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International Urogynecology Journal
Published in: International Urogynecology Journal 6/2020

01-06-2020 | Urinary Incontinence | Original Article

Development and initial psychometric testing of a body-image domain within an electronic pelvic floor questionnaire (ePAQ-pelvic floor)

Authors: Kaia Scurr, Thomas G. Gray, Georgina L. Jones, Stephen C. Radley

Published in: International Urogynecology Journal | Issue 6/2020

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Abstract

Introduction

Urogynaecological conditions have been shown to negatively impact on body image in a number of previous studies. ePAQ-Pelvic Floor (ePAQ-PF) is a patient-reported outcome measure used in clinical practice to assess urogynaecological conditions and their impact on quality of life. This study aimed to develop and undertake initial psychometric testing of a new domain to assess urogynaecological body image within ePAQ-PF.

Methods

A patient involvement group, analysis of free-text data from ePAQ-PF and a systematic review of existing PROMs assessing urogynaecological body image informed the content of a new body-image domain within ePAQ-PF. This was administered to 208 patients who consented to the use of their anonymised ePAQ-PF responses for research purposes. These data underwent factor analysis, internal consistency reliability and item-total correlation testing. Evidence-based hypotheses were formulated to test construct validity. Criterion validity was assessed against the Body-image Scale (BIS). Patients completed a separate questionnaire (QQ-11) to measure the face validity of ePAQ-PF.

Results

Factor analysis revealed a four-item body-image domain with good internal consistency reliability (Cronbach’s α = 0.899) and item-total correlation (Spearman’s rank r > 0.40). ePAQ-PF body-image domain scores correlated significantly with the BIS scores (r = 0.501). Age, prolapse, sexual dysfunction, pelvic pain and urinary incontinence scores correlated significantly with body-image domain score. QQ-11 value scores demonstrated good acceptability.

