Development of a questionnaire on preferences and values for prenatal preventive measures for perineal injury_Chinese Journal of Evidence-Based Medicine

Authors：

WAN Yejuan ¹ ,  CAO Xiao ^2,3 , SUN Mingyao ³ , LAI Honghao ⁴ , YANG Qiuyu ⁴ , DENG Xiyuan ⁵ , TANG Xiaolin ¹ ,  GE Long ^4,6

1. Department of Obstetrics and Gynecology, the Third Hospital of Gansu Province, Lanzhou 730000, P. R. China;
2. National Children's Medical Center / Department of Infectious Diseases, Beijing Children's Hospital, Capital Medical University, Beijing 100000, P. R. China;
3. Evidence Based Nursing Centre, School of Nursing, Lanzhou University, Lanzhou 730000, P. R. China;
4. Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
5. Prenatal Diagnostic Center, Gansu Provincial Maternal and Child Health Care Hospital / Central Hospital of Gansu Province, Lanzhou 730050, P. R. China;
6. Key Laboratory of Evidence Based Medicine of Gansu Province, Lanzhou 730000, P. R. China;

Corresponding?author：

CAO Xiao, Email: 1303232198@qq.com; GE Long, Email: gelong2009@163.com

Keywords：

Perineal injury; Prenatal prevention; Preferences and values; Questionnaire survey; Reliability; Validity

DOI：

10.7507/1672-2531.202312086

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To develop a survey questionnaire on preferences and values regarding perineal injury prevention measures during pregnancy and conduct reliability and validity tests. Methods Combining literature reviews, qualitative interviews, and expert consultations, we summarized key elements of perineal injury prevention during pregnancy and synthesized the best evidence. Through multiple discussions within the core working group, a survey questionnaire on preferences and values regarding perineal injury prevention measures during pregnancy was formulated. Using convenience sampling, pregnant women were recruited, and a pre-survey was conducted using the questionnaire. Pre-survey results were analyzed using item analysis and reliability and validity testing methods to validate and refine the questionnaire. Results The questionnaire was compiled based on the theory of evidence-based decision-making. The initial version of the questionnaire was developed by combining systematic evaluation, network meta-analysis, and semi-structured interviews. The questionnaire was modified and improved through expert consultation, group discussion, and pre-investigation, which ensured that the questionnaire had good reliability, validity, and practicability. The Cronbach's α coefficient was 0.87, the split-half reliability was 0.71, and the content validity index was 0.97 of the survey questionnaire. Conclusion The present version of the perineal injury preventive measures preference and values questionnaire has good reliability, validity, and practicability. It can serve as a valuable tool for investigating preferences and values related to perineal injury prevention during pregnancy.

Citation： WAN Yejuan, CAO Xiao, SUN Mingyao, LAI Honghao, YANG Qiuyu, DENG Xiyuan, TANG Xiaolin, GE Long. Development of a questionnaire on preferences and values for prenatal preventive measures for perineal injury. Chinese Journal of Evidence-Based Medicine, 2024, 24(10): 1186-1191. doi: 10.7507/1672-2531.202312086 Copy

