Dataset Information

Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care.

ABSTRACT:

Objective

To examine the psychometric properties of the Prenatal Opioid Use Perceived Stigma (POPS) scale and to assess the relationship of POPS scores to adequate prenatal care.

Design

Prospective cohort study.

Setting

Medical centers in Alabama, Ohio, and Pennsylvania (N = 4).

Participants

Women (N = 127) who took opioids during pregnancy and whose infants participated in the Outcomes of Babies With Opioid Exposure Study.

Methods

Participants reported their perceptions of stigma during pregnancy by responding to the eight items on the POPS scale. We evaluated the instrument's internal consistency reliability (Cronbach's alpha), structural validity (factor analysis), and convergent validity (relationship with measures of similar constructs). In addition, to assess construct validity, we used logistic regression to examine the relationship of POPS scores to the receipt of adequate prenatal care.

Results

The internal consistency of the POPS scale was high (Cronbach's α = .88), and all item-total correlations were greater than 0.50. The factor analysis confirmed that the items cluster into one factor. Participants who reported greater perceived stigma toward substance users and everyday discrimination in medical settings had higher POPS scores, which supported the convergent validity of the scale. POPS scores were significantly associated with not receiving adequate prenatal care, adjusted OR = 1.47, 95% confidence interval [1.19, 1.83], p < .001.

Conclusion

The psychometric testing of the POPS scale provided initial support for the reliability and validity of the instrument. It may be a useful tool with which to assess perceived stigma among women who take opioids, a potential barrier to seeking health care during pregnancy.

SUBMITTER: Bann CM

PROVIDER: S-EPMC9992302 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care.

Bann Carla M CM Newman Jamie E JE Okoniewski Katherine C KC Clarke Leslie L Wilson-Costello Deanne D Merhar Stephanie S Mack Nicole N DeMauro Sara S Lorch Scott S Ambalavanan Namasivayam N Limperopoulos Catherine C Poindexter Brenda B Walsh Michele M Davis Jonathan M JM

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 20230122 2

<h4>Objective</h4>To examine the psychometric properties of the Prenatal Opioid Use Perceived Stigma (POPS) scale and to assess the relationship of POPS scores to adequate prenatal care.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>Medical centers in Alabama, Ohio, and Pennsylvania (N = 4).<h4>Participants</h4>Women (N = 127) who took opioids during pregnancy and whose infants participated in the Outcomes of Babies With Opioid Exposure Study.<h4>Methods</h4>Participants reported their ...[more]

PMID: 36696952

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Project description:BackgroundDiminishing stigmatization for those with mental illnesses by health care providers (HCPs) is becoming a priority for programming and policy, as well as research. In order to be successful, we must accurately measure stigmatizing attitudes and behaviours among HCPs. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) was developed to measure stigma in HCP populations. In this study we revisit the factor structure and the responsiveness of the OMS-HC in a larger, more representative sample of HCPs that are more likely to be targets for anti-stigma interventions.MethodsBaseline data were collected from HCPs (n?=?1,523) during 12 different anti-stigma interventions across Canada. The majority of HCPs were women (77.4%) and were either physicians (MDs) (41.5%), nurses (17.0%), medical students (13.4%), or students in allied health programs (14.0%). Exploratory factor analysis (EFA) was conducted using complete pre-test (n?=?1,305) survey data and responsiveness to change analyses was examined with pre and post matched data (n?=?803). The internal consistency of the OMS-HC scale and subscales was evaluated using the Cronbach's alpha coefficient. The scale's sensitivity to change was examined using paired t-tests, effect sizes (Cohen's d), and standardized response means (SRM).ResultsThe EFA favored a 3-factor structure which accounted for 45.3% of the variance using 15 of 20 items. The overall internal consistency for the 15-item scale (??=?0.79) and three subscales (??=?0.67 to 0.68) was acceptable. Subgroup analysis showed the internal consistency was satisfactory across HCP groups including physicians and nurses (??=?0.66 to 0.78). Evidence for the scale's responsiveness to change occurred across multiple samples, including student-targeted interventions and workshops for practicing HCPs. The Social Distance subscale had the weakest level of responsiveness (SRM???0.50) whereas the more attitudinal-based items comprising the Attitude (SRM???0.91) and Disclosure and Help-seeking (SRM???0.68) subscales had stronger responsiveness.ConclusionsThe OMS-HC has shown to have acceptable internal consistency and has been successful in detecting positive changes in various anti-stigma interventions. Our results support the use of a 15-item scale, with the calculation of three sub scores for Attitude, Disclosure and Help-seeking, and Social Distance.

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Dataset Information

Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care.

Objective

Design

Setting

Participants

Methods

Results

Conclusion

Publications

Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care.

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