Adaptation and validation of the Patient Expectations and Satisfaction with Prenatal Care instrument among Brazilian pregnant women

Prudêncio, Patrícia Santos; Mamede, Fabiana Villela; Dantas, Rosana Aparecida Spadoti; Souza, Luiz de; Mamede, Marli Villela

doi:10.1590/S0104-11692013000300008

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Brasil

Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 21 (3) • June 2013 • https://doi.org/10.1590/S0104-11692013000300008 copy

Adaptation and validation of the Patient Expectations and Satisfaction with Prenatal Care instrument among Brazilian pregnant women¹ 1 Paper extracted from master’s thesis “Adaptação cultural e validação para o uso no Brasil do instrumento: Patient Expectations and Satisfaction with Prenatal Care (PESPC)” presented to Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to adapt and validate the Patient Expectations and Satisfaction with Prenatal Care instrument for use in Brazil. It contains 41 items divided into two dimensions: expectations and satisfaction. The adapted version was submitted to analysis for stability, convergent construct validity, and internal consistency (Cronbach's alpha) for distinct groups and dimensions.

METHOD:

119 pregnant women receiving prenatal care were interviewed and 26 of these women answered the instrument twice (retest). Internal consistency was appropriate (Cronbach's alpha ≥ 0.70); test-retest presented strong correlation (r=0.82; p<0.001) for the domain expectations and moderate correlation (r=0.66; p<0.001) for the satisfaction domain. The analysis confirmed that the instrument's adapted version is valid in the studied group.

RESULTS:

there is strong evidence for the validity and reliability of the instrument's adaptation.

CONCLUSION:

the instrument needs to be tested in groups of pregnant women with different social characteristics.

Validation Studies; Patient Satisfaction; Prenatal Care

Subscales		No. of items	Possible interval	Interval obtained	Median	Average (SD)
Expectations		12	12 - 72	13 - 62	7.5	9.0 (4.7)
	Complete care	4	4 - 24	4 - 22	14	14.4 (4.4)
	Provider continuity	2	2 - 12	2 - 10	4	5.0 (2.0)
	Personalized care	4	4 - 24	5 - 20	11	11.5 (3.6)
	Other services	2	2 - 12	2 - 10	4	5.2 (2.0)
Satisfaction		29	29 - 174	31 - 143	17.5	17.8 (7.2)
	Information	7	7 - 42	8 - 31	17	17.8 (4.9)
	Provider care	6	6 - 36	7 - 33	12	13.4 (3.8)
	Staff interest	6	6 - 36	6 - 30	13	15.1 (4.9)
	System characteristics	10	10 - 60	10 - 49	28	29.2 (7.8)

Variable	Expectations*	Satisfaction*
Gestation period	0.977	0.034
Marital status	0.341	0.043
Number of children	0.001	0.719
Occupation	0.042	0.832
Religion	0.277	0.091
Educational level	0.052	0.697
Monthly family income	0.092	0.802

Factor		PESPC's adapted version	PESPC's original version
Expectations		0.70	0.72
	Complete care	0.82	0.61
	Provider continuity	0.29	0.75
	Personalized care	0.61	0.65
	Other services	0.56	0.80
Satisfaction		0.80	0.94
	Information	0.89	0.91
	Provider care	0.75	0.90
	Staff interest	0.76	0.93
	System characteristics	0.87	0.82

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Patrícia Santos Prudêncio Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Avenida Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail: psprudencio@yahoo.com.br