Development, validation & pilot testing of a questionnaire to assess healthcare seeking behaviour, healthcare service utilization & out-of-pocket expenditure of Particularly Vulnerable Tribal Groups of Odisha, India

被引：1

作者：

Ghosal, Jyoti ^{[1
,2
]}

Dutta, Ambarish ^{[3
]}

Kshatri, Jaya Singh ^{[2
]}

Das, Arundhuti ^{[2
]}

Kanungo, Srikanta ^{[2
]}

Singh, Aalapti ^{[4
]}

Kerketta, Sushmita ^{[2
]}

Ghosal, Shishirendu ^{[2
]}

Kaur, Harpreet ^{[5
]}

Bal, Madhusmita ^{[2
]}

Ranjit, Manoranjan ^{[2
]}

Satpathy, Sudhir Kumar ^{[1
]}

Pati, Sanghamitra ^{[2
]}

机构：

[1] Deemed be Univ, Sch Publ Hlth, Dept Publ Hlth, Kalinga Inst Ind Technol, Bhubaneswar, Odisha, India

[2] ICMR Reg Med Res Ctr, Dept Immunol, Mol Epidemiol Publ Hlth, Dibrugarh, Assam, India

[3] Indian Inst Publ Hlth, Dept Epidemiol, Gandhinagar, Gujarat, India

[4] Siksha O Anusandhan Deemed be Univ, Inst Med Sci & SUM Hosp, Dept Community Med, Bhubaneswar, Odisha, India

[5] Indian Council Med Res, Div Epidemiol & Communicable Dis, New Delhi, India

来源：

INDIAN JOURNAL OF MEDICAL RESEARCH | 2023年 / 157卷 / 05期

关键词：

Healthcare seeking behaviour; maternal and child health; particularly vulnerable tribal groups; pilot testing; pretesting; questionnaire; reliability; validity;

D O I：

10.4103/ijmr.ijmr_3570_21

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Background & objectives: Assessing healthcare seeking behaviour (HSB), healthcare utilization and related out-of-pocket expenditures of Particularly Vulnerable Tribal Groups (PVTGs) of India through a prism of the health system may help to achieve equitable health outcomes. Therefore, this comprehensive study was envisaged to examine these issues among PVTGs of Odisha, India. However, there exists no validated questionnaire to measure these variables among PVTGs. Therefore, a study questionnaire was developed for this purpose and validated. Methods: Questionnaire was constructed in four phases: questionnaire development, validity assessment, pilot testing and reliability assessment. Nine domain experts face validated questionnaire in two rounds, followed by a single round of quantitative content validity. Next, the questionnaire was pretested in three rounds using cognitive interviews and pilot-tested among 335 and 100 eligible individuals for the two sections healthcare seeking behaviour (HSB-Q) and maternal and child healthcare service utilization (MCHSU-Q). Internal consistency reliability was assessed for de novo HSB-Q. Results: On two rounds of expert-driven face validity, 55 items were eliminated from 200 items. Questionnaire showed moderate to high content validity (item-level content validity index range: 0.78 to 1, scale-level content validity index/universal agreement: 0.73; scale-level content validity index/average: 0.96 and multirater kappa statistics range: 0.6 to 1). During the pre-test, items were altered until saturation was achieved. Pilot testing helped to refine interview modalities. The Cronbach alpha and McDonald's omega assessing internal consistency of HSB-Q were 0.8 and 0.85, respectively. Interpretation & conclusions: The questionnaire was found to be valid and reliable to explore healthcare seeking behaviour, maternal and child healthcare utilization and related out-of-pocket expenditure incurred by PVTGs of Odisha, India.

引用

页码：412 / +

页数：14