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Published in: International Urogynecology Journal 12/2017

01-12-2017 | Original Article

Validation of the PFDI-20 and PFIQ-7 quality of life questionnaires in two African languages

Authors: Etienne W. Henn, Barry W. Richter, Masekhoko M. P. Marokane

Published in: International Urogynecology Journal | Issue 12/2017

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Abstract

Introduction and hypothesis

Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual’s symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validated QOL questionnaires for women in Africa. The aim of this study was to validate these questionnaires in African women for the Afrikaans and Sesotho languages.

Methods

Patients with pelvic floor disorders completed the questionnaires at baseline, 1 week later and after 6 months. A control group of women not known to have pelvic floor disorders completed the questionnaires at baseline and 1 week later. Psychometric properties tested were internal consistency, reliability, construct validity and responsiveness.

Results

In each language group, 100 control and 100 study participants completed the scheduled rounds. Internal consistency, as measured by the Cronbach’s alpha value, was good for the PFDI-20 (0.71–0.89) and the PFIQ-7 (0.81–0.89) for both the Afrikaans-speaking and the Sesotho-speaking patients. The test–retest reliability showed very good intraclass correlation coefficients of 0.89–0.99 across all scales of both questionnaires and in both language groups. The construct validity was confirmed as was the responsiveness to treatment for both questionnaires.

