Skip to main content
Top
Published in: BMC Women's Health 1/2019

Open Access 01-12-2019 | Fertility | Research article

The Endometriosis Impact Questionnaire (EIQ): a tool to measure the long-term impact of endometriosis on different aspects of women’s lives

Authors: Maryam Moradi, Melissa Parker, Anne Sneddon, Violeta Lopez, David Ellwood

Published in: BMC Women's Health | Issue 1/2019

Login to get access

Abstract

Background

Endometriosis is a chronic disease impacting on many aspects of a woman’s life. Because of the chronic and recurring nature, many of the impacts of endometriosis could be missed using existing questionnaires which focus on recent events. Therefore, a questionnaire with a long-term perspective is necessary. This study aimed to develop and evaluate a questionnaire to measure the long-term impact of endometriosis on different aspects of women’s lives.

Methods

Through a methodological design, phase 1 was qualitative and phase 2 was a cross-sectional study. The original 100 EIQ items were developed based on results from an earlier qualitative study and literature review. Through a process of assessing face and content validity this was reduced to 66 items. The psychometric properties of the final 63 item EIQ were evaluated through a web-based survey with data from 423 responders with a self-reported surgically-diagnosed endometriosis.

Results

Participants were aged 16-58 years. Exploratory factor analysis of a 66-item EIQ was established with 423 responders. The final 63-item EIQ contained six dimensions including: 33-item physical-psychosocial; 3-item fertility; 7-item sexual; 11-item employment; 6-item educational; and 3-item lifestyle. Cronbach’s alpha of 0.99 for the whole 63-item EIQ, and 0.84 to 0.98 for the dimensions suggests a very good reliability. High positive correlations between the EIQ and the EHP-5 (altered recall period) indicated good evidence of concurrent validity. High intra-class correlations indicated very good test-retest reliability.

