Skip to main content

Advertisement

SpringerLink
Log in

Cultural adaptation and validation of the Turkish CONTILIFE: a quality of life questionnaire for urinary incontinence

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

Abstract

Introduction and hypothesis

The objective of the present study was to adapt the CONTILIFE, a quality-of-life questionnaire, into Turkish and to reveal its psychometric properties in women suffering from stress urinary incontinence (SUI).

Methods

Ninety-eight patients with a symptom of SUI participated in the study and filled out the Turkish CONTILIFE. Cronbach’s alpha (α) and intraclass correlation coefficients (ICCs) were evaluated for the internal consistency and test-retest reliability, respectively. Exploratory factor analysis was performed to determine the underlying structure. Criterion validity was analyzed using the correlation coefficients between the total and subscale scores of the CONTILIFE and King’s Health Questionnaire (KHQ), the Incontinence Impact Questionnaire-7 (IIQ-7), and the Urinary Distress Inventory-6 (UDI-6).

Results

Internal consistency was found to be strong to very strong (Cronbach’s α: 0.90–0.96). Test-retest reliability was very strong (ICCs = 0.91–0.98, p < 0.001). Exploratory factor analysis revealed five significant factors, explained by 74% of the total variance. Total scores on the CONTILIFE were significantly correlated with the KHQ subscales (r = −0.43 − −0.81), IIQ-7 (r = −0.89), UDI-6 (r = −0.66), and ISI (r = −0.66); (p < 0.01).

Conclusion

The Turkish CONTILIFE is a valid and reliable tool to determine the influence of SUI on health-related quality of life in Turkish women.

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

Similar content being viewed by others

Abbreviations

BMI:

Body mass index

HRQoL:

Health-related quality of life

ICC:

Intraclass correlation coefficient

IIQ-7:

Incontinence impact questionnaire

ISI:

Incontinence severity index

KHQ:

King’s health questionnaire

QoL:

Quality of life

SUI:

Stress urinary incontinence

UDI-6:

Urinary distress inventory

UI:

Urinary incontinence

References

  1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5–26. https://doi.org/10.1007/s00192-009-0976-9.

    Article  PubMed  Google Scholar 

  2. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S, Norwegian EEICN-T. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.

    Article  CAS  Google Scholar 

  3. Milsom I. The prevalence of urinary incontinence. Acta Obstet Gynecol Scand. 2000;79(12):1056–9.

    CAS  PubMed  Google Scholar 

  4. Akkus Y, Pinar G. Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. Int Urogynecol J. 2016;27(6):887–93. https://doi.org/10.1007/s00192-015-2904-5.

    Article  PubMed  Google Scholar 

  5. Coyne KS, Zhou Z, Thompson C, Versi E. The impact on health-related quality of life of stress urge and mixed urinary incontinence. BJU Int. 2003;92(7):731–5.

    Article  CAS  Google Scholar 

  6. Lagro-Janssen TL, Smits AJ, Van Weel C. Women with urinary incontinence: self-perceived worries and general practitioners’ knowledge of problem. Br J Gen Pract. 1990;40(337):331–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, et al. Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(1):5–33. https://doi.org/10.1007/s00192-007-0495-5.

    Article  CAS  PubMed  Google Scholar 

  8. Patrick DL, Martin ML, Bushnell DM, Marquis P, Andrejasich CM, Buesching DP. Cultural adaptation of a quality-of-life measure for urinary incontinence. Eur Urol. 1999;36(5):427–35. https://doi.org/10.1159/000020026.

    Article  CAS  PubMed  Google Scholar 

  9. Oh SJ, Ku JH. Is a generic quality of life instrument helpful for evaluating women with urinary incontinence? Qual Life Res. 2006;15(3):493–501. https://doi.org/10.1007/s11136-005-2487-6.

    Article  PubMed  Google Scholar 

  10. Amarenco G, Arnould B, Carita P, Haab F, Labat JJ, Richard F. European psychometric validation of the CONTILIFE: a quality of life questionnaire for urinary incontinence. Eur Urol. 2003;43(4):391–404.

    Article  Google Scholar 

  11. Gotoh M. Quality of life assessment for patients with urinary incontinence. Nagoya J Med Sci. 2007;69(3–4):123–31.

    PubMed  Google Scholar 

  12. Fitzpatrick R, Fletcher A, Gore S, Jones D, Spiegelhalter D, Cox D. Quality of life measures in health care. I: applications and issues in assessment. BMJ. 1992;305(6861):1074–7.

