The ResQu Index: A new instrument to appraise the quality of research on birth place.

<h4>Objective</h4>Place of birth is a known determinant of health care outcomes, interventions and costs. Many studies have examined the maternal and perinatal outcomes when women plan to give birth in hospitals compared with births in birth centres or at home. However, these studies var...

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Main Authors: Saraswathi Vedam, Chris Rossiter, Caroline S E Homer, Kathrin Stoll, Vanessa L Scarf
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182991&type=printable
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author Saraswathi Vedam
Chris Rossiter
Caroline S E Homer
Kathrin Stoll
Vanessa L Scarf
author_facet Saraswathi Vedam
Chris Rossiter
Caroline S E Homer
Kathrin Stoll
Vanessa L Scarf
author_sort Saraswathi Vedam
collection DOAJ
description <h4>Objective</h4>Place of birth is a known determinant of health care outcomes, interventions and costs. Many studies have examined the maternal and perinatal outcomes when women plan to give birth in hospitals compared with births in birth centres or at home. However, these studies vary substantially in rigour; assessing their quality is challenging. Existing research appraisal tools do not always capture important elements of study design that are critical when comparing outcomes by planned place of birth. To address this deficiency, we aimed to develop a reliable instrument to rate the quality of primary research on maternal and newborn outcomes by place of birth.<h4>Study design</h4>The instrument development process involved five phases: 1) generation of items and a weighted scoring system; 2) content validation via a quantitative survey and a modified Delphi process with an international, multi-disciplinary panel of experts; 3) inter-rater consistency; 4) alignment with established research appraisal tools; and 5) pilot-testing of instrument usability.<h4>Results</h4>A Birth Place Research Quality Index (ResQu Index) was developed comprising 27 scored items that are summed to generate a weighted composite score out of 100 for studies comparing planned place of birth. Scale content validation indices were .89 for clarity, .94 for relevance and .90 for importance. The Index demonstrated substantial inter-rater consistency; pilot-testing confirmed feasibility and user-friendliness.<h4>Conclusion</h4>The ResQu Index is a reliable instrument to evaluate the quality of design, methods and interpretation of reported outcomes from research about place of birth. Higher-scoring studies have greater potential to inform evidence-based selection of birth place by clinicians, policy makers, and women and their families. The Index can also guide the design of future research on place of birth.
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spelling doaj-art-0f66c29e659044e3967c932002807ffb2025-01-17T05:32:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01128e018299110.1371/journal.pone.0182991The ResQu Index: A new instrument to appraise the quality of research on birth place.Saraswathi VedamChris RossiterCaroline S E HomerKathrin StollVanessa L Scarf<h4>Objective</h4>Place of birth is a known determinant of health care outcomes, interventions and costs. Many studies have examined the maternal and perinatal outcomes when women plan to give birth in hospitals compared with births in birth centres or at home. However, these studies vary substantially in rigour; assessing their quality is challenging. Existing research appraisal tools do not always capture important elements of study design that are critical when comparing outcomes by planned place of birth. To address this deficiency, we aimed to develop a reliable instrument to rate the quality of primary research on maternal and newborn outcomes by place of birth.<h4>Study design</h4>The instrument development process involved five phases: 1) generation of items and a weighted scoring system; 2) content validation via a quantitative survey and a modified Delphi process with an international, multi-disciplinary panel of experts; 3) inter-rater consistency; 4) alignment with established research appraisal tools; and 5) pilot-testing of instrument usability.<h4>Results</h4>A Birth Place Research Quality Index (ResQu Index) was developed comprising 27 scored items that are summed to generate a weighted composite score out of 100 for studies comparing planned place of birth. Scale content validation indices were .89 for clarity, .94 for relevance and .90 for importance. The Index demonstrated substantial inter-rater consistency; pilot-testing confirmed feasibility and user-friendliness.<h4>Conclusion</h4>The ResQu Index is a reliable instrument to evaluate the quality of design, methods and interpretation of reported outcomes from research about place of birth. Higher-scoring studies have greater potential to inform evidence-based selection of birth place by clinicians, policy makers, and women and their families. The Index can also guide the design of future research on place of birth.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182991&type=printable
spellingShingle Saraswathi Vedam
Chris Rossiter
Caroline S E Homer
Kathrin Stoll
Vanessa L Scarf
The ResQu Index: A new instrument to appraise the quality of research on birth place.
PLoS ONE
title The ResQu Index: A new instrument to appraise the quality of research on birth place.
title_full The ResQu Index: A new instrument to appraise the quality of research on birth place.
title_fullStr The ResQu Index: A new instrument to appraise the quality of research on birth place.
title_full_unstemmed The ResQu Index: A new instrument to appraise the quality of research on birth place.
title_short The ResQu Index: A new instrument to appraise the quality of research on birth place.
title_sort resqu index a new instrument to appraise the quality of research on birth place
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182991&type=printable
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