Conclusions

The Afrikaans and Sesotho versions of the PFDI-20 and PFIQ-7 are reliable and valid instruments that can be used in women with pelvic floor disorders speaking these languages.
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Literature
1.
go back to reference Barber MD. Questionnaires for women with pelvic floor disorders. Int Urogynecol J. 2007;18(4):461–465.CrossRef Barber MD. Questionnaires for women with pelvic floor disorders. Int Urogynecol J. 2007;18(4):461–465.CrossRef
2.
go back to reference Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103–113.CrossRefPubMed Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103–113.CrossRefPubMed
3.
go back to reference Utomo E, Blok BF, Steensma AB, Korfage IJ. Validation of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) in a Dutch population. Int Urogynecol J. 2014;25(4):531–544.CrossRefPubMed Utomo E, Blok BF, Steensma AB, Korfage IJ. Validation of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) in a Dutch population. Int Urogynecol J. 2014;25(4):531–544.CrossRefPubMed
4.
go back to reference Treszezamsky AD, Karp D, Dick-Biascoechea M, Ehsani N, Dancz C, Montoya TI, et al. Spanish translation and validation of four short pelvic floor disorders questionnaires. Int Urogynecol J. 2013;24(4):655–670.CrossRefPubMed Treszezamsky AD, Karp D, Dick-Biascoechea M, Ehsani N, Dancz C, Montoya TI, et al. Spanish translation and validation of four short pelvic floor disorders questionnaires. Int Urogynecol J. 2013;24(4):655–670.CrossRefPubMed
5.
go back to reference Yoshida M, Murayama R, Ota E, Nakata M, Kozuma S, Homma Y. Reliability and validity of the Japanese version of the Pelvic Floor Distress Inventory-Short Form 20. Int Urogynecol J. 2013;24(6):1039–1046.CrossRefPubMed Yoshida M, Murayama R, Ota E, Nakata M, Kozuma S, Homma Y. Reliability and validity of the Japanese version of the Pelvic Floor Distress Inventory-Short Form 20. Int Urogynecol J. 2013;24(6):1039–1046.CrossRefPubMed
6.
go back to reference Toprak Celenay S, Akbayrak T, Kaya S, Ekici G, Beksac S. Validity and reliability of the Turkish version of the Pelvic Floor Distress Inventory-20. Int Urogynecol J. 2012;23(8):1123–1127.CrossRefPubMed Toprak Celenay S, Akbayrak T, Kaya S, Ekici G, Beksac S. Validity and reliability of the Turkish version of the Pelvic Floor Distress Inventory-20. Int Urogynecol J. 2012;23(8):1123–1127.CrossRefPubMed
7.
go back to reference Zhu L, Yu S, Xu T, Yang X, Lu Y, Li B, et al. Chinese validation of the Pelvic Floor Impact Questionnaire Short Form. Menopause. 2011;18(9):1030–1033.CrossRefPubMed Zhu L, Yu S, Xu T, Yang X, Lu Y, Li B, et al. Chinese validation of the Pelvic Floor Impact Questionnaire Short Form. Menopause. 2011;18(9):1030–1033.CrossRefPubMed
8.
go back to reference Teleman P, Stenzelius K, Iorizzo L, Jakobsson U. Validation of the Swedish short forms of the Pelvic Floor Impact Questionnaire (PFIQ-7), Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Acta Obstet Gynecol Scand. 2011;90(5):483–487.CrossRefPubMed Teleman P, Stenzelius K, Iorizzo L, Jakobsson U. Validation of the Swedish short forms of the Pelvic Floor Impact Questionnaire (PFIQ-7), Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Acta Obstet Gynecol Scand. 2011;90(5):483–487.CrossRefPubMed
9.
go back to reference Kaplan PB, Sut N, Sut HK. Validation, cultural adaptation and responsiveness of two pelvic-floor-specific quality-of-life questionnaires, PFDI-20 and PFIQ-7, in a Turkish population. Eur J Obstet Gynecol Reprod Biol. 2012;162(2):229–233.CrossRefPubMed Kaplan PB, Sut N, Sut HK. Validation, cultural adaptation and responsiveness of two pelvic-floor-specific quality-of-life questionnaires, PFDI-20 and PFIQ-7, in a Turkish population. Eur J Obstet Gynecol Reprod Biol. 2012;162(2):229–233.CrossRefPubMed
10.
go back to reference Lowenstein L, Levy G, Chen KO, Ginath S, Condrea A, Padoa A. Validation of Hebrew versions of the Pelvic Floor Distress Inventory, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, and the Urgency, Severity and Impact Questionnaire. Female Pelvic Med Reconstr Surg. 2012;18(6):329–331.CrossRefPubMed Lowenstein L, Levy G, Chen KO, Ginath S, Condrea A, Padoa A. Validation of Hebrew versions of the Pelvic Floor Distress Inventory, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, and the Urgency, Severity and Impact Questionnaire. Female Pelvic Med Reconstr Surg. 2012;18(6):329–331.CrossRefPubMed
11.
go back to reference El-Azab AS, Abd-Elsayed AA, Imam HMK. Patient reported and anatomical outcomes after surgery for pelvic organ prolapse. Neurourol Urodyn. 2009;28(3):219–224.CrossRefPubMed El-Azab AS, Abd-Elsayed AA, Imam HMK. Patient reported and anatomical outcomes after surgery for pelvic organ prolapse. Neurourol Urodyn. 2009;28(3):219–224.CrossRefPubMed
12.
go back to reference de Tayrac R, Deval B, Fernandez H, Marès P. Development of a linguistically validated French version of two short-form, condition-specific quality of life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). J Gynecol Obstet Biol Reprod. 2007;36(8):738–748.CrossRef de Tayrac R, Deval B, Fernandez H, Marès P. Development of a linguistically validated French version of two short-form, condition-specific quality of life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). J Gynecol Obstet Biol Reprod. 2007;36(8):738–748.CrossRef
13.