    Article  CAS  Google Scholar 

  13. Kaya S, Akbayrak T, Toprak Celenay S, Dolgun A, Ekici G, Beksac S. Reliability and validity of the Turkish King’s health questionnaire in women with urinary incontinence. Int Urogynecol J. 2015;26(12):1853–9. https://doi.org/10.1007/s00192-015-2786-6.

    Article  PubMed  Google Scholar 

  14. Rogowski A, Bienkowski P, Samochowiec J, Mierzejewski P, Jerzak M, Baranowski W. Reliability and clinical validity of a polish version of the CONTILIFE: a quality of life questionnaire for urinary incontinence. Int Urogynecol J. 2010;21(6):731–6. https://doi.org/10.1007/s00192-009-1095-3.

    Article  PubMed  Google Scholar 

  15. Ozengin N, Kaya S, Orhan C, Bakar Y, Duran B, Ankarali H, et al. Turkish adaptation of the pelvic organ prolapse symptom score and its validity and reliability. Int Urogynecol J. 2017;28(8):1217–22. https://doi.org/10.1007/s00192-016-3251-x.

    Article  PubMed  Google Scholar 

  16. 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(24):3186–91.

    Article  CAS  Google Scholar 

  17. Brubaker L, Lukacz ES, Burgio K, Zimmern P, Norton P, Leng W, et al. Mixed incontinence: comparing definitions in non-surgical patients. Neurourol Urodyn. 2011;30(1):47–51. https://doi.org/10.1002/nau.20922.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47(6):497–9.

    Article  CAS  Google Scholar 

  19. Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn. 2000;19(2):137–45.

    Article  CAS  Google Scholar 

  20. O’Sullivan R, Karantanis E, Stevermuer TL, Allen W, Moore KH. Definition of mild, moderate and severe incontinence on the 24-hour pad test. BJOG. 2004;111(8):859–62. https://doi.org/10.1111/j.1471-0528.2004.00211.x.

    Article  PubMed  Google Scholar 

  21. Girod I, McCarthy C, Marrel A, De La Loge C, Marquis P (1999) Development and psychometric validation of a quality of life questionnaire in urinary incontinence. Paper presented at the 6th Annual Conference of ISOQOL, Barcelona, Spain, 3–6 November 1999.

  22. Kelleher CJ, Cardozo LD, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. 1997;104(12):1374–9.

    Article  CAS  Google Scholar 

  23. Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26(1):129–33. https://doi.org/10.1002/nau.20292.

    Article  PubMed  Google Scholar 

  24. Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003;82(3):327–38.

    Article  CAS  Google Scholar 

  25. Gasquet I, Tcherny-Lessenot S, Gaudebout P, Bosio Le Goux B, Klein P, Haab F. Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: a national cross-sectional survey. Eur Urol. 2006;50(4):818–25. https://doi.org/10.1016/j.eururo.2006.03.052.

    Article  PubMed  Google Scholar 

  26. Phe V, Zimmern P, Chartier-Kastler E. Outcome measures for stress urinary incontinence treatment: can we minimally agree? World J Urol. 2015;33(9):1221–34. https://doi.org/10.1007/s00345-015-1524-5.

    Article  PubMed  Google Scholar 

  27. van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP. Measuring health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn. 2003;22(2):97–104. https://doi.org/10.1002/nau.10038.

    Article  PubMed  Google Scholar 

  28. Saadoun K, Ringa V, Fritel X, Varnoux N, Zins M, Breart G. Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49-61 years enrolled in the GAZEL cohort. Neurourol Urodyn. 2006;25(7):696–702. https://doi.org/10.1002/nau.20245.

    Article  PubMed  Google Scholar 

  29. Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010;10:13. https://doi.org/10.1186/1471-2288-10-13.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

The present study was financially supported by the Scientific Researches Department of Hacettepe University (project no. THD-2017-16308).

Author information

Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

    Ceren Orhan, Serap Özgül, Emine Baran, Esra Üzelpasacı, Gülbala Nakip, Gamze Nalan Çinar & Türkan Akbayrak

  2. Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey

    Mehmet Sinan Beksaç

Authors
  1. Ceren Orhan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Serap Özgül
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Emine Baran
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Esra Üzelpasacı
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gülbala Nakip
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Gamze Nalan Çinar
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Mehmet Sinan Beksaç
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Türkan Akbayrak
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ceren Orhan.

Ethics declarations

Conflicts of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Orhan, C., Özgül, S., Baran, E. et al. Cultural adaptation and validation of the Turkish CONTILIFE: a quality of life questionnaire for urinary incontinence. Int Urogynecol J 30, 139–147 (2019). https://doi.org/10.1007/s00192-018-3823-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-018-3823-z

Keywords

Search

Navigation