preliminary survey sections and questions based on the 2012 survey instrument, (2) content validation and feasibility of including certain content aspects via a modified Delphi Method with panels of clinical and research experts, and (3) pilot testing of the draft survey for face validity and clarity of language; assessing usability of the web-based Research Electronic Data Capture platform including the feasibility of complex skip pattern functionality. We performed content analysis of phase 2 results and used a general inductive approach to identify necessary survey modifications.
In phase 1, we generated a survey draft that reflected the changes in Canadian abortion care regulations and guidelines and included questions for clinicians and administrators providing first and second trimester surgical and medical abortion. In phase 2, we held 6 expert panel meetings of 5-8 participants each representing clinicians, administrators and researchers to provide feedback on the initial survey draft. Due to the complexity of certain identified aspects, such as interdisciplinary collaboration and interprovincial care delivery differences, we revised the survey sections through an iterative process of meetings and revisions until we reached consensus on constructs and questions to include versus exclude for not being feasible. In phase 3, we made minor revisions based on pilot testing of the bilingual, web-based survey among additional experts chosen to be widely representative of the study population. Demonstrating its feasibility, we included complex branching and skip pattern logic so each respondent only viewed applicable questions based on their prior responses.
We developed and piloted the CAPS 2019 survey instrument suitable to explore characteristics of a complex multidisciplinary workforce, their care and experience with stigma on a national level, and that can be adapted to other countries.
自2012年加拿大全国堕胎服务提供者调查（CAPS）以来，堕胎护理法规、可用药物和国家临床实践指南发生了重大变化。我们开发并试用了2019年CAPS调查问卷，以探讨堕胎服务提供者队伍的变化、他们的临床护理以及遭受耻辱和骚扰的经历。
我们分三个阶段进行开发和试用：（1）根据2012年调查问卷开发初步调查部分和问题；（2）通过与临床和研究专家小组采用改良德尔菲法对某些内容方面进行内容验证和可行性评估；（3）对调查问卷草稿进行试用，以评估其表面效度和语言清晰度；评估基于网络的研究电子数据采集平台的可用性，包括复杂跳过模式功能的可行性。我们对第二阶段的结果进行了内容分析，并采用一般归纳法确定必要的调查修改。
在第一阶段，我们生成了一份调查问卷草稿，该草稿反映了加拿大堕胎护理法规和指南的变化，并包括了针对提供孕早期和孕中期手术堕胎及药物堕胎的临床医生和管理人员的问题。在第二阶段，我们召开了6次专家小组会议，每次会议有5至8名代表临床医生、管理人员和研究人员的参与者，以对初步调查问卷草稿提供反馈。由于某些已确定方面的复杂性，如跨学科合作和省际护理提供差异，我们通过会议和修订的迭代过程对调查部分进行了修订，直到我们就纳入或排除不可行的结构和问题达成共识。在第三阶段，我们根据对双语网络调查问卷在另外挑选的、广泛代表研究人群的专家中进行的试用结果进行了小幅修订。我们展示了其可行性，纳入了复杂的分支和跳过模式逻辑，以便每个受访者仅根据其先前的回答查看适用问题。
我们开发并试用了2019年CAPS调查问卷，该问卷适合在国家层面探索复杂多学科工作人员队伍的特征、他们的护理情况以及遭受耻辱的经历，并且可以适用于其他国家。
