International Urogynecology Journal

, Volume 24, Issue 4, pp 655–670 | Cite as

Spanish translation and validation of four short pelvic floor disorders questionnaires

  • Alejandro D. Treszezamsky
  • Deborah Karp
  • Madeline Dick-Biascoechea
  • Nazanin Ehsani
  • Christina Dancz
  • T. Ignacio Montoya
  • Cedric K. Olivera
  • Aimee L. Smith
  • Rosa Cardenas
  • Tola Fashokun
  • Catherine S. Bradley
  • Society of Gynecologic Surgeons Fellows’ Pelvic Research Network
Original Article

Abstract

Introduction and hypothesis

Globally, Spanish is the primary language for 329 million people; however, most urogynecologic questionnaires are available in English. We set out to develop valid Spanish translations of the Questionnaire for Urinary Incontinence Diagnosis (QUID), the Three Incontinence Questions (3IQ), and the short Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7).

Methods

The TRAPD method (translation, review, adjudication, pretesting, and documentation) was used for translation. Eight native Spanish-speaking translators developed Spanish versions collaboratively. These were pretested with cognitive interviews and revised until optimal. For validation, bilingual patients at seven clinics completed Spanish and English questionnaire versions in randomized order. Participants completed a second set of questionnaires later. The Spanish versions’ internal consistency and reliability and Spanish-English agreement were measured using Cronbach’s alpha, weighted kappa, and intraclass correlation coefficients.

Results

A total of 78 subjects were included; 94.9 % self-identified as Hispanic and 73.1 % spoke Spanish as their primary language. The proportion of per-item missing responses was similar in both languages (median 1.3 %). Internal consistency for Spanish PFDI-20 subscales was acceptable to good and for PFIQ-7 and QUID excellent. Test-retest reliability per item was moderate to near perfect for PFDI-20, substantial to near perfect for PFIQ-7 and 3IQ, and substantial for QUID. Spanish-English agreement for individual items was substantial to near perfect for all questionnaires (kappa range 0.64–0.95) and agreement for PFDI-20, PFIQ-7, and QUID subscales scores was high [intraclass correlation coefficient (ICC) range 0.92–0.99].

Conclusions

We obtained valid Spanish translations of the PFDI-20, PFIQ-7, QUID, and 3IQ. These results support their use as clinical and research assessment tools in Spanish-speaking populations.

Keywords

3IQ PFDI-20 PFIQ-7 QUID Spanish translation Validation 

Notes

Acknowledgements

Marisol Alvarez, R.N. (translations); Margarita Aponte, M.D. (translations); Héctor Cáceres, M.D. (cognitive interviews); Joel Cardenas-Goicoechea, M.D. (translations); Alfredo De la Guardia, M.D. (translations); Pedro A Maldonado, M.D. (translations); Erin Moshier (statistical analysis); Enrique Soto, M.D. (translations); Nelly Szlachter, M.D. (translations); Arlene Walczak (back-translations); Amber Warmsley, M.D. (back-translations). Funding for this study was provided by the Society of Gynecologic Surgeons.

Conflicts of interest

Alejandro D Treszezamsky: none. Deborah Karp: none. Madeline Dick-Biascoechea: none. Nazanin Ehsani: consultant for American Medical Systems. Christina Dancz: none. T. Ignacio Montoya: none. Cedric K. Olivera: speaker and consultant for Oceana Therapeutics. Aimee L. Smith: none. Rosa Cardenas: none. Tola Fashokun: none. Catherine S. Bradley: none.

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Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Alejandro D. Treszezamsky
    • 1
  • Deborah Karp
    • 2
  • Madeline Dick-Biascoechea
    • 3
  • Nazanin Ehsani
    • 4
  • Christina Dancz
    • 5
  • T. Ignacio Montoya
    • 6
  • Cedric K. Olivera
    • 7
  • Aimee L. Smith
    • 2
  • Rosa Cardenas
    • 8
  • Tola Fashokun
    • 9
  • Catherine S. Bradley
    • 10
  • Society of Gynecologic Surgeons Fellows’ Pelvic Research Network
  1. 1.Mount Sinai School of MedicineNew YorkUSA
  2. 2.Cleveland Clinic FloridaWestonUSA
  3. 3.Yale School of MedicineNew HavenUSA
  4. 4.St. Luke’s Hospital and Health NetworkBethlehemUSA
  5. 5.Los Angeles County-University of Southern California Medical CenterLos AngelesUSA
  6. 6.University of Texas Southwestern Medical CenterDallasUSA
  7. 7.SUNY Downstate Medical CenterBrooklynUSA
  8. 8.Mount Sinai Medical CenterNew YorkUSA
  9. 9.Johns Hopkins University School of MedicineBaltimoreUSA
  10. 10.Iowa City VA Health Care System and Carver College of MedicineUniversity of IowaIowa CityUSA

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