Couple communication and marital stability among adults in Assela Town
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Date
2014-05
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Addis Ababa University
Abstract
There is an increased understanding that a valid instrument is important to establish and
implement appropriate tactics or strategies to improving quality of health delivery system
thereby ensure patient satisfaction. The purpose of this study was to develop and examine the
psychometrics of a brief scale measuring clients' satisfaction with comprehensive abortion care
(CSwCAC) in the context of Ethiopian health facilities. The study followed two related phases.
Phase I employed qualitative methods in order to identify concepts used to develop a CSwCAC
scale. Phase II used quantitative methods to identify dimensions and evaluate psychometric
properties of the scale. A sample of 450 clients were interviewed from eight health facilities of
which a total of 430 clients responded to the questionnaire, giving a relatively high response rate
(95.6%). Principal component exploratory factor analysis resulted in the construct consists of
five factors which account 60% of the variance in total satisfaction scores. The Kaiser-Meyer-
Olkin is (KMO= 0,838) and Bartlett test of sphericity is significant (p <0,05). While the
reliability estimates of internal consistency for the subscales ranges from 0.748 to 0.886, this
estimate found to be 0.887 for the whole scale. The scale showed many similar dimensions that
appear in the previous published instruments. The scale, also found to have a sound concurrent
validity, as it showed significant correlation with criterion measures. Above all, empirical
evidence supported the validity and reliability of the CSwCAC scale, which will have utility in
the assessments of health care programs aimed at improving SCwCAC
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Evaluation