Conclusions

Body-image assessment should form part of routine care in urogynaecology. Preliminary results support the validity, reliability and functionality of the body-image domain in ePAQ-PF. Further psychometric testing of this is required, including tests of responsiveness and stability.
Literature
1.
Cash TF. Body-image: past, present, and future. Body-image. 2004;1(1):1–5.CrossRef
2.
Tylka TL. Body-image: celebrating the past, appreciating the present, and envisioning the future. Body-image. 2018;24:A1–3.CrossRef
3.
Waltner R. Genital identity: a core component of sexual- and self-identity. Journal of Sex Research. 1986;22:399–408.CrossRef
4.
Berman L, Miles M, Pollets D, Powell JA. Genital self-image as a component of sexual health: relationship between genital self-image, female sexual function, and quality of life measures. Journal of Sex & Marital Therapy. 2003;29:11–21.CrossRef
5.
Lowenstein L, Gamble T, Deniseiko Sanses TV, Van Raalte H, Carberry C, Jakus S, et al. Sexual function is related to body image perception in women with pelvic organ prolapse. Journal of Sexual Medicine. 2009;6(8):2286–91.CrossRef
6.
Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194(5):1455–61.CrossRef
7.
Zielinski R, Low LK, Tumbarello J, Miller JM. Body image and sexuality in women with pelvic organ prolapse. Urol Nurs. 2009;29(4):239.PubMedPubMedCentral
8.
Handelzalts JE, Yaakobi T, Levy S, Peled Y, Wiznitzer A, Krissi H. The impact of genital self-image on sexual function in women with pelvic floor disorders. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017;211:164–8.CrossRef
9.
Gray T, Li W, Campbell P, Jha S, Radley S. Evaluation of coital incontinence by electronic questionnaire: prevalence, associations and outcomes in women attending a urogynaecology clinic. Int Urogynecol J. 2018;29(7):969–78.CrossRef
10.
Gray T, Vickers H, Jha S, Jones G, Brown S, Radley S. A systematic review of non-invasive modalities used to identify women with anal incontinence symptoms after childbirth. Int Urogynecol J. 2019;30(6):869–79.CrossRef
11.
Radley SC, Jones GL, Tanguy EA, Stevens VG, Nelson C, Mathers NJ. Computer interviewing in urogynaecology: concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care. BJOG Int J Obstet Gynaecol. 2006;113(2):231–8.CrossRef
12.
Jones GL, Radley SC, Lumb J, Jha S. Electronic pelvic floor symptoms assessment: tests of data quality of ePAQ-PF. Int Urogynecol J. 2008;19(10):1337–47.CrossRef
13.
Dua A, Jones G, Wood H, Sidhu H. Understanding women’s experiences of electronic interviewing during the clinical episode in urogynaecology: a qualitative study. Int Urogynecol J. 2013;24(11):1969–75.CrossRef
14.
Gray T, Strickland S, Pooranawattanakul S, Li W, Campbell P, Jones G, et al. What are the concerns and goals of women attending a urogynaecology clinic? Thematic analysis of free-text data from a patient reported outcome measure. International Urogynaecology Journal. 2018;30(1):33–41.CrossRef
15.
Gray TG, Sneyd R, Scurr K, Jones GL, Iles D, Jha S, et al. Patient-reported outcome measures which assess body-image in urogynaecology patients: a systematic review. International Urogynaecology Journal. 2019;30(5):673–81.CrossRef
16.
Field A. Discovering statistics using IBM SPSS statistics, 4th ed. London: Sage Publications; 2013. Section 17.4
17.
Gray TG, Alexander C, Jones GL, Tidy JA, Palmer JE, Radley SC. Development and psychometric testing of an electronic patient-reported outcome tool for Vulval disorders (ePAQ-vulva). Journal of Lower Genital Tract Disease. 2017;21(4):319–26.CrossRef
18.
Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal. 2015;22:195–201.CrossRef
19.
Hopwood P, Fletcher I, Lee A, Al GS. A body image scale for use with cancer patients. Eur J Cancer. 2001;37(2):189–97.CrossRef
20.
Moores KL, Jones GL, Radley SC. Development of an instrument to measure face validity, feasibility and utility of patient questionnaire use during health care: the QQ-10. Int J Qual Health Care. 2012;24(5):517–24.CrossRef
21.
Terwee CB, Bot SDM, De Boer MR, Van Der Windt DAWM, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRef
22.
Hunter MM, Nakagawa S, Van Den Eeden SK, Kuppermann M, Huang AJ. Predictors of impact of vaginal symptoms in postmenopausal women. Menopause. 2016;21(2):129–39.
23.
Boyer SC, Pukall CF. Pelvic examination experiences in women with and without chronic pain during intercourse. Journal of Sexual Medicine. 2014;11(12):3035–50.CrossRef
24.
Bachman JW. The patient-computer interview: a neglected tool that can aid the clinician. Mayo Clinic Proceedings. Mayo Foundation for Medical Education and Research. 2003;78(1):67–78.
25.
McCambridge J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2014;67(3):267–77.CrossRef
26.
McDermott E, Moloney J, Rafter N, Keegan D, Byrne K, Doherty GA, Cullen G, Malone K, Mulcahy HE. The Body-image Scale: A simple and valid tool for assessing body-image dissatisfaction in inflammatory bowel disease. 2018;20(2):286–290.
27.
Chiara G, Piccioni V, Perino M, Ohlmeier U, Fassino S, Leombruni P. Psychological investigation in female patients suffering from urinary incontinence. Int Urogynecol J. 1998;9(2):73–7.CrossRef
28.
Debus G, Kästner R. Psychosomatic aspects of urinary incontinence in women. Geburtshilfe Frauenheilkd. 2015;75(2):165–9.CrossRef
29.
Bergeron S, Morin M, Lord M-J. Integrating pelvic floor rehabilitation and cognitive-behavioural therapy for sexual pain: what have we learned and where do we go from here? Sex Relatsh Ther. 2010;25(3):289–98.CrossRef
30.
Metadata
Title
Development and initial psychometric testing of a body-image domain within an electronic pelvic floor questionnaire (ePAQ-pelvic floor)
Authors
Kaia Scurr
Thomas G. Gray
Georgina L. Jones
Stephen C. Radley
Publication date
01-06-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 6/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04247-y

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