Reliability tests and validation tests of the client satisfaction questionnaire (CSQ-8) as an index of satisfaction with childbirth-related care among Filipino women

Chieko Matsubara, Joseph Green, Linda Teresa Astorga, Edgardo L Daya, Honorato C Jervoso, Edgardo M Gonzaga, Masamine Jimba, Chieko Matsubara, Joseph Green, Linda Teresa Astorga, Edgardo L Daya, Honorato C Jervoso, Edgardo M Gonzaga, Masamine Jimba

Abstract

Background: Satisfaction is an important indicator of the quality of care during childbirth. Previous research found that a good environment at a health facility can increase the number of deliveries at that facility. In contrast, an unsatisfying childbirth experience could cause postpartum mental disorder. Therefore it is important to measure mothers' satisfaction with their childbirth experiences. We tested whether the eight-item Client Satisfaction Questionnaire (CSQ-8) provided useful information about satisfaction with childbirth-related care. The government of the Philippines promotes childbirth at health facilities, so we tested the CSQ-8 in the Philippine cities of Ormoc and Palo.

Methods: This was a cross-sectional study. We targeted multigravid mothers whose last baby had been delivered at a hospital (without complications) and whose 2nd-to-last baby had been delivered at a hospital or at home (without complications). We developed versions of the CSQ-8 in Cebuano and Waray, which are two of the six major Filipino languages. Reliability tests and validation tests were done with data from 100 Cebuano-speaking mothers and 106 Waray-speaking mothers.

Results: Both the Cebuano and Waray versions of the CSQ-8 had high coefficients of internal-consistency reliability (greater than 0.80). Both versions were also unidimensional, which is generally consistent with the English CSQ-8 in a mental-health setting. As hypothesized, the scores for data regarding the second-to-last delivery were higher for mothers who had both their second-to-last and their last delivery in a hospital, than for mothers who had their second-to-last delivery at home and their last delivery in a hospital (Cebuano: p < 0.001, rho = 0.51, Waray: p < 0.001, rho = 0.55).

Conclusions: Scores on the CSQ-8 can be used as indices of general satisfaction with childbirth-related services in clinical settings. This study also exemplifies a convenient method for developing versions of the CSQ-8 in more than one language. These versions of the CSQ-8 can now be used to assess mothers' satisfaction, so that mothers' opinions can be taken into account in efforts to improve childbirth-related services, which could increase the proportion of deliveries in medical facilities and thus reduce maternal mortality.

Figures

Figure 1
Figure 1
Distribution of CSQ-8 scores for the last delivery, by language (1-a: Cebuano, 1-b: Waray).
Figure 2
Figure 2
Scree plot of the Cebuano CSQ-8 for the last delivery.
Figure 3
Figure 3
Scree plot of the Waray CSQ-8 for the last delivery.

