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Validation of the hebrew version of the prolapse and incontinence knowledge questionnaire (PIKQ) during pregnancy

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Abstract

Introduction and hypothesis

Pregnancy and delivery have a major effect on pelvic floor disorders. Assessing knowledge regarding pelvic floor disorders in childbearing age women and appropriate interventions will enable women to seek appropriate medical advice once pelvic floor disorders have developed. The purpose of this study was to validate the prolapse and incontinence knowledge questionnaire in the Hebrew language.

Methods

Translation of the prolapse and incontinence knowledge questionnaire to the Hebrew language according to international recommended guidelines. A study was conducted to validate the questionnaire. The study took place between June to September 2020 in a tertiary medical center in Israel. A total of 240 third trimester pregnant women completed the Hebrew version of the prolapse and incontinence knowledge questionnaire. Construct validity, criterion validity and reliability tests were performed.

Results

Factor analysis of the Hebrew version of the prolapse and incontinence knowledge questionnaire demonstrated 12 strong positive factor loadings to one principal factor in the prolapse and incontinence knowledge questionnaire-pelvic organ prolapse domain (FL > 0.3) and 10/12 in the prolapse and incontinence knowledge questionnaire-urinary incontinence domain. The Hebrew prolapse and incontinence knowledge questionnaire was found to have internal consistency, with Cronbach alpha coefficient of 0.745 for the urinary incontinence domain and 0.796 for the pelvic organ prolapse domain.

Conclusions

The Hebrew version of the prolapse and incontinence knowledge questionnaire is a new, reliable, consistent, and valid instrument to examine the level of knowledge regarding pelvic floor disorders in Hebrew-speaking pregnant women.

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References

  1. Minassian V, Yan X, Lichtenfeld M, Sun H, Stewart W. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012;23(8):1087–93. https://doi.org/10.1007/s00192-012-1743-x. https://www.ncbi.nlm.nih.gov/pubmed/22527544.

  2. Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Neurourol Urodynam. 2016;35(2):137–168. https://doi.org/10.1002/nau.22922. https://www.narcis.nl/publication/RecordID/oai:dspace.library.uu.nl:1874%2F333424.

  3. Wu J, Matthews C, Conover M, Pate V, Jonsson Funk M. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol (New York. 1953). 2014;123(6):1201–6. https://doi.org/10.1097/AOG.0000000000000286. https://www.ncbi.nlm.nih.gov/pubmed/24807341.

  4. Basu, Duckett. Barriers to seeking treatment for women with persistent or recurrent symptoms in urogynaecology. BJOG. 2009;116(5):726–30. https://doi.org/10.1111/j.1471-0528.2008.02098.x. http://www.ingentaconnect.com/content/bsc/bjo/2009/00000116/00000005/art00018.

  5. Diokno AC, Sand PK, Macdiarmid S, Shah R, Armstrong RB. Perceptions and behaviours of women with bladder control problems. Family Practice. 2006;23(5):568–577. https://doi.org/10.1093/fampra/cml018. https://www.ncbi.nlm.nih.gov/pubmed/16731545.

  6. Diokno AC, Burgio K, Fultz NH, Kinchen KS, Obenchain R, Bump RC. Medical and self-care practices reported by women with urinary incontinence. Am J Manag Care. 2004;10(2 Pt 1):69–78. https://www.ncbi.nlm.nih.gov/pubmed/15011807.

  7. Morrill M, Lukacz ES, Lawrence JM, Nager CW, Contreras R, Luber KM. Seeking healthcare for pelvic floor disorders: A population-based study. AmJ Obstet Gynecol. 2007;197(1):86.e1–86.e6. https://doi.org/10.1016/j.ajog.2007.02.051. https://www.clinicalkey.es/playcontent/1-s2.0-S0002937807002888.

  8. Kashanian M, Ali SS, Nazemi M, Bahasadri S. Evaluation of the effect of pelvic floor muscle training (PFMT or kegel exercise) and assisted pelvic floor muscle training (APFMT) by a resistance device (kegelmaster device) on the urinary incontinence in women “comparison between them: A randomized trial”. Eur J Obstet Gynecol Reprod Biol. 2011;159(1):218–23. https://doi.org/10.1016/j.ejogrb.2011.06.037. https://www.clinicalkey.es/playcontent/1-s2.0-S0301211511003952.

