The New Indian Journal of OBGYN. 10(2):262-267

Psychometric evaluation of the Assamese adaptation of the obstetrics quality of recovery score in patients undergoing caesarean delivery under neuraxial anaesthesia: a single center prospective observational study

Ritu Raj Bhardwaj, Priyam Saikia, Asif Ahmed

ABSTRACT

Background: Caesarean delivery is a surgical procedure whose recovery characteristic is unique to it. The Obstetric Quality of Recovery scoring (Obs-QoR-11) tool was developed and validated in United Kingdom for use after elective and emergency caesarean delivery. Subsequently, ObsQoR-11 has been successfully adapted in other languages. As there is no such adaptation in Assamese language, we intended to evaluate the Assamese version of ObsQoR-11 in our population. Methodology: After approval and permission from the institutional ethics committee, the ObsQoR-11 was translated to Assamese, according to WHO forward-backward translation methods. It was evaluated in patients whose predominant language of communication was Assamese. After pilot testing, it was tested on patients before delivery and at 24hours. To examine the test retest reliability, it was readministered to ten patients at 25h post-delivery. The ObsQoR-11 was then correlated with a numerical rating scale (NRS) of global health status to examine the convergent validity. The reliability, responsiveness, acceptability and feasibility were also tested. Results: The Assamese version of ObsQoR-11 correlated moderately with the global health status NRS (r=0.39; 95% confidence interval: 0.23-0.53; P<0.0001) and discriminated well between good and poor recovery (NRS score≥ 80 vs ≤ 70mm; p<0.001). The internal consistency, split half reliability and test retest reliability 0.851 (p<.001), 0.78(p<.001) and 0.839(p<.001), has a Cohen`s effect size, standardized response mean of 3.55 and 2.62 respectively and no floor or ceiling effects. All parturient completed the questionnaire [median (IQR)] time of completion of 3.6(3.5-4) minutes. Conclusion: The Assamese version of the ObsQoR-11 questionnaire is a promising scoring tool to evaluate quality of recovery in patient undergoing caesarean delivery.