Conclusions

The EIQ, as a disease-specific questionnaire, could be used to provide a better understanding of the impact of endometriosis on different aspects of life, to better meet the needs of women. We recommend additional studies to establish validity evidence for the EIQ, including studies in other countries and languages.
Appendix
Available only for authorised users
Literature
1.
go back to reference Abbott J, Bowyer L, Finn M. Obstetrics & gynaecology: an evidence-based guide. 2nd ed. Churchill Livingstone: Elsevier; 2014. Abbott J, Bowyer L, Finn M. Obstetrics & gynaecology: an evidence-based guide. 2nd ed. Churchill Livingstone: Elsevier; 2014.
2.
go back to reference American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: A committee opinion. Practice Committee of the American Society for Reproductive Medicine (ASRM). 2014;101(4):927–35. American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: A committee opinion. Practice Committee of the American Society for Reproductive Medicine (ASRM). 2014;101(4):927–35.
3.
go back to reference Berek JS. Berek & Novak’s Gynecology. 15th ed: Lippincott Williams and Wilkins; 2012. Berek JS. Berek & Novak’s Gynecology. 15th ed: Lippincott Williams and Wilkins; 2012.
9.
go back to reference Jia S, Leng J, Shi J, Sun P, Lang J. Health-related quality of life in women with endometriosis: a systematic review. Journal of Ovarian Research. 2012;5:29.CrossRef Jia S, Leng J, Shi J, Sun P, Lang J. Health-related quality of life in women with endometriosis: a systematic review. Journal of Ovarian Research. 2012;5:29.CrossRef
11.
go back to reference Jones G, Jenkinson C, Kennedy S. Development of the Short Form Endometriosis Health Profile Questionnaire: the EHP-5. Qual Life Res. 2004;13(3):695–704.CrossRef Jones G, Jenkinson C, Kennedy S. Development of the Short Form Endometriosis Health Profile Questionnaire: the EHP-5. Qual Life Res. 2004;13(3):695–704.CrossRef
14.
go back to reference Dancet EA, Ameye L, Sermeus W, Welkenhuysen M, Nelen WL, Tully L, De Bie B, Veit J, Vedsted-Hansen H, Zondervan KT. The ENDOCARE questionnaire (ECQ): a valid and reliable instrument to measure the patient-centeredness of endometriosis care in Europe. Hum Reprod. 2011;26(11):2988–99. https://doi.org/10.1093/humrep/der277.CrossRefPubMed Dancet EA, Ameye L, Sermeus W, Welkenhuysen M, Nelen WL, Tully L, De Bie B, Veit J, Vedsted-Hansen H, Zondervan KT. The ENDOCARE questionnaire (ECQ): a valid and reliable instrument to measure the patient-centeredness of endometriosis care in Europe. Hum Reprod. 2011;26(11):2988–99. https://​doi.​org/​10.​1093/​humrep/​der277.CrossRefPubMed
18.
go back to reference LoBiondo-Wood G, Haber J. Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. 7th ed: MOSBY Elsevier; 2010. LoBiondo-Wood G, Haber J. Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. 7th ed: MOSBY Elsevier; 2010.
19.
go back to reference DeVellis RF. Scale Development: Theory and Applications. 3rd ed. SAGE publications; 2012. DeVellis RF. Scale Development: Theory and Applications. 3rd ed. SAGE publications; 2012.
20.
go back to reference Streiner DL, Norman GR. Health Measurement Scales: A practical guide to their development and use. 4th ed. Oxford University Press; 2008. Streiner DL, Norman GR. Health Measurement Scales: A practical guide to their development and use. 4th ed. Oxford University Press; 2008.
21.
go back to reference Grove S, Burns N, Gray J. The practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed. Saunders Elsevier; 2013. Grove S, Burns N, Gray J. The practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed. Saunders Elsevier; 2013.
23.
go back to reference Grant JS, Davis LL. Focus on questionnaire methods, selection and use of content experts for instrument development. Res Nurs Health. 1997;20(3):269–74.CrossRef Grant JS, Davis LL. Focus on questionnaire methods, selection and use of content experts for instrument development. Res Nurs Health. 1997;20(3):269–74.CrossRef
24.
go back to reference Davis LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5(4):194–7.CrossRef Davis LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5(4):194–7.CrossRef
26.
go back to reference Pallant J. SPSS Survival Manual: A step by step guide to data analysis using the SPSS program. 4th ed: Allen & Unwin; 2011. Pallant J. SPSS Survival Manual: A step by step guide to data analysis using the SPSS program. 4th ed: Allen & Unwin; 2011.
28.
go back to reference Matsunaga M. How to factor-analysis you data right: Do’s, Don’ts, and How To’s. Int J Psychol Res. 2011;3(1):97–110.CrossRef Matsunaga M. How to factor-analysis you data right: Do’s, Don’ts, and How To’s. Int J Psychol Res. 2011;3(1):97–110.CrossRef
29.
go back to reference DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ, Savoy SM, Kostas-Polston E. A Psychometric Toolbox for Testing Validity and Reliability. J Nurs Sch. 2007;39(2):155–64.CrossRef DeVon HA, Block ME, Moyle-Wright P, Ernst DM, Hayden SJ, Lazzara DJ, Savoy SM, Kostas-Polston E. A Psychometric Toolbox for Testing Validity and Reliability. J Nurs Sch. 2007;39(2):155–64.CrossRef
30.
go back to reference D’Hooghe T, Hummelshoj L. Multidisciplinary centres/networks of excellence for endometriosis management and research: a proposal. Hum Reprod. 2006;21:2743–8.CrossRef D’Hooghe T, Hummelshoj L. Multidisciplinary centres/networks of excellence for endometriosis management and research: a proposal. Hum Reprod. 2006;21:2743–8.CrossRef
31.
go back to reference Jones G, Jenkinson C, Kennedy S. The impact of endometriosis upon quality of life: a qualitative analysis. J Psychosom Obstet Gynaecol. 2004;25(2):123–33.CrossRef Jones G, Jenkinson C, Kennedy S. The impact of endometriosis upon quality of life: a qualitative analysis. J Psychosom Obstet Gynaecol. 2004;25(2):123–33.CrossRef
36.
go back to reference Longinotti MK, Jacobson GF, Hung YY, Learman LA. Probability of hysterectomy after endometrial ablation. Obstet Gynecol. 2008;112(6):1214-1220. DECEMBER.CrossRef Longinotti MK, Jacobson GF, Hung YY, Learman LA. Probability of hysterectomy after endometrial ablation. Obstet Gynecol. 2008;112(6):1214-1220. DECEMBER.CrossRef
37.
go back to reference Floyd J, Jr F. Survey research methods. 4th ed: SAGE publication; 2009. Floyd J, Jr F. Survey research methods. 4th ed: SAGE publication; 2009.
39.
go back to reference MacCallum RC, Widaman KF, Zhang S, Hong S. Sample size in factor analysis. Psychological Methods. 1999;4:84–99.CrossRef MacCallum RC, Widaman KF, Zhang S, Hong S. Sample size in factor analysis. Psychological Methods. 1999;4:84–99.CrossRef
40.
go back to reference Wyatt JC. When to Use Web-based Surveys. J Am Med Inform Assoc. 2000;7(4):426–9.CrossRef Wyatt JC. When to Use Web-based Surveys. J Am Med Inform Assoc. 2000;7(4):426–9.CrossRef
Metadata
Title
The Endometriosis Impact Questionnaire (EIQ): a tool to measure the long-term impact of endometriosis on different aspects of women’s lives
Authors
Maryam Moradi
Melissa Parker
Anne Sneddon
Violeta Lopez
David Ellwood
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2019
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-019-0762-x

Other articles of this Issue 1/2019

BMC Women's Health 1/2019 Go to the issue