Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties

Guallar-Bouloc, Marina; Gómez-Bueno, Paloma; Gónzalez-Sánchez, Manuel; Molina-Torres, Guadalupe; Lomas‐Vega, Rafael; Galán-Mercant, Alejandro

doi:10.3390/ijerph182312858

Cited by 3 publications

(2 citation statements)

References 56 publications

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“…There is a need for developing valid and reliable instruments to measure pelvic floor dysfunctions in order to provide accurate and consistent measurements over time 42 , 43 . These instruments must be concise, valid, reliable, evidence-based and developed using best practices 42 , 43 . In this context, the APFQ is a measure that was proposed to evaluate pelvic floor dysfunctions in women 18 .…”

Section: Discussionmentioning

confidence: 99%

Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women

Molina-Torres

Guallar-Bouloc

Galán-Mercant

et al. 2022

Sci Rep

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Pelvic floor dysfunctions are a wide range of disorders in the gynaecological, lower urinary and gastrointestinal tracts that affect the structure and/or function of the pelvic organs. The objective of this study was to carry out a cross-cultural adaptation and a psychometric analysis of the Spanish version of the Australian Pelvic Floor Questionnaire. Observational study divided into two main phases: (1) translation and cross-cultural adaptation and (2) psychometric tests. Women runners from all over the Spanish territory, from different federations, clubs and levels were recruited. Participants: 424 female runners, native Spanish, over 18 years of age and who had been practicing running for more than 6 months. The instruments used in this study were the Australian Pelvic Floor Questionnaire, Female Sexual Function Index, King Health Questionnaire, Quality of Life SF-12 and EuroQoL 5-D. The Spanish version of Australian Pelvic Floor Questionnaire has proven to be an understandable and easy-to-use tool. The general internal consistency of the questionnaire was 0.972 and the intraclass correlation coefficient ranged between ICC 0.596–0.960. The Spanish version of Australian Pelvic Floor Questionnaire is a valid and reliable measure that can be used clinically to assess pelvic floor dysfunctions among the female Spanish population.

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Section: Discussionmentioning

confidence: 99%

Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women

Molina-Torres

Guallar-Bouloc

Galán-Mercant

et al. 2022

Sci Rep

Self Cite

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“…Questionnaires are very useful tools in evaluating pelvic floor dysfunctions [ 18 ]. There are a few validated questionnaires available in Spanish that evaluate symptoms and specific conditions of the pelvic floor [ 19 ]; however, they do not provide a global vision of the patient’s status in terms of the pelvic floor since most of them focus on specific pathologies or aspects, such as the short form Urogenital Distress Inventory (UDI-6) [ 20 ] or the Pelvic Floor Dysfunctions Questionnaire-Short Form (PFDI-20) [ 21 ], which assesses urinary incontinence, or the Prolapse Quality of Life Questionnaire (P-QoL) [ 22 ], which evaluates the quality of life of patients with prolapse.…”

Section: Introductionmentioning

confidence: 99%

Spanish Cross-Cultural Adaptation of the Australian Pelvic Floor Questionnaire

Medrano-Sánchez,

Pérez-Carricondo,

Beteta-Romero

et al. 2023

JPM

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The main objectives of this study were to carry out the translation and cross-cultural adaptation of the Australian Pelvic Floor Questionnaire (APFQ) into Spanish and the evaluation of its psychometric properties of validity and reliability in the Spanish population. The APFQ was translated into Spanish and back-translated into its original language by native speakers; it was verified that there was a semantic similarity. A pilot test was carried out on a group of 10 women. The study sample was made up of 104 subjects. They were asked to fill in the APFQ twice, 15 days apart. Codes were assigned so they could link to the test and retest. The Questionnaire on Pelvic Floor Dysfunctions–short version (PFDI-20) and the Women’s Sexual Function Questionnaire (FSM) were also completed. The reliability, criterion and construct validity, and stability were studied. A Cronbach’s alpha of 0.795 was obtained from the complete questionnaire. For each dimension, Cronbach’s alpha was 0.864 for bladder function; 0.796 for bowel function; 0.851 for prolapse; and 0.418 for sexual function (0.67 with the suppression of item 37). The APFQ shows a significant correlation with PFDI-20 in urinary function (rho: 0.704, p = 0.000), intestinal function (rho: 0.462, p = 0.000), and prolapse symptoms (rho: 0.337, p = 0.000). The test-retest analysis showed high reproducibility. The Spanish version of the APFQ is a reliable and valid tool to assess symptoms and impacts on quality of life due to pelvic floor dysfunctions in the Spanish population. However, a review of some of its items could increase its reliability.

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Methodological quality of 100 recent systematic reviews of health-related outcome measurement instruments: an overview of reviews

Elsman,

Mokkink,

Abma

et al. 2024

Qual Life Res

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Purpose Systematic reviews evaluating and comparing the measurement properties of outcome measurement instruments (OMIs) play an important role in OMI selection. Earlier overviews of review quality (2007, 2014) evidenced substantial concerns with regards to alignment to scientific standards. This overview aimed to investigate whether the quality of recent systematic reviews of OMIs lives up to the current scientific standards. Methods One hundred systematic reviews of OMIs published from June 1, 2021 onwards were randomly selected through a systematic literature search performed on March 17, 2022 in MEDLINE and EMBASE. The quality of systematic reviews was appraised by two independent reviewers. An updated data extraction form was informed by the earlier studies, and results were compared to these earlier studies’ findings. Results A quarter of the reviews had an unclear research question or aim, and in 22% of the reviews the search strategy did not match the aim. Half of the reviews had an incomprehensive search strategy, because relevant search terms were not included. In 63% of the reviews (compared to 41% in 2014 and 30% in 2007) a risk of bias assessment was conducted. In 73% of the reviews (some) measurement properties were evaluated (58% in 2014 and 55% in 2007). In 60% of the reviews the data were (partly) synthesized (42% in 2014 and 7% in 2007); evaluation of measurement properties and data syntheses was not conducted separately for subscales in the majority. Certainty assessments of the quality of the total body of evidence were conducted in only 33% of reviews (not assessed in 2014 and 2007). The majority (58%) did not make any recommendations on which OMI (not) to use. Conclusion Despite clear improvements in risk of bias assessments, measurement property evaluation and data synthesis, specifying the research question, conducting the search strategy and performing a certainty assessment remain poor. To ensure that systematic reviews of OMIs meet current scientific standards, more consistent conduct and reporting of systematic reviews of OMIs is needed.

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Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties

Cited by 3 publications

References 56 publications

Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women

Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women

Spanish Cross-Cultural Adaptation of the Australian Pelvic Floor Questionnaire

Methodological quality of 100 recent systematic reviews of health-related outcome measurement instruments: an overview of reviews

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