Assessing Perception of Prenatal Care Quality Among Black Women in the United States.
Rhonda K Dailey, Ashleigh Peoples, Liying Zhang and 4 others
PMID 35060657WHAT IT FOUND
The Quality of Prenatal Care Questionnaire is a reliable tool for assessing Black women's perceptions of prenatal care quality.
Higher scores on communication and information sharing were associated with higher perceived quality of care, supporting its validity in this population.
Key findings
01The overall questionnaire and its subscales demonstrated acceptable internal consistency reliability for use with Black women in the United States.
02Perceived quality of prenatal care was positively correlated with the number of topics discussed by providers during prenatal visits.
03The Approachability subscale showed lower reliability, driven by a single item about providers being abrupt, which did not correlate well with the rest of the scale.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was limited to 190 Black women in two specific metropolitan areas, so the results may not generalize to rural populations, other racial groups, or different healthcare settings. The correlation between the two instruments was moderate, with the PRAMS score explaining only 7.5% of the variability in QPCQ scores, suggesting many other factors influence perceived care quality. The Approachability subscale had lower reliability, and one item may need to be removed or revised for this specific population.
Declared interests
The study was supported by the National Institutes of Health (N.I.H., Extramural). No other conflicts of interest are reported in the provided text.
The easy way to misread this
Do not assume that increasing the number of prenatal visits or the quantity of information provided will automatically improve perceived care quality. The study found that the communication score explained only 7.5% of the variability in quality scores, meaning most of what drives a woman's perception of care quality is not captured by simple topic counts.