Validation of a logic model program to support Iranian females during labor: A Delphi method

Abstract

Objectives: Developing of supporting programs for mothers during labor and childbirth based upon their needs could play an important role in reduction of elective cesarean section. The present study aimed to validate a logic model program for supporting mothers during labor and childbirth using a Delphi technique. Methods: This study was a three round Delphi engaging a panel of 25 experts of different specialties to rate and discuss the component of a labor support program. The program components were taken from the qualitative findings of a grounded theory study. The process of selecting expert panelmembers was carried out using the snowball sampling. In the first round of Delphi the experts were asked to offer their suggestions on a draft of the supporting program. After analyzing the first round data and adding the new suggestions, members were asked in round two to grade the value of statements based on the Likert scale to state their agreement. The third round was related to the discussion on disagreements and reaching consensus. Results: The panelist s approved 46 statements out of original set of over 51 statements via three round of Delphi. The agreement percentage of 80.9% were achieved for consensus. The results illustrated six major themes in the logic model program including preparation (10 statements), equipment and facilities (three statements), education (eight statements), process and activities (10 statements), interventions (13 statements) and evaluation (two statements). Conclusions: The current paper provided clear principles and standards regarding how to practically do a comprehensive supportive care during labor and delivery.