The Turkish version of the childhood bladder and bowel dysfunction questionnaire (CBBDQ): Cross–cultural adaptation, reliability and construct validity

Aydın, Gamze; Lonkhuyzen, Marieke L. van Engelenburg-van; Baktır, Seda; Mutlu, Ebru Kaya; Mutlu, Caner; Bie, Rob A. de

doi:10.5152/tjg.2020.19348

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…In an evaluation of this education, the Childhood Bladder and Bowel Dysfunction Questionnaire (CBBDQ), which asks about both bladder and bowel problems, was used to draw parents' attention to the relationship between bladder and bowel problems. Although the CBBDQ questionnaire has not been used in patients with spina bifida before, the questionnaire can be confidently used in clinical practice to evaluate and quantify symptoms of bladder and bowel dysfunction in pediatric patients [16]. As a result of our study, although improvement was observed in both groups according to CBBDQ values, greater improvement was observed in the PT group.…”

Section: Resultsmentioning

confidence: 60%

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

ÖZDEMİR AYLA,

ACAR,

ÖZEL

et al. 2023

Journal of Innovative Healthcare Practices

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Background: Chronic constipation is a common symptom of myelomeningoceles. TENS has been proven to be effective in treating constipation in different populations and parameters. Physiotherapy is a relatively recent treatment for constipation and has not been extensively studied in pediatrics and spina bifida. This study aimed to examine the role of TENS in myelomeningocele and to increase the number of studies on physiotherapy for pediatric constipation. Aims: To determine a new treatment approach that can be applied in chronic constipation in children with spina bifida using physical therapy techniques. Study Design: Randomized Controlled Trial Methods: Constipation symptoms, stool pattern, bladder and bowel dysfunction, muscle strength involved in defecation, pressure pain thresholds (ppt) in these muscles, severity of fecal incontinence, and quality of life were assessed prior to treatment. Physical Therapy (PT) group received manual physical therapy techniques and dietary therapy for six weeks while the Physical Therapy and TENS (PT+T) group also received TENS. The post-treatment evaluations were repeated. Results: A total of 28 children, 14 in each group, were included in the treatment plan. The stool form in both groups of children was constipated. There was a significant difference in stool pattern only PT+T group (p

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Section: Resultsmentioning

confidence: 60%

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

ÖZDEMİR AYLA,

ACAR,

ÖZEL

et al. 2023

Journal of Innovative Healthcare Practices

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“…In the control BBD group, the baseline median (interquartile range) DVSS score was 14 (10)(11)(12)(13)(14)(15)(16)(17)(18) which reduced by 64% after 1 year to 5 (3)(4)(5)(6)(7). This was mirrored by baseline CBBDQ score of 26 (22)(23)(24)(25)(26)(27)(28)(29)(30) which reduced by 61.5% to 10 (7-13). In the NPDD BBD cohort, the baseline scores for DVSS, CBBDQ were higher and improved after 1 year by 44% and 52% to 10 (5-15) and 18 (13.5-22.5), respectively.…”

Section: Resultsmentioning

confidence: 94%

“…There have been several studies validating crosscultural adaptation with a Cronbach's a of 0.91-0.96. 21,22 The Bristol Stool Scale is a useful screening tool which has been validated for the evaluation of constipation. 23 The cost analysis of medications prior to pediatric urology referral was carried out be calculating the average cost per day based on defined daily dose as listed by the World Health Organization Collaborating Center for Drugs Statistics Methodology (www.…”

Section: Methodsmentioning

confidence: 99%

Neuropsychiatric Developmental Disorders in Children Are Associated With an Impaired Response to Treatment in Bladder Bowel Dysfunction: A Prospective Multi-Institutional European Observational Study

