Skip to main content

Advertisement

SpringerLink
Log in

Cross-Cultural Adaptation and Validation of the ICIQ-BD for Brazilian Women With Lower Urinary Tract Symptoms

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypotheses

The International Continence Society recommends the International Consultation on Incontinence Questionnaire-Bladder Diary (ICIQ-BD) for the assessment, management, and monitoring of lower urinary tract symptoms (LUTS). Translation, cross-cultural adaptation and validation will establish a valid and reliable tool for Brazilian women with LUTS.

Methods

A cross-sectional study involving 101 women was carried out at the Urogynecology Outpatient Clinic in Belo Horizonte, Brazil, between August 2020 and April 2022. The process of cross-cultural adaptation and validation was executed following the ICIQ Group's protocol. Reviewed by an expert committee, the first pre-test was followed by subsequent adaptations, resulting in a second adapted version that underwent expert revisions. A second pretest was conducted, followed by cross-cultural adaptation and construct validation. Finally, the International Consultation on Incontinence Questionnaire-Bladder Diary-Brazilian Portuguese Version (ICIQ-BD-Br) underwent a validation process.

Results

Construct validity (IVC >0.78) and internal consistency were satisfactory (α-Cronbach coefficient 0.87–0.94). The following adjustments were made: a specific field was created to document sleep and wake times, and a printed score ranging from 0 to 4 was included in the bladder sensation column. Test–retest reliability ranged from fair to excellent for all analyzed items (Spearman correlation: 0.64–0.95). Criterion validity analysis indicated slight agreement for one of the four symptoms analyzed (nocturia k=0.32). The final version was approved by the ICIQ Group.

Conclusions

The ICIQ-BD-Br has been adapted for use in Brazilian Portuguese and has exhibited robust construct validity and reliability for Brazilian women with LUTS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

AV1:

First adapted version of the ICIQ-BD

AV2:

Second adapted version of the ICIQ-BD

AV3:

Third adapted version of the ICIQ-BD

BD:

Bladder diary

CVI:

Content validity index

FAV:

Final adapted version of the ICIQ-BD or ICIQ-BD-Br

FTV:

Final translated version of the ICIQ-BD

ICIQ:

International Consultation on Incontinence Questionnaire

ICIQ-BD:

International Consultation on Incontinence Questionnaire-Bladder Diary

ICIQ-BD-Br:

International Consultation on Incontinence Questionnaire-Bladder Diary-Brazilian Portuguese Version

ICIQ-OAB:

International Consultation on Incontinence Questionnaire Overactive Bladder

ICIQ-OABqol:

International Consultation on Incontinence Questionnaire Overactive Bladder Quality of Life Module

ICIQ-SF:

International Consultation on Incontinence Questionnaire-Short Form

ICS:

International Continence Society

LUTS:

Lower urinary tract symptoms

OAB:

Overactive bladder

SUI:

Stress urinary incontinence

TV1:

First translated version of the ICIQ-BD

TV2:

Second translated version of the ICIQ-BD

UI:

Urinary incontinence

UUI:

Urgency urinary incontinence

References

  1. Bright E, Cotterill N, Drake M, Abrams P. Developing a validated urinary diary: phase 1. Neurourol Urodyn. 2012;31:625–33. https://doi.org/10.1002/nau.21254.

    Article  PubMed  Google Scholar 

  2. Abrams P, Cardozo L, Wagg A, Wein A, editors. Incontinence. 6th ed. Bristol, UK: International Continence Society; 2017.

    Google Scholar 

  3. Nambiar AK, Arlandis S, Bø K, et al. European Association of Urology guidelines on the diagnosis and management of female non-neurogenic lower urinary tract symptoms. Part 1: Diagnostics, overactive bladder, stress urinary incontinence, and mixed urinary incontinence. Eur Urol. 2022;82:49–59. https://doi.org/10.1016/j.eururo.2022.01.045.

    Article  PubMed  Google Scholar 

  4. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61:37–49. https://doi.org/10.1016/s0090-4295(02)02243-4.

