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. 2023 Jan 30;49(3):167–175. doi: 10.1136/bmjsrh-2022-201750

Table 3.

Exploration of the predicted probability, sensitivity, specificity, AuROC, PPV and NPV of selected individual and combined DAP items

Description Predicted probability of pregnancy at DAP score Empirical cut-point Sensitivity Specificity AuROC PPV NPV Domains covered Positive and negatively worded items
0 4
Total DAP:
All 14 items
79.4% 0.9% 1.96 78.0% 81.0% 0.85 43.0% 95.0% All Yes
Single DAP item:
Pregnant: good thing for me.
66.7% 2.1% 2.5 68.1% 86.3% 0.77 49.0% 93.3% 1 Positive only
Single DAP item:
Baby: end of the world for me.
27.4% 0.5 65.3% 77.7% 0.72 36.2% 92.0% 1 Negative only
Two DAP items:
Pregnant: good thing for me and Baby: end of the world for me.
71% 0.7% 1.25 65.3% 90.1% 0.78 56.0% 93.1% 1 Yes
Three DAP items: Pregnant: good thing for me, Pregnant: excited, Baby: hard to achieve other things. 83% 2.8% 2.15 62.5% 87.1% 0.75 48.4% 92.3% All Yes
Three DAP items: Pregnant: good thing for me, Pregnant: excited, Baby: end of the world for me. 73% 1.2% 1.49 66.7% 87.4% 0.77 50.5% 93.1% 1, 2 Yes
Three DAP items: Pregnant: good thing for me, Baby: end of the world for me, Baby: makes me smile. 68% 1.0% 1.49 69.4% 84.4% 0.77 46.3% 93.5% 1, 2 Yes
Three DAP items: Pregnant: good thing for me, Baby: want, Baby: end of the world for me. 72% 13.9% 1.49 66.7% 90.3% 0.79 57.1% 93.3% 1 Yes
Three DAP items: Pregnant: good thing for me, Baby: end of the world for me, Baby: hard for me to manage. 76% 8.8% 1.82 75.0% 77.2% 0.76 38.8% 94.1% 1, 3 Yes
Four DAP items:
Pregnant: good thing for me, Pregnant: excited, Baby: want, Baby: end of the world for me.
73% 1.4% 1.63 66.7% 89.2% 0.78 54.5% 93.2% 1, 2 Yes
Four DAP items:
Pregnant: good thing for me, Pregnant: excited, Baby: end of the world for me, Baby: hard to achieve other things.
81% 1.2% 1.88 66.7% 83.9% 0.75 44.4% 92.9% All Yes
Six DAP items:
Pregnant: wouldn't mind, Pregnant: unhappy, Baby: want, Baby: positive addition to life, Baby: makes me smile, Baby: hard for me to manage.
73% 1.6% 1.93 75.0% 80.9% 0.78 43.2% 94.4% All Yes

AUROC, area under the receiver operating curve; DAP, Desire to Avoid Pregnancy; NPV, negative predictive value; PPV, positive predictive value.