Abstract
Introduction and hypothesis
The aim of this study was to validate a self-administered version of the already validated interviewer-administered Australian pelvic floor questionnaire.
Methods
The questionnaire was completed by 163 women attending an urogynecological clinic. Face and convergent validity was assessed. Reliability testing and comparison with the interviewer-administered version was performed in a subset of 105 patients. Responsiveness was evaluated in a subset of 73 women.
Results
Missing data did not exceed 4% for any question. Cronbach’s alpha coefficients were acceptable in all domains. Kappa coefficients for the test–retest analyses varied from 0.64–1.0. Prolapse symptoms correlated significantly with the pelvic organ prolapse quantification. Urodynamics confirmed the reported symptom stress incontinence in 70%. The self and interviewer-administered questionnaires demonstrated equivalence. Effect sizes ranged from 0.6 to 1.4.
Conclusions
This self-administered pelvic floor questionnaire assessed pelvic floor function in a reproducible and valid fashion and due to its responsiveness, can be used for routine clinical assessment and outcome research.
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The validation of the self-administered pelvic floor questionnaire without sensitivity to change was presented at the Annual Meeting of the International Continence Society in 2004, Paris (podium presentation; extended abstract): a validated female pelvic floor questionnaire for clinicians and researchers. Baessler K, O’Neill S, Maher C, Battistutta D. Neurourol Urodynam 2004; 23: 398–399.
Appendix
Appendix
Self-administered Australian pelvic floor questionnaire: please note that the numbers for scoring have been included to facilitate the interpretation of the questionnaire. When applying this questionnaire to a patient, the numbers should be replaced by boxes to avoid any bias.
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Baessler, K., O’Neill, S.M., Maher, C.F. et al. A validated self-administered female pelvic floor questionnaire. Int Urogynecol J 21, 163–172 (2010). https://doi.org/10.1007/s00192-009-0997-4
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DOI: https://doi.org/10.1007/s00192-009-0997-4