Bull Claudia, Carrandi Alayna, Slavin Valerie, Teede Helena, Callander Emily J
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Australia (Dr Bull, Ms Carrandi, Drs Teede and Callander).
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Australia (Dr Bull, Ms Carrandi, Drs Teede and Callander).
Am J Obstet Gynecol MFM. 2023 Oct;5(10):101102. doi: 10.1016/j.ajogmf.2023.101102. Epub 2023 Jul 28.
Valid and reliable maternity patient-reported experience measures are critical to understanding women's experiences of care. They can support clinical practice, health service and system performance measurement, and research. The aim of this review is to identify and critically appraise the risk of bias, woman-centricity (content validity), and psychometric properties of maternity patient-reported experience measures published in the scientific literature.
MEDLINE, CINAHL Plus, PsycINFO, and Embase were systematically searched for relevant records between January 1, 2010 and July 10, 2021.
We searched for articles describing the instrument development of maternity patient-reported experience measures and measurement properties associated with instrument validity and reliability testing. Articles that described patient-reported experience measures developed outside of the maternity context and articles that did not contribute to the instruments' development, content validation, and/or psychometric evaluation were excluded.
Included articles underwent risk of bias, content validity, and psychometric properties assessments in line with the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) guidance. Patient-reported experience measure results were summarized according to language subgroups. An overall recommendation for use was determined for each patient-reported experience measure language subgroup.
A total of 54 studies reported on the development and psychometric evaluation of 25 maternity patient-reported experience measures, grouped into 45 language subgroups. The quality of evidence underpinning the instruments' development was generally poor. Only 2 (4.4%) patient-reported experience measures reported sufficient content validity, and only 1 (2.2%) received a level "A" recommendation, required for real-world use.
Maternity patient-reported experience measures demonstrated poor-quality evidence for their measurement properties and insufficient detail about content validity. Future maternity patient-reported experience measure development needs to prioritize women's involvement in deciding what is relevant, comprehensive, and comprehensible to measure. Improving the content validity of maternity patient-reported experience measures will improve overall validity and reliability and facilitate real-world practice improvements. Standardized patient-reported experience measure implementation also needs to be prioritized to support advancements in clinical practice for women.
有效且可靠的产妇患者报告体验测量对于理解女性的护理体验至关重要。它们可支持临床实践、卫生服务及系统绩效评估以及研究。本综述的目的是识别并批判性地评估科学文献中发表的产妇患者报告体验测量的偏倚风险、以女性为中心（内容效度）和心理测量特性。
对MEDLINE、CINAHL Plus、PsycINFO和Embase在2010年1月1日至2021年7月10日期间进行系统检索以获取相关记录。
我们检索了描述产妇患者报告体验测量工具开发以及与工具效度和信度测试相关的测量特性的文章。描述在产妇背景之外开发的患者报告体验测量的文章以及对工具开发、内容验证和/或心理测量评估无贡献的文章被排除。
纳入的文章根据COSMIN（基于共识的健康测量工具选择标准）指南进行偏倚风险、内容效度和心理测量特性评估。患者报告体验测量结果按语言亚组进行总结。为每个患者报告体验测量语言亚组确定总体使用建议。
共有54项研究报告了25种产妇患者报告体验测量的开发和心理测量评估，分为45个语言亚组。支撑工具开发的证据质量普遍较差。只有2种（4.4%）患者报告体验测量报告了足够的内容效度，只有1种（2.2%）获得了实际应用所需的“A”级推荐。
产妇患者报告体验测量在其测量特性方面显示出质量较差的证据，且关于内容效度的细节不足。未来产妇患者报告体验测量的开发需要优先考虑女性参与决定测量哪些相关、全面且易懂的内容。提高产妇患者报告体验测量的内容效度将提高整体效度和信度，并促进实际临床实践的改进。还需要优先实施标准化的患者报告体验测量，以支持针对女性的临床实践进展。
