PD32-01 CONSTRUCT AND CONTENT VALIDATION OF THE PELVIC FLOOR AWARENESS AND KNOWLEDGE SURVEY (PFAKS)

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Pelvic Prolapse (PD32)1 Sep 2021PD32-01 CONSTRUCT AND CONTENT VALIDATION OF THE PELVIC FLOOR AWARENESS AND KNOWLEDGE SURVEY (PFAKS) Claire Burton, Alexandra Dubinskaya, Eunice Choi, Falisha Kanji, Carrie Stewart, Victoria Scott, Karyn S. Eilber, and Jennifer T. Anger Claire BurtonClaire Burton More articles by this author , Alexandra DubinskayaAlexandra Dubinskaya More articles by this author , Eunice ChoiEunice Choi More articles by this author , Falisha KanjiFalisha Kanji More articles by this author , Carrie StewartCarrie Stewart More articles by this author , Victoria ScottVictoria Scott More articles by this author , Karyn S. EilberKaryn S. Eilber More articles by this author , and Jennifer T. AngerJennifer T. Anger More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002033.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic floor disorders are prevalent conditions affecting up to 50% of women. Yet, women have a poor understanding and low rates of care utilization for these disorders. Previous studies have shown that knowledge of disease increases patient involvement and compliance with treatment. We sought to develop a knowledge questionnaire about pelvic organ prolapse (POP), stress urinary incontinence (SUI), and overactive bladder (OAB). METHODS: The PFAKS is a 31-item knowledge questionnaire tailored to an eighth-grade reading level with three domains: POP (11 items), SUI (10 items) and OAB (10 items) with questions on condition pathophysiology, management, and quality of life. Ten experts developed the content and reviewed the draft questionnaire with additional input from ten patients. The survey was distributed to three groups of women in order to assess construct validity: Non-FMPRS urologists, patients in a FPMRS clinic, and a general population sample (SurveyMonkey Audience). Scores were stratified by disease history, menopausal status, birth history, and level of education, and two-tailed t tests were performed to assess survey validity. Twenty patients were given both the PFAKS and the previously developed Prolapse and Incontinence Knowledge Quiz (PIKQ) to assess content validity. Patients were also asked to subjectively rate their experience in taking the two surveys. RESULTS: Total score was significantly different between groups (25.77±3.1 for urologists (n=35), 12.48±7.5 for patients (n=95), and 12.36±7.7 for the general population (n=155), p<0.01). Among the general population and patient groups combined, women who had previously been diagnosed with a PFD scored better than those who did not (13.8 vs 10.9, p<0.01). There was no difference in total scores between pre and post-menopausal women (11.4 vs 12.6, p=0.26). Of the women who completed both the PFAKS and the PIKQ the correlation coefficient was R2=0.78. Respondents reported that the PFAKS was more relevant to them (p=0.04), and trended toward being easier to understand and causing less anxiety. CONCLUSIONS: The construct and content validity as well as the qualitative advantages of the PFAKS emphasize its potential to serve as a tool to uncover patient misconceptions about POP, SUI and OAB. Interventions that improve knowledge may help patients navigate management and treatment options. Source of Funding: National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) R56DK117261 (JA) © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e544-e544 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Claire Burton More articles by this author Alexandra Dubinskaya More articles by this author Eunice Choi More articles by this author Falisha Kanji More articles by this author Carrie Stewart More articles by this author Victoria Scott More articles by this author Karyn S. Eilber More articles by this author Jennifer T. Anger More articles by this author Expand All Advertisement Loading ...