Expanding Patient-Reported Outcomes Measurement Information System (PROMIS) Item Bank Development to the Pregnant Population [Methods Study], United States, 2017-2022 (ICPSR 39586)
Version Date: Nov 24, 2025 View help for published
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Kimberly D. Gregory, Cedars-Sinai Medical Center
https://doi.org/10.3886/ICPSR39586.v1
Version V1
Summary View help for Summary
Understanding patients' expectations and their experiences can help hospitals improve care. Hospitals often send surveys to patients to ask about their care. To create surveys quickly, hospitals sometimes pick questions from an item bank. An item bank is a list of survey questions available to use about a specific topic.
In this study, the research team created an item bank about childbirth care. The team used the item bank to create and carry out a survey about women's preferences and experiences with care during and after childbirth. The team looked at which questions related closely to women's overall ratings of their hospital care.
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Study Purpose View help for Study Purpose
To use the Patient-Reported Outcomes Management Information System (PROMIS) methodology to develop an item bank of survey questions to measure the childbirth values, preferences, and experiences of women receiving childbirth and postpartum care services in a hospital and to use the item bank to develop a survey for validity testing
Study Design View help for Study Design
Item bank are collections of survey questions that researchers can use to create new surveys quickly. With input from community partners, healthcare providers, and advocates for pregnant women, the research team developed an item bank of survey questions to measure hospital childbirth experience from the patient perspective. The team tested a subset of questions from the item bank and validated questions in the survey to see which items were predictors of hospital satisfaction.
First, the team performed a literature review to find patient-reported survey items that measure women's values and preferences for childbirth services as well as experiences and outcomes, including satisfaction with hospital childbirth services. The team then developed domains and additional survey items by using methods adapted from PROMIS, including focus groups with women to identify missing content domains.
Community partners prioritized questions from the item bank, which the research team used to develop a survey. Using responses from 30 English-speaking women, the team assessed the survey for content and construct validity, interpretability, and respondent and administrative burden for online administration. The team created a Spanish version using similar methods.
The research team fielded the values and preferences of questions in the survey online to a national sample of 2,757 adult women who were at least 20 weeks pregnant. Of these women, 38% had at least some college education. The women completed the experiences and outcomes survey questions after they gave birth.
Universe View help for Universe
Female adults who were at least 20 weeks pregnant, based in United States
Data Source View help for Data Source
Survey data from 2,757 female adults who were at least 20 weeks pregnant and spoke English or Spanish
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