O’Kelly,

t’Hoen,

Silay

et al. 2023

Journal of Urology

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Purpose: Bladder and bowel dysfunction is a common but underdiagnosed pediatric entity which may represent up to 47% of pediatric urology consults. The objectives of this observational study were to determine functional 1-year outcomes following standard treatment of bladder and bowel dysfunction in both control and neuropsychiatric developmental disorder groups using validated questionnaires, and to perform an initial cost analysis. Materials and Methods: This was a prospective observational study conducted across a number of academic European centers (July 2020-November 2022) for new bladder and bowel dysfunction patients. Parents completed a sociodemographic survey, information pertaining to prior neuropsychiatric developmental disorder diagnoses, as well as a number of validated functional scores. Results: A total of 240 patients were recruited. In the control bladder and bowel dysfunction group, the baseline Dysfunctional Voiding Scoring System and Childhood Bladder and Bowel Dysfunction Questionnaire scores were 20% and 17.% lower, respectively, after 1 year compared to the neuropsychiatric developmental disorder group. The change in improvement was diminished for the neuropsychiatric developmental disorder cohort in both Dysfunctional Voiding Scoring System and Childhood Bladder and Bowel Dysfunction Questionnaire scores. The odds ratio of full symptom resolution was 5.7 in the control cohort compared to the neuropsychiatric developmental disorder cohort. A cost analysis on prescribed medications at referral led to a total cost of €32,603.76 (US $35,381.00) in the control group and €37,625.36 (US $40,830.00) in the neuropsychiatric developmental disorder group. Conclusions: This study demonstrates that pediatric patients with a neuropsychiatric developmental disorder exhibit more severe bladder and bowel dysfunction at baseline and throughout treatment with a lower overall quality of life, as well as 15.4% higher medication costs at referral. It is also important that parents' and

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“…To prevent the use of modified versions of the CBBDQ, a common pitfall in scientific research, 39,42 the CBBDQ has been translated into several languages, 14,15,43 with support from the authors of the original version. The Turkish 14 version showed fair to good internal consistency, as demonstrated by the Cronbach's α (0.71 for the bladder subscale and 0.85 for the bowel subscale), which particularly matches the outcomes of the CBBDQ BLSS (0.74) and CBBDQ BOSS (0.71). Test−retest reliability was demonstrated by an ICC value of 0.97 (CBBDQ: ICC agreement : 0.94).…”

Section: Discussionmentioning

confidence: 99%

“…11 The development process of the CBBDQ, its feasibility and measurement properties (internal consistency and content and structural validity) have been extensively reported. 12 Dutch, 13 English, 12 Turkish, 14 Brazilian, 15 Korean, and Danish versions are currently available.…”

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confidence: 99%

Measurement properties of the childhood bladder and bowel dysfunction questionnaire

van Engelenburg–van Lonkhuyzen,

Bols,

Bastiaenen

et al. 2024

J. pediatr. gastroenterol. nutr.

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ObjectivesThe childhood bladder and bowel dysfunction questionnaire (CBBDQ) was previously found feasible, structurally valid, with good internal consistency. The purpose of this study was to evaluate the remaining measurement properties according to the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN).MethodsA prospective cohort study among parents of children aged 5–12 years was conducted. Calculated were the area under the curve (AUC) (criterion validity, responsiveness, interpretability) and intra‐class correlation coefficients (ICCagreement) (construct validity and test−retest reliability).ResultsOne hundred and seventy‐two parents were included from March 2019 to April 2021. Correlating the bladder subscales of the CBBDQ with the Vancouver symptom score for dysfunctional elimination (VSSDES) and proxy‐reported pediatric incontinence quality of life (p‐PinQ) showed convergent validity (ICCsagreement: 0.76 and 0.74). Divergent validity was found when correlating the bowel subscales of the CBBDQ with the VSSDES (ICCagreement: 0.52). Excellent criterion validity (AUC: 0.98); excellent test−retest reliability (ICCagreement: 0.94) and, at 6 months, fair responsiveness (AUC: 0.74) were found. The minimal important change was 4.5, with cut‐off value of 11.ConclusionThe CBBDQ has been developed according to COSMIN standards. The items were defined using the consensus‐based ICCS standards and Rome‐III criteria. The measurement properties were identified using enough participants. Although interpretability is not considered a measurement property, interpretability aspects are reported here as they refer to what instrument scores mean. The 18‐item‐CBBDQ met the measurement properties of validity, reliability, and responsiveness, as defined by COSMIN. The CBBDQ is suitable for self‐administration by parents, and completion takes little time.

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The Turkish version of the childhood bladder and bowel dysfunction questionnaire (CBBDQ): Cross–cultural adaptation, reliability and construct validity

Cited by 5 publications

References 26 publications

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

Neuropsychiatric Developmental Disorders in Children Are Associated With an Impaired Response to Treatment in Bladder Bowel Dysfunction: A Prospective Multi-Institutional European Observational Study

Measurement properties of the childhood bladder and bowel dysfunction questionnaire

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