A Validity and Reliability Study of The Turkish Version of The Mothers’ Autonomy in Decision Making Scale
Abstract
Objective: The focus of the study is women's experiences of autonomy while making decisions about their care during pregnancy, labour and birth. The aim of this study is to adapt the Mothers Autonomy in Decision Making Scale (MADM), developed by Vedam et al. in 2017, into Turkish health care culture.
Methods: The survey, which was created in the Google form, was conducted between May 15th to August 15th 2019 through social media. 344 women participated in the study and 286 women answered the questionnaire in total. The data were evaluated using the SPSS package software. Findings related to construct validity of the scale were made using exploratory factor analysis method.
Results: Reliability of the Turkish form of the scale was performed with Cronbach’s Alfa and the internal consistency value of the scale was found to be 0.91. MADM scores were found to be highest for midwives (33.28±10.10) and lowest for family physicians (23.89±11.44). More than half of the midwives who have been cared for have a high autonomy score on the scale of MADM (%54.4).
Conclusion: MADM scale was found to be valid and reliable in Turkey to assess decision-making experiences during maternity care.
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References
- World Health Organization (WHO). WHO Library Cataloguing-in-Publication Data: Standards for improving quality of maternal and newborn care in health facilities 2016. https://www.who.int/maternal_child_adolescent/documents/improving-maternal-newborn-care-quality/en/ (accessed 11 September 2019)
- Wiegers TA. General practitioners and their role in maternity care. Health Policy 2003; 66(1): 51-59 https://doi.org/10.1016/s0168-8510(03)00025-3
- Smith A, Shakespeare J, Dixon A. The role of GPs in maternity care – what does the future hold? The King’s Fund 2010
- International Confederation of Midwifery (ICM). Essential Competencies for Midwifery Practice 2018 https://www.internationalmidwives.org/assets/files/general-files/2018/10/icm-competencies---english-document_final_oct-2018.pdf (accessed 11 September 2019)
- Royal College of Obstetricians and Gynaecologist (RCOG). Standards for Maternity Care. Press at the Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent’s Park, London NW1 4RG, 2008. https://www.rcog.org.uk/globalassets/documents/guidelines/wprmaternitystandards2008.pdf (accessed 11 September 2019)
- National Institute for Health and Care Excellence (NICE). Shared decision making https://www.nice.org.uk/about/what-we-do/our-programmes/nice-guidance/nice-guidelines/shared-decision-making (accessed 11 August 2020)
- Shaller D. Patıent-Centered Care: What Does It Take? Commonwealth Fund pub. no. 1067;2007
- United States Agency for International Development (USAID). Maternal and Child Health Integrated Program. Respectful Maternity Care: Country Experiences https://toolkits.knowledgesuccess.org/sites/default/files/rmc_survey_report_0_0.pdf (accessed 10 October 2019)
- Hunter R, Cameron R. Patient involvement in health care will improve quality. BMJ. 2006; 333(7559): 147–148.
- Woldemicael G, Tenkorang EY. Women’s Autonomy and Maternal Health-Seeking Behavior in Ethiopia, Matern Child Health J. 2009; 14(6):988–998 https://doi.org/10.1007/s10995-009-0535-5
- Osamor P, Grady C. Women’s autonomy in health care decision making in developing countries: a synthesis of the literature. Int J Women’s Health. 2016; 8: 191–202
- Megrain M, Emeis C, Nieuwenhuijze M. The Impact of Shared Continuing Education Decision-Making in Perinatal Care: A Scoping Review. Journal of Midwifery &Women’s Health. 2020 In press. https://doi.org/10.1111/jmwh.13128
- Vedam S, Stoll K, Martin K, Rubashkin N, Partridge S, Thordarson D, et al. The Mother's Autonomy in Decision Making (MADM) scale: Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care. PLoS ONE. 2017;12(2): e0171804.doi:10.1371/journal.pone.0171804
- Tabachnick BG, Fidell LS. Using multivariate statistics (3rd ed.). New York: HarperCollins; 1996
- Jong EIF, Pijl M, Vedam S, Jansen DEMC, Peters LL. Measuring respect and autonomy in Dutch maternity care: Applicability of two measures. Woman Birth. 2019 https://doi.org/10.1016/j.wombi.2019.10.008.
- Vedam S, Stoll K, N. Mc Raec D, Korchinskid M, Velasqueza R, Wanga J, Partridgea S et al. Patient-led decision making: Measuring autonomy and respect in Canadian maternity care. Patient Education and Counseling.2019; 102(3): 586-594
Abstract
Amaç: Karar Vermede Anne Otonomisi (MADM) ölçeği, kişi odaklı öncelikleri yansıtan ve bir kişinin gebelik, doğum, doğum sonrası bakımı sırasında karar vermeye öncülük etme kabiliyeti ile ilgili bakım sağlayıcılarla olan etkileşimlerini güvenilir bir şekilde değerlendiren bir ölçektir. Bu çalışma ile, Vedam ve arkadaşları tarafından 2017 yılında geliştirilen ölçeğin, Türkçe geçerlik ve güvenirlik çalışması yapılması amaçlanmaktadır.
