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Published in: International Urogynecology Journal 12/2019

01-12-2019 | Urinary Incontinence | Original Article

Turkish translation of the Prolapse and Incontinence Knowledge Questionnaire: validity and reliability

Authors: Seyda Toprak Celenay, Ozge Coban, Cansu Sahbaz Pirincci, Zehra Korkut, Tugba Birben, Afra Alkan, Ayse Filiz Avsar

Published in: International Urogynecology Journal | Issue 12/2019

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Abstract

Introduction and hypothesis

To translate the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) into Turkish and test its validity and reliability.

Methods

The study included 341 women. The translation of the PIKQ, which comprised of the urinary incontinence (PIKQ-UI) and pelvic organ prolapse (PIKQ-POP) sections, was performed in accordance with international recommendations. The Incontinence Quiz (IQ) and the Visual Analog Scale (VAS) were applied to assess the level of knowledge about POP and UI. Psychometric analyses consisted of assessing the following: (1) construct validity by confirmatory factor analysis, (2) criterion and known group validity, (3) internal consistency reliability by the KR-20 coefficient, and (4) test-retest reliability over 1 week with the intraclass correlation coefficient (ICC).

Results

All fit indices except the Standardized Root Mean Square Residual indicated acceptable fit for the final models. Criterion validity was supported by moderate correlations between the PIKQ-UI and the IQ (rho = 0.679, p < 0.001). There were positive and weak linear correlations between the PIKQ-UI and PIKQ-POP scores and their corresponding perceived knowledge scores (rho = 0.351, p = 0.013 and rho = 0.345, p = 0.014, respectively). The known group validity did not show differences indicating that participants did not have enough knowledge about UI and/or POP even when they had the condition or acquaintance with them (p = 0.852 and p = 0.185, respectively). Reliability was excellent as indicated by the ICCs of 0.91–0.90, and KR-20 of 0.67–0.75 indicated good internal consistency for the PIKQ-UI and PIKQ-POP, respectively.