go back to reference Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof. 2005;28(2):212–232.CrossRefPubMed Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof. 2005;28(2):212–232.CrossRefPubMed
14.
go back to reference Acquadro C, Conway K, Hareendran A, Aaronson N. Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509–521.CrossRefPubMed Acquadro C, Conway K, Hareendran A, Aaronson N. Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509–521.CrossRefPubMed
15.
go back to reference Streiner D, Norman G, Cairney J. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 2014. p. 7–19. Streiner D, Norman G, Cairney J. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 2014. p. 7–19.
16.
go back to reference Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(4):655–684.CrossRefPubMed Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(4):655–684.CrossRefPubMed
17.
go back to reference Geller EJ, Barbee ER, Wu JM, Loomis MJ, Visco AG. Validation of telephone administration of 2 condition-specific quality-of-life questionnaires. Am J Obstet Gynecol. 2007;197(6):632.e1–632.e4.CrossRef Geller EJ, Barbee ER, Wu JM, Loomis MJ, Visco AG. Validation of telephone administration of 2 condition-specific quality-of-life questionnaires. Am J Obstet Gynecol. 2007;197(6):632.e1–632.e4.CrossRef
18.
go back to reference Srikrishna S, Robinson D, Cardozo L. Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse. Int Urogynecol J. 2010;21(5):523–528.CrossRefPubMed Srikrishna S, Robinson D, Cardozo L. Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse. Int Urogynecol J. 2010;21(5):523–528.CrossRefPubMed
19.
go back to reference Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010;19(4):539–549.CrossRefPubMedPubMedCentral Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010;19(4):539–549.CrossRefPubMedPubMedCentral
21.
go back to reference Reeve BB, Wyrwich KW, Wu AW, Velikova G, Terwee CB, Snyder CF, et al. ISOQOL recommends minimum standards for patient-reported outcome measures used in patient-centered outcomes and comparative effectiveness research. Qual Life Res. 2013;22(8):1889–1905.CrossRefPubMed Reeve BB, Wyrwich KW, Wu AW, Velikova G, Terwee CB, Snyder CF, et al. ISOQOL recommends minimum standards for patient-reported outcome measures used in patient-centered outcomes and comparative effectiveness research. Qual Life Res. 2013;22(8):1889–1905.CrossRefPubMed
22.
go back to reference Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737–745.CrossRefPubMed Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010;63(7):737–745.CrossRefPubMed
23.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.CrossRefPubMed
24.
go back to reference Terwee CB, Dekker FW, Wiersinga WM, Prummel MF, Bossuyt PMM. On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Qual Life Res. 2003;12(4):349–362.CrossRefPubMed Terwee CB, Dekker FW, Wiersinga WM, Prummel MF, Bossuyt PMM. On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Qual Life Res. 2003;12(4):349–362.CrossRefPubMed
25.
go back to reference Zou GY. Quantifying responsiveness of quality of life measures without an external criterion. Qual Life Res. 2005;14(6):1545–1552.CrossRefPubMed Zou GY. Quantifying responsiveness of quality of life measures without an external criterion. Qual Life Res. 2005;14(6):1545–1552.CrossRefPubMed
26.
go back to reference Eurich DT, Johnson JA, Reid KJ, Spertus JA. Assessing responsiveness of generic and specific health related quality of life measures in heart failure. Health Qual Life Outcomes. 2006;4:89.CrossRefPubMedPubMedCentral Eurich DT, Johnson JA, Reid KJ, Spertus JA. Assessing responsiveness of generic and specific health related quality of life measures in heart failure. Health Qual Life Outcomes. 2006;4:89.CrossRefPubMedPubMedCentral
27.
go back to reference Beaton DE, Bombardier C, Katz JN, Wright JG. A taxonomy for responsiveness. J Clin Epidemiol. 2001;54(12):1204–1217.CrossRefPubMed Beaton DE, Bombardier C, Katz JN, Wright JG. A taxonomy for responsiveness. J Clin Epidemiol. 2001;54(12):1204–1217.CrossRefPubMed
28.
go back to reference Kc S, Lutz W. The human core of the shared socioeconomic pathways: population scenarios by age, sex and level of education for all countries to 2100. Glob Environ Change. 2017;42:181–192.CrossRefPubMedPubMedCentral Kc S, Lutz W. The human core of the shared socioeconomic pathways: population scenarios by age, sex and level of education for all countries to 2100. Glob Environ Change. 2017;42:181–192.CrossRefPubMedPubMedCentral
29.
go back to reference Aponte MM, Rosenblum N. Repair of pelvic organ prolapse: what is the goal? Curr Urol Rep. 2014;15(2):385.CrossRefPubMed Aponte MM, Rosenblum N. Repair of pelvic organ prolapse: what is the goal? Curr Urol Rep. 2014;15(2):385.CrossRefPubMed
30.
go back to reference Zhu L, Yu S, Xu T, Yang X, Lu Y, Lang J. Validation of the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12). Int J Gynecol Obstet. 2012;116(2):117–119.CrossRef Zhu L, Yu S, Xu T, Yang X, Lu Y, Lang J. Validation of the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12). Int J Gynecol Obstet. 2012;116(2):117–119.CrossRef
Metadata
Title
Validation of the PFDI-20 and PFIQ-7 quality of life questionnaires in two African languages
Authors
Etienne W. Henn
Barry W. Richter
Masekhoko M. P. Marokane
Publication date
01-12-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 12/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3318-3

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