    Article  PubMed  Google Scholar 

  5. Yap TL, Cromwell DA, Brown C, van der Meulen J, Emberton M. The relationship between objective frequency-volume chart data and the I-PSS in men with lower urinary tract symptoms. Eur Urol. 2007;52:811–8. https://doi.org/10.1016/j.eururo.2007.01.013.

    Article  PubMed  Google Scholar 

  6. Bright E, Drake MJ, Abrams P. Urinary diaries: evidence for the development and validation of diary content, format, and duration. Neurourol Urodyn. 2011;30:348–52. https://doi.org/10.1002/nau.20994.

    Article  PubMed  Google Scholar 

  7. Vaccari NA, da Silveira LTY, Bortolini MAT, Haddad JM, Baracat EC, Ferreira EAG. Content and functionality features of voiding diary applications for mobile devices in Brazil: a descriptive analysis. Int Urogynecol J. 2020;31:2573–81. https://doi.org/10.1007/s00192-020-04382-6.

    Article  PubMed  Google Scholar 

  8. Alexandre NM, Coluci MZ. [Content validity in the development and adaptation processes of measurement instruments]. Cien Saude Colet 16:3061–8. 2011; https://doi.org/10.1590/s1413-81232011000800006.

    Article  PubMed  Google Scholar 

  9. Bright E, Cotterill N, Drake M, Abrams P. Developing and validating the International Consultation on Incontinence Questionnaire bladder diary. Eur Urol. 2014;66:294–300. https://doi.org/10.1016/j.eururo.2014.02.057.

    Article  PubMed  Google Scholar 

  10. Shen L, Hou L, Li B, Jin X, Han F, Wang Y. Translation of the ICIQ-bladder diary and its validation among Chinese females with lower urinary tract symptoms. Int Urogynecol J. 2020;31:2535–42. https://doi.org/10.1007/s00192-020-04339-9.

    Article  PubMed  Google Scholar 

  11. International Consultation on Incontinence Questionnaire bladder diary. ICIQ-bladder diary: ICIQ-BD Web site. 2023; https://iciq.net/iciq-bladder-diary. Accessed 15 July 2023. Bristol Urological Institute

  12. Pereira SB, Thiel Rdo R, Riccetto C, et al. [Validation of the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) for Portuguese]. Rev Bras Ginecol Obstet. 2010;32(6):273–8. https://doi.org/10.1590/s0100-72032010000600004.

    Article  PubMed  Google Scholar 

  13. Tamanini JT, Dambros M, D’Ancona CA, Palma PC, Rodrigues Netto N. [Validation of the “International Consultation on Incontinence Questionnaire – Short Form” (ICIQ-SF) for Portuguese]. Rev Saude Publica. 2004;38(3):438–44. https://doi.org/10.1590/s0034-89102004000300015.

    Article  PubMed  Google Scholar 

  14. Oppenheim AN. Questionnaire design, interviewing and attitude measurement. New York: Continuum. 1992.

    Google Scholar 

  15. Leidy NK, Vernon M. Perspectives on patient-reported outcomes: content validity and qualitative research in a changing clinical trial environment. Pharmacoeconomics. 2008;26:363–70. https://doi.org/10.2165/00019053-200826050-00002.

    Article  PubMed  Google Scholar 

  16. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32. https://doi.org/10.1016/0895-4356(93)90142-n.

    Article  CAS  PubMed  Google Scholar 

  17. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186–91. https://doi.org/10.1097/00007632-200012150-00014.

    Article  CAS  PubMed  Google Scholar 

  18. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29:489–97. https://doi.org/10.1002/nur.20147.

    Article  PubMed  Google Scholar 

  19. Soler R, Gomes CM, Averbeck MA, Koyama M. The prevalence of lower urinary tract symptoms (LUTS) in Brazil: results from the epidemiology of LUTS (Brazil LUTS) study. Neurourol Urodyn. 2018;37:1356–64. https://doi.org/10.1002/nau.23446.