  9. Blomquist JL, Muñoz A, Carroll M, Handa VL. Association of delivery mode with pelvic floor disorders after childbirth. JAMA. 2018;320(23):2438–47. https://doi.org/10.1001/jama.2018.18315.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Leijonhufvud Å, Lundholm C, Cnattingius S, Granath F, Andolf E, Altman D. Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth. Am J Obstet Gynecol. 2011;204(1):70.e1–70.e7. https://doi.org/10.1016/j.ajog.2010.08.034. https://www.clinicalkey.es/playcontent/1-s2.0-S0002937810010379.

  11. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Urinary incontinence after vaginal delivery or cesarean section.

  12. Pardo E, Rotem R, Glinter H, et al. Is there a correlation between pelvic floor dysfunction symptoms during pregnancy and the duration of the second stage of labor? J Matern Fetal Neonatal Med. 2021;1–6. https://doi.org/10.1080/14767058.2020.1850679.

  13. Pardo E, Rotem R, Glinter H, et al. Recovery from pelvic floor dysfunction symptoms in the postpartum is associated with the duration of the second stage of labor. Arch Gynecol Obstet. 2019;300(1):127–33. https://doi.org/10.1007/s00404-019-05173-1. https://www.ncbi.nlm.nih.gov/pubmed/31053946.

  14. Yohay D, Weintraub AY, Mauer-Perry N, et al. Prevalence and trends of pelvic floor disorders in late pregnancy and after delivery in a cohort of israeli women using the PFDI-20. Eur J Obstet Gynecol Reprod Biol. 2016;200:35–9. https://doi.org/10.1016/j.ejogrb.2016.02.037. https://www.clinicalkey.es/playcontent/1-s2.0-S0301211516300756.

  15. Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J. 2008;19(9):1283. https://doi.org/10.1007/s00192-008-0631-x.

    Article  Google Scholar 

  16. Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–74. https://doi.org/10.1111/j.1365-2753.2010.01434.x. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2753.2010.01434.x.

  17. Toprak Celenay S, Coban O, Sahbaz Pirincci C, et al. Turkish translation of the prolapse and incontinence knowledge questionnaire: Validity and reliability. Int Urogynecol J. 2019;30(12):2183–90. https://doi.org/10.1007/s00192-019-03962-5. https://www.ncbi.nlm.nih.gov/pubmed/31049644.

  18. Lyatoshinskaya P, Gumina DD, Popov AA, Koch MM, Hagmann MM, Umek WW. Knowledge of pelvic organ prolapse in patients and their information-seeking preferences: Comparing Vienna and Moscow. Int Urogynecol J. 2016;27(11):1673. https://doi.org/10.1007/s00192-016-3018-4.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Liebergall-Wischnitzer M, Cnaan T, Hochner H, Paltiel O. Self-reported prevalence of and knowledge about urinary incontinence among community-dwelling Israeli women of child-bearing age. J Wound Ostomy Continence Nurs. 2015;42(4):401–6. https://doi.org/10.1097/WON.0000000000000133. https://www.ncbi.nlm.nih.gov/pubmed/26135827.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel

    Ari Weiss

  2. Department of Military Medicine and “Tzameret”, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Neriya Zion Yohay

  3. Medical Corps, Israel Defense Forces, Tel Aviv, Israel

    Neriya Zion Yohay

  4. Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel

    Kochav Daya, Maayan Elnir Katz, Zehava Yohay, Mahmod Hasan, Yael Baumfeld, Debi Elharar, Adi Y. Weintraub & Tamar Eshkoli

Authors
  1. Ari Weiss
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  2. Neriya Zion Yohay
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  3. Kochav Daya
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  4. Maayan Elnir Katz
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  5. Zehava Yohay
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  8. Debi Elharar
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  9. Adi Y. Weintraub
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  10. Tamar Eshkoli
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Contributions

A. Weiss: Data analysis, Manuscript writing.

N.Z. Yohay: Manuscript writing.

K. Daya: Data collection or management.

M. Elnir Katz: Data collection or management.

Z. Yohay: Protocol development, Data collection or management.

M. Mhamod: Data collection or management.

Y. Baumfeld: Protocol development.

D. Elharar: Data collection or management.

A.Y. Weintraub: Protocol development, Manuscript editing.

T. Eshkoli: Protocol development, Manuscript editing.

Corresponding author

Correspondence to Ari Weiss.

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Paper presentation information

Poster presentation at the 41st Annual Pregnancy Meeting, January 29, 2021.

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Weiss, A., Yohay, N.Z., Daya, K. et al. Validation of the hebrew version of the prolapse and incontinence knowledge questionnaire (PIKQ) during pregnancy. Int Urogynecol J 33, 3123–3128 (2022). https://doi.org/10.1007/s00192-021-05038-9

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  • DOI: https://doi.org/10.1007/s00192-021-05038-9

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