Developing and validating a measure of patient-centered peripartum contraceptive care
Active Project Grant Awarded Last action
- Award ID
- R21HD111811
- Recipient
-
Regents Of The University Of Michigan UEI GNJ7BBP73WE9
- Awarding agency
-
National Institute of Child Health and Human Development
National Institutes of Health, Department of Health and Human Services
- Obligated
- $461,518
Award facts
- Assistance listing
- 93.865 Child Health and Human Development Extramural Research
- Completion date 72% complete
- Originally
- Place of performance
- Ann Arbor, MI 48109, USA
Award details come from USAspending.gov.
Description
- Abstract
- Abstract background: contraceptive care is an essential component of maternity care. While patient-centeredness is a key aspect of the quality of contraceptive care, significant evidence suggests that many pregnant and postpartum (hereafter "peripartum") individuals do not receive patient-centered contraceptive care and that marginalized groups are disproportionately at risk of poor experiences. These poor experiences affect contraceptive use, birth spacing and risk of adverse birth outcomes. Addressing current shortcomings in peripartum contraceptive care requires robust metrics grounded in patient-centeredness and health equity, but no such measures currently exist. Commonly used measures of peripartum contraceptive care focus only on the clinical outcome of contraceptive provision. Assessing quality through this measure alone-as opposed to alongside a measure of patient experience-can have unintended consequences of incentivizing the promotion of contraception use or specific method types over individual patients' preferences. Thus, there is critical need for new measures that can capture the patient-centeredness of contraceptive care among peripartum populations, overall and among key subgroups at disproportionate risk of non-patient-centered care. Approach: the objective of this proposal is to develop a novel, psychometrically validated measure of the patient experience of peripartum contraceptive care, the patient-centeredness of peripartum birth control counseling (ppbc) measure. To achieve this objective, we will first adapt an existing patient-reported outcome measure to the unique peripartum context, using modified delphi methods with patient and expert stakeholders and cognitive interviews with patients (aim 1). We will then administer the prototype measure developed in aim 1 to a large sample of peripartum individuals, to assess and confirm factor structure, evaluate reliability and external validity, and develop a refined measure of the patient experience of peripartum contraceptive care (aim 2). Impact: findings from this proposal hold promise to ultimately transform the ability of health systems and researchers to understand and promote patient-centered, equitable peripartum contraceptive care delivery and thereby improve health outcomes for the 4 million mothers and infants receiving perinatal care in the U.S. Annually.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $203,217 | |
| Amendment | $0 | |
| Original award | $258,301 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| The Regents Of The University Of California. San Francisco | $134,723 |
Quick answers
Who received award R21HD111811?
R21HD111811 was awarded to Regents Of The University Of Michigan by National Institute of Child Health and Human Development (National Institutes of Health) on September 4, 2024.
How much is award R21HD111811 worth?
$461,518 has been obligated on R21HD111811.
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