    Article  PubMed  Google Scholar 

  20. Monteiro S, Riccetto C, Rocha AK, et al. The Brazilian Portuguese version of the ICIQ-OABqol: cross-cultural adaptation and reliability. Int Urogynecol J. 2020;31:2507–14. https://doi.org/10.1007/s00192-020-04280-x.

    Article  PubMed  Google Scholar 

  21. ICS Standards 2023: the 2023 compilation of the International Continence Society Standardisations, Consensus statements, Educational modules, Terminology and Fundamentals documents, with the International Consultation on Incontinence algorithms. https://www.blurb.co.uk/b/11233268-volume-2-ics-standards-2023. Accessed 22 Apr 2023.

  22. Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol. 1996;77:805–12. https://doi.org/10.1046/j.1464-410x.1996.00186.x.

    Article  CAS  PubMed  Google Scholar 

  23. Wyman JF, Choi SC, Harkins SW, Wilson MS, Fantl JA. The urinary diary in evaluation of incontinent women: a test-retest analysis. Obstet Gynecol. 1988;71:812–7.

    CAS  PubMed  Google Scholar 

  24. Stav K, Dwyer PL, Rosamilia A. Women overestimate daytime urinary frequency: the importance of the bladder diary. J Urol. 2009;181:2176–80. https://doi.org/10.1016/j.juro.2009.01.042.

    Article  PubMed  Google Scholar 

  25. Pe Leve P, Pereira e Silva R, Lopes FA, et al. Impact of age, education level and occupation on the ability to use the ICIQ-bladder Diary: results from a community cohort study using a predefined clinical history. Urology. 2021;153:113–8. https://doi.org/10.1016/j.urology.2021.02.006

    Article  CAS  PubMed  Google Scholar 

  26. Brown JS, McNaughton KS, Wyman JF, et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology. 2003;61:802–9. https://doi.org/10.1016/s0090-4295(02)02505-0.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We thank the Urogynecology Outpatient Clinic of the Clinical Hospital at the Federal University of Minas Gerais (UFMG) located in Belo Horizonte, Minas Gerais, Brazil, and the International Consultation on Incontinence Questionnaire (ICIQ) Group for their indispensable assistance in conducting this research.

Funding

This study did not receive funding.

Author information

Authors and Affiliations

  1. Postgraduate Program in Women’s Health, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Elisa Barbosa Monteiro Castro

  2. School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Elyonara Mello Figueiredo

  3. Department of Motricity Sciences, Federal University of Alfenas, Alfenas, MG, Brazil

    Anna Karoline Rocha

  4. Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

    Marilene Vale Castro Monteiro

Authors
  1. Elisa Barbosa Monteiro Castro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Elyonara Mello Figueiredo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Anna Karoline Rocha
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marilene Vale Castro Monteiro
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

EBM Castro: Responsible for project development, data collection, data analysis, and manuscript writing

EM Figueiredo: Data analysis, participation in the discussion of the results, and editing of the manuscript

AK Rocha: Writing and editing the manuscript

MVC Monteiro: Responsible for project development, data collection and analysis, discussion of results, and editing the manuscript

Corresponding author

Correspondence to Elisa Barbosa Monteiro Castro.

Ethics declarations

Conflicts of interest

None.

Informed consent

Not applicable.

Additional information

Handling Editor: Annette Kuhn

Editor in Chief: Maria A. Bortolini

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This research was carried out at the Urogynecology Outpatient Clinic of the Clinical Hospital at the Federal University of Minas Gerais (UFMG) located in Belo Horizonte, Minas Gerais, Brazil. The ICIQ-BD-Br was accepted by the Group and is available at http://ICIQ.net. platform (https://iciq.net/iciq-bladder-diary)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Castro, E.B.M., Figueiredo, E.M., Rocha, A.K. et al. Cross-Cultural Adaptation and Validation of the ICIQ-BD for Brazilian Women With Lower Urinary Tract Symptoms. Int Urogynecol J 35, 831–840 (2024). https://doi.org/10.1007/s00192-024-05730-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-024-05730-6

Keywords

Search

Navigation