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International Urogynecology Journal
Published in: International Urogynecology Journal 12/2020

01-12-2020 | Stress Incontinence | Original Article

Validation of the UDI-6 and the ICIQ-UI SF – Croatian version

Authors: Mislav Mikuš, Mario Ćorić, Luka Matak, Bernarda Škegro, Goran Vujić, Vladimir Banović

Published in: International Urogynecology Journal | Issue 12/2020

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Abstract

Introduction and hypothesis

Despite the widespread use of UDI-6 and ICIQ-UI SF in Croatia, it remains unknown whether a realiable and valid measure for the population of interest is used. Thus, the aim of this study was to translate, adapt and validate the UDI-6 and the ICIQ-UI SF in Croatia.

Methods

The study included a total of 232 consecutive patients with urinary incontinence symptoms. The translation to Croatian followed standardized procedure. All participants underwent urodynamic assesment and completed UDI-6 and ICIQ-UI SF questionnaires at inclusion and 2 weeks after to assess test-retest reliability. Cronbach α coefficient was calculated in order to assess internal consistency.

Results

Both questionnaires had high internal consistency (Cronbach α for UDI-6 and ICIQ-UI SF was .83 and .85, respectively) and high test-retest reliability (intraclass correlation coefficient .99 for instruments). Strong correlation was found between urodynamic findings and total scores in UDI-6 and ICIQ-UI SF (ρ = 0.88 and 0.89, respectively). Women with stress urinary incontinence (SUI) and detrusor overactivity (DOA) group had significantly higher scores on UDI-6 (Mdn = 33.33 and Mdn = 50, respectively) compared to women with no urodynamic abnormality (Mdn = 0; p < 0.001). Women with no urodynamic abnormality scored significantly lower on ICIQ-UI SF (Mdn = 0; p < 0.001) compared to women with SUI (Mdn = 14) and DOA (Mdn = 16). Women with DOA scored worse on Irritative and Obstructive symptoms when comparing with two other groups (p < 0.001), while women with SUI had significantly worse score on Stress symptoms subscale (p < 0.001).

Conclusions

The UDI-6 and ICIQ-UI SF have very good psychometric characteristics and can be used in Croatian urogynecology practice.
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Metadata
Title
Validation of the UDI-6 and the ICIQ-UI SF – Croatian version
Authors
Mislav Mikuš
Mario Ćorić
Luka Matak
Bernarda Škegro
Goran Vujić
Vladimir Banović
Publication date
01-12-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 12/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04500-4

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