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Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation

BACKGROUND: Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone...

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Autores principales: Cabedo-Ferreiro, Rosa, Vicente-Hernández, Maria-Mercedes, Manresa-Domínguez, Josep-Maria, Gómez-Masvidal, Miriam, Montero-Pons, Laura, Reyes-Lacalle, Azahara, Falguera-Puig, Gemma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9148507/
https://www.ncbi.nlm.nih.gov/pubmed/35643523
http://dx.doi.org/10.1186/s12905-022-01763-5
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author Cabedo-Ferreiro, Rosa
Vicente-Hernández, Maria-Mercedes
Manresa-Domínguez, Josep-Maria
Gómez-Masvidal, Miriam
Montero-Pons, Laura
Reyes-Lacalle, Azahara
Falguera-Puig, Gemma
author_facet Cabedo-Ferreiro, Rosa
Vicente-Hernández, Maria-Mercedes
Manresa-Domínguez, Josep-Maria
Gómez-Masvidal, Miriam
Montero-Pons, Laura
Reyes-Lacalle, Azahara
Falguera-Puig, Gemma
author_sort Cabedo-Ferreiro, Rosa
collection PubMed
description BACKGROUND: Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. METHODS: Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. RESULTS: The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862. CONCLUSION: This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality.
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spelling pubmed-91485072022-05-30 Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation Cabedo-Ferreiro, Rosa Vicente-Hernández, Maria-Mercedes Manresa-Domínguez, Josep-Maria Gómez-Masvidal, Miriam Montero-Pons, Laura Reyes-Lacalle, Azahara Falguera-Puig, Gemma BMC Womens Health Research BACKGROUND: Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. METHODS: Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. RESULTS: The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862. CONCLUSION: This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality. BioMed Central 2022-05-28 /pmc/articles/PMC9148507/ /pubmed/35643523 http://dx.doi.org/10.1186/s12905-022-01763-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cabedo-Ferreiro, Rosa
Vicente-Hernández, Maria-Mercedes
Manresa-Domínguez, Josep-Maria
Gómez-Masvidal, Miriam
Montero-Pons, Laura
Reyes-Lacalle, Azahara
Falguera-Puig, Gemma
Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title_full Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title_fullStr Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title_full_unstemmed Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title_short Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
title_sort validation of a spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9148507/
https://www.ncbi.nlm.nih.gov/pubmed/35643523
http://dx.doi.org/10.1186/s12905-022-01763-5
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