Development and validation of a novel, person-centered measure of post-conception pregnancy acceptability

开发和验证一种新颖的、以人为本的受孕后妊娠可接受性测量方法

• 批准号: 10066512
• 负责人: SONYA B. BORRERO
• 金额: $ 66.92万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10066512
• 关键词: Advocate; Affect; Affective; Age; Alcohol or Other Drugs use; Automobile Driving; Benchmarking; Cognitive; Communities; Complex; Conceptions; Conscious; Consensus; Contraception Behavior; Contraceptive methods; Development; Elements; Emotional; Epidemiologic Monitoring; Epidemiology; Evaluation; Family Planning Programs; Feedback; Fertility; Goals; Health; Health behavior outcomes; Improve Access; Individual; Intention; Intervention; Interview; Judgment; Life; Link; Longitudinal cohort; Measurement; Measures; Mediating; Methods; Modeling; Outcome; Planned Pregnancy; Policies; Population; Pregnancy; Pregnancy Outcome; Premature Birth; Prenatal care; Property; Psychometrics; Public Health; Qualitative Research; Rationalization; Reporting; Reproductive Health; Research; Research Personnel; Review Literature; Social support; Structure; Testing; Validation; Validity and Reliability; Woman; Women' s Health; Work; abortion; adverse outcome; base; child bearing; cognitive interview; cohort; driving force; evidence base; experience; health organization; improved; neglect; novel; person centered; programs; reproductive; response; social; sound; trend; unintended pregnancy

PROJECT SUMMARY Traditional epidemiologic measures of pregnancy intention are fraught with psychometric and conceptual limitations. Measures focused on whether pregnancy was intended or optimally timed omit emotional aspects of pregnancy, do not account for fluctuating or uncertain intentions, and may neglect the reproductive experiences of significant segments of the US population for whom pregnancy planning may not be salient or feasible, including socially and economically marginalized populations. Furthermore, there is emerging evidence that the associations between pre-conception intentions and reproductive health outcomes may be relatively weak. Extensive qualitative work suggests that women’s responses to existing pregnancies within the complex contexts of their lives may drive pregnancy-related decisions and reproductive outcomes more than pre-conception intentions. New measures are needed to more fully assess the cognitive, affective and circumstantial factors that influence orientations toward, or “acceptability” of, existing pregnancies and affect downstream outcomes associated with these pregnancies. In this proposal, we aim to develop a multidimensional, quantitative measure of post-conception pregnancy acceptability (the Post-CAP). Our specific aims are to: 1) create a comprehensive conceptual framework of post-conception pregnancy acceptability via in-depth interviews with diverse women of reproductive age; 2) generate quantitative items based on Aim 1 qualitative findings and existing measures, with subsequent refinement and evaluation using Delphi methods with lay and academic experts and cognitive interviews; 3) test the Post-CAP in a large, longitudinal cohort of women seeking abortion or prenatal care, to assess psychometric properties including factor structure, reliability and validity. Completion of these aims will produce a novel, psychometrically sound measure which will facilitate a critical expansion of our understanding of associations between pre-conception intentions, post-conception orientations, and reproductive health outcomes.

项目概要 传统的妊娠意向流行病学测量方法充满了心理测量学和概念学方法 措施侧重于是否有意怀孕或最佳时机，忽略了情感方面。 怀孕期间，不要考虑波动或不确定的意图，并且可能会忽视生殖 相当一部分美国人口的经历对他们来说怀孕计划可能并不重要，或者 可行的，包括社会和经济弱势群体。 有证据表明，受孕前意图与生殖健康结果之间的关联可能是 大量的定性研究表明，女性对现有怀孕的反应在 她们复杂的生活环境可能比怀孕相关的决定和生殖结果更能推动 需要新的措施来更全面地评估认知、情感和认知。 影响对现有怀孕的倾向或“可接受性”的环境因素，并影响 在本提案中，我们的目标是制定一个与这些怀孕相关的下游结果。 受孕后妊娠可接受性的多维定量测量（Post-CAP）。 具体目标是： 1) 创建一个全面的受孕后妊娠概念框架 通过对不同育龄妇女的深入访谈来确定可接受性；2) 生成定量项目； 基于目标 1 定性调查结果和现有措施，随后使用 与外行和学术专家的德尔菲方法以及认知访谈；3) 在大规模中测试后 CAP； 寻求堕胎或产前护理的妇女的纵向队列，以评估心理测量特性，包括 因素结构、可靠性和有效性的完成将产生一种新颖的、心理测量学上合理的结果。 该措施将有助于我们对受孕前之间的关联进行重要扩展的理解 意图、受孕后取向和生殖健康结果。