Gereç ve Yöntem: Google formda oluşturulan anket, 15 Mayıs-15 Ağustos 2019 tarihleri arasında sosyal medya aracılığıyla yapılmıştır. Araştırmaya 344 kadın katıldı ve anketi toplamda 286 kadın yanıtladı. Veriler SPSS paket programı kullanılarak değerlendirildi. Ölçeğin yapı geçerliğine ilişkin bulgular açımlayıcı faktör analizi yöntemi kullanılarak yapılmıştır.
Bulgular: Kadınların, 95'i aile hekimlerinden, 160'ı ebelerden ve 222'si kadın doğum uzmanlarından sağlık hizmeti aldıklarını bildirdi. Kadınların çoğu kadın doğum uzmanlarının bakımını tercih ettiğini belirtti.
Ölçeğin Türkçe formunun güvenirliği Cronbach's Alfa ile yapılmış ve ölçeğin iç tutarlılık değeri 0.91 olarak bulunmuştur. MADM puanları ebeler için en yüksek (33,28±10,10), aile hekimleri için en düşük (23,89±11,44) bulunmuştur. Bakım verilen ebelerin yarısından fazlasının MADM ölçeğinde (%54.4) özerklik puanı yüksektir.
Sonuç: Annelik bakımı sırasında karar verme deneyimlerini değerlendirmek için MADM ölçeği Türkiye'de geçerli ve güvenilir bulunmuştur.
Keywords
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References
- World Health Organization (WHO). WHO Library Cataloguing-in-Publication Data: Standards for improving quality of maternal and newborn care in health facilities 2016. https://www.who.int/maternal_child_adolescent/documents/improving-maternal-newborn-care-quality/en/ (accessed 11 September 2019)
- Wiegers TA. General practitioners and their role in maternity care. Health Policy 2003; 66(1): 51-59 https://doi.org/10.1016/s0168-8510(03)00025-3
- Smith A, Shakespeare J, Dixon A. The role of GPs in maternity care – what does the future hold? The King’s Fund 2010
- International Confederation of Midwifery (ICM). Essential Competencies for Midwifery Practice 2018 https://www.internationalmidwives.org/assets/files/general-files/2018/10/icm-competencies---english-document_final_oct-2018.pdf (accessed 11 September 2019)
- Royal College of Obstetricians and Gynaecologist (RCOG). Standards for Maternity Care. Press at the Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent’s Park, London NW1 4RG, 2008. https://www.rcog.org.uk/globalassets/documents/guidelines/wprmaternitystandards2008.pdf (accessed 11 September 2019)
- National Institute for Health and Care Excellence (NICE). Shared decision making https://www.nice.org.uk/about/what-we-do/our-programmes/nice-guidance/nice-guidelines/shared-decision-making (accessed 11 August 2020)
- Shaller D. Patıent-Centered Care: What Does It Take? Commonwealth Fund pub. no. 1067;2007
- United States Agency for International Development (USAID). Maternal and Child Health Integrated Program. Respectful Maternity Care: Country Experiences https://toolkits.knowledgesuccess.org/sites/default/files/rmc_survey_report_0_0.pdf (accessed 10 October 2019)
- Hunter R, Cameron R. Patient involvement in health care will improve quality. BMJ. 2006; 333(7559): 147–148.
- Woldemicael G, Tenkorang EY. Women’s Autonomy and Maternal Health-Seeking Behavior in Ethiopia, Matern Child Health J. 2009; 14(6):988–998 https://doi.org/10.1007/s10995-009-0535-5
- Osamor P, Grady C. Women’s autonomy in health care decision making in developing countries: a synthesis of the literature. Int J Women’s Health. 2016; 8: 191–202
- Megrain M, Emeis C, Nieuwenhuijze M. The Impact of Shared Continuing Education Decision-Making in Perinatal Care: A Scoping Review. Journal of Midwifery &Women’s Health. 2020 In press. https://doi.org/10.1111/jmwh.13128
- Vedam S, Stoll K, Martin K, Rubashkin N, Partridge S, Thordarson D, et al. The Mother's Autonomy in Decision Making (MADM) scale: Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care. PLoS ONE. 2017;12(2): e0171804.doi:10.1371/journal.pone.0171804
- Tabachnick BG, Fidell LS. Using multivariate statistics (3rd ed.). New York: HarperCollins; 1996
- Jong EIF, Pijl M, Vedam S, Jansen DEMC, Peters LL. Measuring respect and autonomy in Dutch maternity care: Applicability of two measures. Woman Birth. 2019 https://doi.org/10.1016/j.wombi.2019.10.008.
- Vedam S, Stoll K, N. Mc Raec D, Korchinskid M, Velasqueza R, Wanga J, Partridgea S et al. Patient-led decision making: Measuring autonomy and respect in Canadian maternity care. Patient Education and Counseling.2019; 102(3): 586-594
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | ---- |
| Early Pub Date | April 28, 2023 |
| Publication Date | April 28, 2023 |
| Submission Date | October 31, 2022 |
| Published in Issue | Year 2023 Volume: 6 Issue: 1 |
Cited By
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https://doi.org/10.18332/ejm/189495
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