References

    1. Goodman P, Mackey MC, Tavakoli AS. Factors related to childbirth satisfaction. J Adv Nurs. 2004;13(2):212–219. doi: 10.1111/j.1365-2648.2003.02981.x.
    1. Smith LF. Development of a multidimensional labour satisfaction questionnaire: dimensions, validity, and internal reliability. Qual Health Care. 2001;13(1):17–22. doi: 10.1136/qhc.10.1.17.
    1. Waldenstrom U. Experience of labor and birth in 1111 women. J Psychosom Res. 1999;13(5):471–482. doi: 10.1016/S0022-3999(99)00043-4.
    1. Fawcett J, Knauth D. The factor structure of the perception of birth scale. Nurs Res. 1996;13(2):83–86. doi: 10.1097/00006199-199603000-00005.
    1. Misago C, Kendall C, Freitas P, Haneda K, Silveira D, Onuki D, Mori T, Sadamori T, Umenai T. From 'culture of dehumanization of childbirth’ to 'childbirth as a transformative experience’: changes in five municipalities in north-east Brazil. Int J Gynaecol Obstet. 2001;13(Suppl 1):S67–S72.
    1. Brown SJ, Davey MA, Bruinsma FJ. Women’s views and experiences of postnatal hospital care in the Victorian Survey of Recent Mothers 2000. Midwifery. 2005;13(2):109–126. doi: 10.1016/j.midw.2004.09.006.
    1. Brown S, Lumley J. Changing childbirth: lessons from an Australian survey of 1336 women. Br J Obstet Gynaecol. 1998;13(2):143–155. doi: 10.1111/j.1471-0528.1998.tb10044.x.
    1. Brown S, Lumley J. The 1993 survey of recent mothers: issues in survey design, analysis and influencing policy. Int J Qual Health Care. 1997;13(4):265–275. doi: 10.1093/intqhc/9.4.265.
    1. Ayers S, Pickering AD. Do women get posttraumatic stress disorder as a result of childbirth? A prospective study of incidence. Birth. 2001;13(2):111–118. doi: 10.1046/j.1523-536X.2001.00111.x.
    1. Reynolds JL. Post-traumatic stress disorder after childbirth: the phenomenon of traumatic birth. CMAJ. 1997;13(6):831–835.
    1. World Bank. Reproductive health at a glance Philippines. 2012. .
    1. Acuin CS, Khor GL, Liabsuetrakul T, Achadi EL, Htay TT, Firestone R, Bhutta ZA. Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration. Lancet. 2011;13(9764):516–525. doi: 10.1016/S0140-6736(10)62049-1.
    1. National Statistics Office (NSO) [Philippines], and ICF Macro. National Demographic and HealthSurvey 2008. Maryland: Calverton; 2009.
    1. Department of Health. National objectives for health, Philippines, 2005–2010. Manila: Department of Health, Government of the Philippines; 2005.
    1. Sobel HL, Oliveros YE, Nyunt-U S. Secondary analysis of a national health survey on factors influencing women in the Philippines to deliver at home and unattended by a healthcare professional. Int J Gynaecol Obstet. 2010;13(2):157–160. doi: 10.1016/j.ijgo.2010.06.020.
    1. Department of Health. Implementing guidelines: implementing health reforms to rapidly reduce maternal and newborn mortality. Manila: Department of Health, Government of the Philippines; 2008.
    1. World Health Organization, Regional Office for the Western Pacific. Reaching the urban poor: the Philippine experience. Manila: World Health Organization, Regional Office for the Western Pacific; 2008.
    1. Gungor I, Beji NK. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery. 2012;13(3):348–357. doi: 10.1016/j.midw.2011.03.009.
    1. Furrer O, Shaw-Ching Liu B, Sudharshan D. The relationships between culture and service quality perceptions: Basis for cross-cultural market segmentation and resource allocation. J Serv Res. 2000;13(4):355–371. doi: 10.1177/109467050024004.
    1. Hodnett ED. Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol. 2002;13(5):S160–S172.
    1. Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD. Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;13(3):197–207. doi: 10.1016/0149-7189(79)90094-6.
    1. Nguyen TD, Attkisson CC, Stegner BL. Assessment of patient satisfaction: development and refinement of a service evaluation questionnaire. Eval Program Plann. 1983;13(3–4):299–313.
    1. Attkisson CC, Zwick R. The client satisfaction questionnaire: Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;13(3):233–237. doi: 10.1016/0149-7189(82)90074-X.
    1. Tamalpais Matris Systems LLC. CSQ Scales: enhancing client satisfaction advancing services research: CSQ translations. 2012. .
    1. Sato Y, Kato T, Ito T, Gu Y, Kakee N. Women’s satisfaction and effective care at childbirth. Shoni Hoken Kenkyu (written in Japanese) 2007;13:465–471.
    1. National Epidemiology Center (NEC) [Philippines] Field Health Services Information System Annual Report 2005. 2012. .
    1. National Statistics Office (NSO) [Philippines] The Philippines in Figures 2010. 2012. .
    1. Japan International Cooperation Agency (JICA) Anken gaiyou hyo (Written in Japanese) 2012. .
    1. Cabrera-Nguyen P. Author guidelines for reporting scale development and validation results in the Journal of the Society for Social Work and Research. Journal of the Society for Social Work and Research. 2010;13(2):99–103. doi: 10.5243/jsswr.2010.8.
    1. Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;13(6):382–385.
    1. Alden DL, Do MH, Bhawuk D. Client satisfaction with reproductive health-care quality: integrating business approaches to modeling and measurement. Soc Sci Med. 2004;13(11):2219–2232. doi: 10.1016/j.socscimed.2004.03.026.
    1. Simkin P. Just another day in a woman’s life? Part II: Nature and consistency of women’s long-term memories of their first birth experiences. Birth. 1992;13(2):64–81. doi: 10.1111/j.1523-536X.1992.tb00382.x.
    1. Simkin P. Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience: Part I. Birth. 1991;13(4):203–210. doi: 10.1111/j.1523-536X.1991.tb00103.x.
    1. De Wilde EF, Hendriks VM. The client satisfaction questionnaire: psychometric properties in a dutch addict population. Eur Addict Res. 2005;13(4):157–162. doi: 10.1159/000086396.
    1. National Epidemiology Center (NEC) [Philippines] Field health services information system annual report 2009. 2012. .
    1. National Epidemiology Center (NEC) [Philippines] Field health services information system annual report 2008. 2012. .

Source: PubMed

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