1.	Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean. (or it takes at least two to tango). Soc Sci Med, 1997, 44(5): 681-692.
2.	Taithongchai A, Veiga SI, Sultan AH, et al. The consequences of undiagnosed obstetric anal sphincter injuries (OASIS) following vaginal delivery. Int Urogynecol J, 2020, 31(3): 635-641.
3.	Darmody E, Bradshaw C, Atkinson S. Women's experience of obstetric anal sphincter injury following childbirth: an integrated review. Midwifery, 2020, 91(31): 102820.
4.	Molyneux R, Fowler G, Slade P. The effects of perineal trauma on immediate self-reported birth experience in first-time mothers. J Psychosom Obstet Gynaecol, 2022, 43(2): 228-234.
5.	Woolner AM, Ayansina D, Black M, et al. The impact of third- or fourth-degree perineal tears on the second pregnancy: a cohort study of 182 445 Scottish women. PLoS One, 2019, 14(4): e0215180.
6.	Lo SH, Lawrence C, Martí Y, et al. Patient and caregiver treatment preferences in type 2 and non-ambulatory type 3 spinal muscular atrophy: a discrete choice experiment survey in five european countries. Pharmacoeconomics, 2022, 40(Suppl 1): 103-115.
7.	van Dijk JD, Groothuis-Oudshoorn CG, Marshall DA, et al. An empirical comparison of discrete choice experiment and best-worst scaling to estimate stakeholders' risk tolerance for hip replacement surgery. Value Health, 2016, 19(4): 316-322.
8.	Crossnohere NL, Fischer R, Vroom E, et al. A comparison of caregiver and patient preferences for treating Duchene muscular dystrophy. Patient, 2022, 15(5): 577-588.
9.	Fueki K, Yoshida-Kohno E, Inamochi Y, et al. Patient satisfaction and preference with thermoplastic resin removable partial dentures: a randomised cross-over trial. J Prosthodont Res, 2020, 64(1): 20-25.
10.	Wasmann KA, Wijsman P, van Dieren S, et al. Partially randomised patient preference trials as an alternative design to randomised controlled trials: systematic review and meta-analyses. BMJ Open, 2019, 9(10): e031151.
11.	Elwyn G. Shared decision making: what is the work. Patient Educ Couns, 2021, 104(7): 1591-1595.
12.	耿勁松, 鮑海妮, 余小蘭, 等. “證據與價值對決策的影響”框架在知證決策中應用的方法學. 中國衛生資源, 2020, 23(4): 342-347.
13.	王晉芳, 徐楊, 陳延亭, 等. 順產產婦會陰損傷預防與修復護理最佳證據總結. 中國護理管理, 2018, 18(8): 1142-1147.
14.	湯海莉, 張玉, 龔敏琴, 等. 孕晚期妊娠期女性會陰按摩實施阻礙因素的質性研究. 上海護理, 2021, 21(7): 15-18.
15.	Corbin J, Strauss A. Basics of qualitative research (3rd ed. ): techniques and procedures for developing grounded theory. 2008.
16.	Thomas M, Marshall DA, Choudhary D, et al. The application of preference elicitation methods in clinical trial design to quantify trade-offs: a scoping review. Patient, 2022, 15(4): 423-434.
17.	Higgins J, Thomas J, Chandler J, et al. Cochrane handbook for systematic reviews of interventions (version 6.1). 2019.
18.	Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009, 6(7): e1000097.
19.	吳明隆. 問卷統計分析實務-SPSS操作與應用. 重慶: 重慶大學出版社, 2010.
20.	Taherdoost H. Validity and reliability of the research instrument; how to test the validation of a questionnaire/survey in a research. Int J Acad Res Manag, 2016, 5: 28-36.
21.	Jagiasi JD, Chandra P, Yeotiwad G, et al. Translation and validation of the "lysholm knee scoring scale" specific questionnaire for knee symptoms: Into Marathi (M-LKS). Int J Med Res Prof, 2017, 3: 89-94.
22.	Cao X, Yang Q, Wang Q, et al. PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis. Arch Gynecol Obstet, 2023, 308(2): 387-401.
23.	蔣小花, 沈卓之, 張楠楠, 等. 問卷的信度和效度分析. 現代預防醫學, 2010, 37(3): 429-431.

1. Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean. (or it takes at least two to tango). Soc Sci Med, 1997, 44(5): 681-692.
2. Taithongchai A, Veiga SI, Sultan AH, et al. The consequences of undiagnosed obstetric anal sphincter injuries (OASIS) following vaginal delivery. Int Urogynecol J, 2020, 31(3): 635-641.
3. Darmody E, Bradshaw C, Atkinson S. Women's experience of obstetric anal sphincter injury following childbirth: an integrated review. Midwifery, 2020, 91(31): 102820.
4. Molyneux R, Fowler G, Slade P. The effects of perineal trauma on immediate self-reported birth experience in first-time mothers. J Psychosom Obstet Gynaecol, 2022, 43(2): 228-234.
5. Woolner AM, Ayansina D, Black M, et al. The impact of third- or fourth-degree perineal tears on the second pregnancy: a cohort study of 182 445 Scottish women. PLoS One, 2019, 14(4): e0215180.
6. Lo SH, Lawrence C, Martí Y, et al. Patient and caregiver treatment preferences in type 2 and non-ambulatory type 3 spinal muscular atrophy: a discrete choice experiment survey in five european countries. Pharmacoeconomics, 2022, 40(Suppl 1): 103-115.
7. van Dijk JD, Groothuis-Oudshoorn CG, Marshall DA, et al. An empirical comparison of discrete choice experiment and best-worst scaling to estimate stakeholders' risk tolerance for hip replacement surgery. Value Health, 2016, 19(4): 316-322.
8. Crossnohere NL, Fischer R, Vroom E, et al. A comparison of caregiver and patient preferences for treating Duchene muscular dystrophy. Patient, 2022, 15(5): 577-588.
9. Fueki K, Yoshida-Kohno E, Inamochi Y, et al. Patient satisfaction and preference with thermoplastic resin removable partial dentures: a randomised cross-over trial. J Prosthodont Res, 2020, 64(1): 20-25.
10. Wasmann KA, Wijsman P, van Dieren S, et al. Partially randomised patient preference trials as an alternative design to randomised controlled trials: systematic review and meta-analyses. BMJ Open, 2019, 9(10): e031151.
11. Elwyn G. Shared decision making: what is the work. Patient Educ Couns, 2021, 104(7): 1591-1595.
12. 耿勁松, 鮑海妮, 余小蘭, 等. “證據與價值對決策的影響”框架在知證決策中應用的方法學. 中國衛生資源, 2020, 23(4): 342-347.
13. 王晉芳, 徐楊, 陳延亭, 等. 順產產婦會陰損傷預防與修復護理最佳證據總結. 中國護理管理, 2018, 18(8): 1142-1147.
14. 湯海莉, 張玉, 龔敏琴, 等. 孕晚期妊娠期女性會陰按摩實施阻礙因素的質性研究. 上海護理, 2021, 21(7): 15-18.
15. Corbin J, Strauss A. Basics of qualitative research (3rd ed. ): techniques and procedures for developing grounded theory. 2008.
16. Thomas M, Marshall DA, Choudhary D, et al. The application of preference elicitation methods in clinical trial design to quantify trade-offs: a scoping review. Patient, 2022, 15(4): 423-434.
17. Higgins J, Thomas J, Chandler J, et al. Cochrane handbook for systematic reviews of interventions (version 6.1). 2019.
18. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 2009, 6(7): e1000097.
19. 吳明隆. 問卷統計分析實務-SPSS操作與應用. 重慶: 重慶大學出版社, 2010.
20. Taherdoost H. Validity and reliability of the research instrument; how to test the validation of a questionnaire/survey in a research. Int J Acad Res Manag, 2016, 5: 28-36.
21. Jagiasi JD, Chandra P, Yeotiwad G, et al. Translation and validation of the "lysholm knee scoring scale" specific questionnaire for knee symptoms: Into Marathi (M-LKS). Int J Med Res Prof, 2017, 3: 89-94.
22. Cao X, Yang Q, Wang Q, et al. PFMT relevant strategies to prevent perineal trauma: a systematic review and network meta-analysis. Arch Gynecol Obstet, 2023, 308(2): 387-401.
23. 蔣小花, 沈卓之, 張楠楠, 等. 問卷的信度和效度分析. 現代預防醫學, 2010, 37(3): 429-431.

Chinese Journal of Evidence-Based Medicine

Development of a questionnaire on preferences and values for prenatal preventive measures for perineal injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content