Conclusions

The Turkish version of the PIKQ is a valid and reliable instrument to assess the knowledge of UI and POP.
Appendix
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Literature
1.
go back to reference Raizada V, Mittal RK. Pelvic floor anatomy and applied physiology. Gastroenterol Clin N Am. 2008;37(3):493–vii.CrossRef Raizada V, Mittal RK. Pelvic floor anatomy and applied physiology. Gastroenterol Clin N Am. 2008;37(3):493–vii.CrossRef
2.
go back to reference Hodges PW, Sapsford R, Pengel LH. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007;26(3):362–71.CrossRef Hodges PW, Sapsford R, Pengel LH. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007;26(3):362–71.CrossRef
3.
go back to reference Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, et al. Prevalence and trends of symptomatic pelvic floor disorders in US women. Obstet Gynecol. 2014;123(1):141–8.CrossRef Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, et al. Prevalence and trends of symptomatic pelvic floor disorders in US women. Obstet Gynecol. 2014;123(1):141–8.CrossRef
4.
go back to reference Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs. 2003;43(6):555–68.CrossRef Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs. 2003;43(6):555–68.CrossRef
5.
go back to reference Jundt K, Peschers U, Kentenich H. The investigation and treatment of female pelvic floor dysfunction. Dtsch Arztebl Int. 2015;112(33–34):564–74.PubMedPubMedCentral Jundt K, Peschers U, Kentenich H. The investigation and treatment of female pelvic floor dysfunction. Dtsch Arztebl Int. 2015;112(33–34):564–74.PubMedPubMedCentral
6.
go back to reference Shaw C, Tansey R, Jackson C, Hyde C, Allan R. Barriers to help seeking in people with urinary symptoms. J Fam Pract. 2001;18(1):48–52.CrossRef Shaw C, Tansey R, Jackson C, Hyde C, Allan R. Barriers to help seeking in people with urinary symptoms. J Fam Pract. 2001;18(1):48–52.CrossRef
7.
go back to reference Mitteness LS. Knowledge and beliefs about urinary incontinence in adulthood and old age. J Am Geriatr Soc. 1990;38(3):374–8.CrossRef Mitteness LS. Knowledge and beliefs about urinary incontinence in adulthood and old age. J Am Geriatr Soc. 1990;38(3):374–8.CrossRef
8.
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):103–13.CrossRef 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):103–13.CrossRef
9.
go back to reference Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM. Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc. 1994;42(12):1257–62.CrossRef Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM. Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc. 1994;42(12):1257–62.CrossRef
10.
go back to reference Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(9):1283–9.CrossRef Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(9):1283–9.CrossRef
11.
go back to reference Comrey AL, Backer TE, Glaser EMA. Sourcebook for mental health measures. Oxford. Oxford: Human Interaction Research Institue; 1973. Comrey AL, Backer TE, Glaser EMA. Sourcebook for mental health measures. Oxford. Oxford: Human Interaction Research Institue; 1973.
12.
go back to reference Kara KC, Citak Karakaya I, Tunali N, Karakaya MG. Reliability and validity of the incontinence quiz-Turkish version. J Obstet Gynaecol. 2018;44(1):144–50. Kara KC, Citak Karakaya I, Tunali N, Karakaya MG. Reliability and validity of the incontinence quiz-Turkish version. J Obstet Gynaecol. 2018;44(1):144–50.
13.
go back to reference Altman DG. Practical statistics for medical research. London: Chapman and Hall, CRC press; 1990. Altman DG. Practical statistics for medical research. London: Chapman and Hall, CRC press; 1990.
14.
go back to reference Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager CW, Buckwalter JG. The use of visual analog scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol. 2004;191(1):165–70.CrossRef Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager CW, Buckwalter JG. The use of visual analog scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol. 2004;191(1):165–70.CrossRef
15.
go back to reference Kline RB. Principles and practice of structural equation modeling. New York: Guilford Press; 2015. Kline RB. Principles and practice of structural equation modeling. New York: Guilford Press; 2015.
16.
go back to reference Lt H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef Lt H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef
17.
go back to reference Marsh HW, Hocevar D. Application of confirmatory factor analysis to the study of self-concept: first-and higher order factor models and their invariance across groups. Psychol Bull. 1985;97(3):562.CrossRef Marsh HW, Hocevar D. Application of confirmatory factor analysis to the study of self-concept: first-and higher order factor models and their invariance across groups. Psychol Bull. 1985;97(3):562.CrossRef
18.
go back to reference Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26(6):837–44.CrossRef Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26(6):837–44.CrossRef
19.
go back to reference Liebergall-Wischnitzer M, Cnaan T, Hochner H, Paltiel O. Self-reported prevalence of and knowledge about urinary incontinence among community-dwelling Israeli women of child-bearing age. J Wound Ostomy Continence Nurs. 2015;42(4):401–6.CrossRef Liebergall-Wischnitzer M, Cnaan T, Hochner H, Paltiel O. Self-reported prevalence of and knowledge about urinary incontinence among community-dwelling Israeli women of child-bearing age. J Wound Ostomy Continence Nurs. 2015;42(4):401–6.CrossRef
20.
go back to reference Richter LA, Gutman RE, Tefera E, Estep A, Iglesia CB. Knowledge of erectile dysfunction and pelvic floor disorders among young adults: a cross-sectional study. Can J Urol. 2015;22(2):7715–9.PubMed Richter LA, Gutman RE, Tefera E, Estep A, Iglesia CB. Knowledge of erectile dysfunction and pelvic floor disorders among young adults: a cross-sectional study. Can J Urol. 2015;22(2):7715–9.PubMed
21.
go back to reference Tinsley HE, Tinsley DJ. Uses of factor analysis in counseling psychology research. J Couns Psychol. 1987;34(4):414.CrossRef Tinsley HE, Tinsley DJ. Uses of factor analysis in counseling psychology research. J Couns Psychol. 1987;34(4):414.CrossRef
22.
go back to reference Comrey AL, Lee HB. A first course in factor analysis. Abingdon: Psychology Press; 2013.CrossRef Comrey AL, Lee HB. A first course in factor analysis. Abingdon: Psychology Press; 2013.CrossRef
23.
go back to reference Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology. J Consult Clin Psychol. 1988;56(5):754–61.CrossRef Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology. J Consult Clin Psychol. 1988;56(5):754–61.CrossRef
24.
go back to reference Brown TA. Confirmatory factor analysis for applied research. New York: Guilford Press; 2015. Brown TA. Confirmatory factor analysis for applied research. New York: Guilford Press; 2015.
25.
go back to reference Dunivan GC, Anger JT, Alas A, Wieslander C, Sevilla C, Chu S, et al. Pelvic organ prolapse: a disease of silence and shame. Female Pelvic Med Reconstr Surg. 2014;20(6):322–7.CrossRef Dunivan GC, Anger JT, Alas A, Wieslander C, Sevilla C, Chu S, et al. Pelvic organ prolapse: a disease of silence and shame. Female Pelvic Med Reconstr Surg. 2014;20(6):322–7.CrossRef
26.
go back to reference Chutka DS, Fleming KC, Evans MP, Evans JM, Andrews KL. Urinary incontinence in the elderly population. Mayo Clin Proc. 1996;71(1):93–101.CrossRef Chutka DS, Fleming KC, Evans MP, Evans JM, Andrews KL. Urinary incontinence in the elderly population. Mayo Clin Proc. 1996;71(1):93–101.CrossRef
27.
go back to reference Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.CrossRef Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.CrossRef
28.
go back to reference Salvucci S, Walter E, Conley V, Fink S, Saba M. Measurement error studies at the National Center for education statistics. Washington, DC: U.S. Department of Education, National Center for Education Statistics; 1997. Salvucci S, Walter E, Conley V, Fink S, Saba M. Measurement error studies at the National Center for education statistics. Washington, DC: U.S. Department of Education, National Center for Education Statistics; 1997.
29.
go back to reference Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRef Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRef
30.
go back to reference Koo TK, Li MY. A guideline of selecting and reporting Intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.CrossRef Koo TK, Li MY. A guideline of selecting and reporting Intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.CrossRef
Metadata
Title
Turkish translation of the Prolapse and Incontinence Knowledge Questionnaire: validity and reliability
Authors
Seyda Toprak Celenay
Ozge Coban
Cansu Sahbaz Pirincci
Zehra Korkut
Tugba Birben
Afra Alkan
Ayse Filiz Avsar
Publication date
01-12-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 12/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-03962-5

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