Abstract
Introduction and hypothesisThe aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population.MethodsThe translation and cultural adaptation was performed in 854 women over 18 and not pregnant who agreed to answer the Arabic version of the questionnaire. The content/face validity, internal consistency (reliability), and construct validity (factor analysis) were assessed. Statistical analysis was carried out using SPSS 24.0 statistical software.ResultsThe Cronbach’s alpha results were above 0.8 for the questionnaire’s overall reliability (bladder function: 0.877, bowel function: 0.834, prolapse symptoms: 0.784, sexual function: 0.762) showing adequate internal consistency reliability and high statistical significance. A statistically significant correlation was observed among the 40 items of the questionnaire. The issue of multicollinearity was not found, and the determinant of the correlation matrix was 0.001. A value of > 0.5 was achieved when the Kaiser–Meyer–Olkin and Bartlett’s tests measured 0.806 and the Bartlett’s test of sphericity was statistically significant χ2 (780) = 4150.46 (p < 0.001). The values of loading indicate that all 4 factors (bladder function, bowel function, prolapse symptoms, sexual function) contributed to each of their items.ConclusionsThis study provides the Arabic version of the self-administered APFQ as a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor dysfunction on the quality of life of Arabic women. It also will enable the researchers from Arab countries to use this instrument to assess pelvic floor dysfunction prevalence in their settings.
Highlights
Introduction and hypothesisThe aims of the study were the translation, cultural adaptation, and validation of selfadministered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population
Pelvic floor dysfunction (PFD) includes different aspects of symptoms from urinary incontinence (UI), fecal incontinence (FI), Pelvic organ prolapse (POP) to sexual dysfunction, all of which can affect to the quality of life (QOL) and limit social activity [1]
The needed changes were made to the questionnaire by the researchers, and the Arabic version of the APFQ was used for validation
Summary
Introduction and hypothesisThe aims of the study were the translation, cultural adaptation, and validation of selfadministered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population. Pelvic floor dysfunction (PFD) includes different aspects of symptoms from urinary incontinence (UI), fecal incontinence (FI), Pelvic organ prolapse (POP) to sexual dysfunction, all of which can affect to the quality of life (QOL) and limit social activity [1]. The Australian questionnaire is a validated, reliable questionnaire that can be used in clinics to assess all the aspects of PFD’s symptoms, severity, and its impact on QOL in an easy and reliable way. There are many questionnaires available to assess the symptoms of PFD, their severity, and the impact of the symptoms on QOL, yet not all of them assess all the aspects of the disease (bowel, bladder, prolapse, and sexual dysfunction). The Australian PFD questionnaire is the exception, which first came out as an interview-based questionnaire to assess all the symptoms, severity, and QOL of PFD in a reliable and valid way [5]. Later it was validated to be used as a selfadministered questionnaire to be used in routine clinics [6]
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