Development and Validation of a Filipino Version of Obstetric Quality of Recovery-10

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ABSTRACT Background: The Obstetric Quality of Recovery-10 (ObsQoR-10) is a patient-reported outcome measure that provides a holistic assessment on the quality of in-hospital postpartum functional recovery. Validated across several countries in various languages, it has shown great potential for widespread global acceptance in both clinical practice and research. We aimed to develop a Filipino version of the ObsQoR-10 and to evaluate its validity, reliability, and feasibility. Methods: One hundred women who had elective cesarean delivery (CD) completed the ObsQoR-10-Filipino and EuroQol five-dimensional 3 L Filipino version questionnaires (including a Global Health Visual Analog Scale [GHVAS]) 24 h after delivery. Twenty-five women completed the ObsQoR-10-Filipino survey again 25 h after delivery. Validity was assessed by evaluation of convergent validity, discriminant validity, and hypothesis testing. Reliability was assessed by evaluating internal consistency, split-half reliability, and test–retest reliability; and (iv) floor and ceiling effects. Results: The ObsQoR-10-Filipino scores showed good and moderate correlation to the EQ-5D-3 L scores (r = −0.636; 95% confidence interval [CI]: −0.740–−0.503, P < 0.001) and to the GHVAS scores (r = 0.387; 95% CI: 0.207–0.543, P < 0.001), respectively. ObsQoR-10-Filipino discriminated well between good (GHVAS score ≥ 70, 68.4 ± 12.9) and poor recovery (GHVAS score < 70, 55.1 + 12.9). Internal consistency was acceptable (Cronbach’s α =0.76), and split-half reliability was very good (Spearman–Brown Prophesy Reliability Estimate = 0.87). Test–retest reliability was excellent (intraclass correlation coefficient = 0.973; 95% CI: 0.873–0.976). No floor or ceiling effects were observed. The recruitment rate and completion rate were 92% and 91%, respectively. No correlation was observed between the ObsQoR-10-Filipino scores and factors such as maternal age, gestational age, blood loss, and American Society of Anesthesiologists classification. Conclusion: The ObsQoR-10-Filipino is a valid, reliable, and feasible tool for assessing inatient postpartum recovery in Filipino-speaking women undergoing elective CD.