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Scale of pregnant women’s assessment of knowledge, attitude and practice related to urinary incontinence

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Abstract

Introduction and hypothesis

Urinary incontinence (UI) is prevalent during pregnancy and negatively affects quality of life. Despite this, few women seek professional assistance during prenatal care. Assessing the knowledge, attitude and practice (KAP) of pregnant women related to UI can contribute to the development and improvement of the quality of interventions performed during this period. For this, it is essential to apply targeted and valid instruments for this population. Thus, the present study aimed to construct and validate the content of a scale to evaluate the KAP of pregnant women related to UI.

Methods

Extensive literature review guided the operationalization of the instrument’s initial items. Ten experts were selected for the theoretical analysis of the items, which was carried out using the Delphi technique, and the analysis of semantic adequacy proceeded from the application of the scale to 30 pregnant women. The data were analyzed using the content validity coefficient and kappa coefficient.

Results

The proposed Scale of Pregnant Women’s Assessment of Knowledge, Attitude and Practice related to UI was approved by consensus by the experts, with a mean Cohen’s kappa of 0.84 (p < 0.01), comprising 23 items.

Conclusions

The results of the study confirm that the presented scale can be used as a valid tool to assess the KAP of pregnant women related to UI.

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References

  1. Abrams P, Cardozo L, Wein A, Wagg A. Incontinence: 6th International Consultation on Incontinence, Tokyo, Japan, September 2016; 2017. https://www.ics.org/publications/ici_6/Incontinence_6th_Edition_2017_eBook_v2.pdf. Accessed 10 Aug 2020.

  2. Saboia DM, Firmiano MLV, Bezerra KC, Vasconcelos Neto JA, MOB O, Vasconcelos CTM. Impacto dos tipos de incontinência urinária na qualidade de vida de mulheres. Rev Esc Enferm USP. 2017;51:1–8. https://doi.org/10.1590/s1980-220x2016032603266.

    Article  Google Scholar 

  3. Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J. 2013;24(6):901–12. https://doi.org/10.1007/s00192-013-2061-7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Serati M, Salvatore S, Khullar V, et al. Prospective study to assess risk factors for pelvic floor dysfunction after delivery. Acta Obstet Gynecol Scand. 2008;87(3):313–8. https://doi.org/10.1080/00016340801899008.

    Article  PubMed  Google Scholar 

  5. Balik G, Güven ESG, Tekin YB, et al. Lower urinary tract symptoms and urinary incontinence during pregnancy. Low Urin Tract Symptoms. 2016;8(2):120–4. https://doi.org/10.1111/luts.12082.

    Article  PubMed  Google Scholar 

  6. Panayi DC, Khullar V. Urogynaecological problems in pregnancy and postpartum sequelae. Curr Opin Obstet Gynecol. 2009;21(1):97–100. https://doi.org/10.1097/GCO.0b013e328321e44b.

    Article  PubMed  Google Scholar 

  7. Viktrup L, Rortveit G, Lose G. Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstet Gynecol. 2006;108(2):248–54. https://doi.org/10.1097/01.AOG.0000226860.01127.0e.

    Article  PubMed  Google Scholar 

  8. Viktrup L, Lose G. The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol. 2001;185(1):82–7. https://doi.org/10.1067/mob.2001.114501.

    Article  CAS  PubMed  Google Scholar 

  9. Mclennan MT, Melick ÆCF, Alten ÆB, Young J, Hoehn ÆMR. Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J Pelvic Floor Dysfunct. 2005;17:22–6. https://doi.org/10.1007/s00192-005-1325-2.

    Article  PubMed  Google Scholar 

  10. Fine P, Burgio K, Borello-France D, et al. Teaching and practicing of pelvic floor muscle exercises in primiparous women during pregnancy and the postpartum period. Am J Obstet Gynecol. 2007;197(1):107.e1–5. https://doi.org/10.1016/j.ajog.2007.02.052.

    Article  Google Scholar 

  11. Kara KC, Çıtak Karakaya İ, Tunalı N, Karakaya MG. Reliability and validity of the incontinence quiz–Turkish version. J Obstet Gynaecol Res. 2018;44(1):144–50. https://doi.org/10.1111/jog.13469.

    Article  PubMed  Google Scholar 

  12. Rav-Marathe K, Wan TTH, Marathe S. A systematic review on the kap o framework for diabetes education and research; 2016. Medical Research Archives, [Online] 3:9. Available at: <https://journals.ke-i.org/mra/article/view/483>

  13. Vasconcelos CTM, Firmiano MLV, Oriá MOB, et al. Women’s knowledge, attitude and practice related to urinary incontinence: systematic review. Int Urogynecol J. 2019;30:171–80. https://doi.org/10.1007/s00192-018-3759-3.

    Article  PubMed  Google Scholar 

  14. Pasquali L. Instrumentação Psicológica: Fundamentos e Práticas. Porto Alegre: Artmed; 2010.

    Google Scholar 

  15. Scarparo AF, Laus AM, Azevedo ALCS, Freitas MRI, Gabriel CS, Chaves LDP. Reflexões sobre o uso da técnica Delphi em pesquisas na enfermagem. Rev Rene. 2012;3(1):242–51.

    Google Scholar 

  16. Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health. 1997;20(3):269–74.

  17. Davis LL. Instrument review: getting the most from a panel of experts. Appl Nurs Res. 1992;5(4):194–7. https://doi.org/10.1016/S0897-1897(05)80008-4.

    Article  Google Scholar 

  18. Fleiss JL, Bruce L, Paik MC. Statistical methods for rates and proportions: Wiley; 2003. https://doi.org/10.1002/0471445428.

  19. Ribeiro GL, Vasconcelos CTM, Gomes MLS, Firmiano MLV, Oriá MOB, Lopes LG. Knowledge, attitude, and practice instruments for urinary incontinence: a psychometric review. Neurourol Urodyn. 2019;39(1):25–34. https://doi.org/10.1002/nau.24202.

    Article  Google Scholar 

  20. Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM. Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc. 1994;42(12):1257–61. https://doi.org/10.1111/j.1532-5415.1994.tb06507.x.

    Article  CAS  PubMed  Google Scholar 

  21. Zhang N, He Y, Wang J, Zhang Y, Ding J, Hua K qin. (2016) Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial. Int Urogynecol J 27(4):545-553. https://doi.org/10.1007/s00192-015-2851-1.

  22. Perera J, Kirthinanda DS, Wijeratne S, Wickramarachchi TK. Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence. BMC Womens Health. 2014;14(1):1–7. https://doi.org/10.1186/1472-6874-14-78.

    Article  Google Scholar 

  23. Guillen Lopez O, Llanos Zavalaga F, Lecca Garcia L. Conocimientos sobre incontinencia urinaria en pacientes hospitalizados. Rev Med Hered. 2003;14(4):186–94 file:///scielo.php?script=sci_arttext&pid=S1018130X2003000400007&lang=pt.

    Article  Google Scholar 

  24. De Gagne JC, So A, Wu B, Palmer MH, McConnell ES. The effect of a urinary incontinence self-management program for older women in South Korea: a pilot study. Int J Nurs Sci. 2015;2(1):39–46. https://doi.org/10.1016/j.ijnss.2015.01.002.

    Article  Google Scholar 

  25. Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Cienc Saude Colet. 2011;16(7):3061–8. https://doi.org/10.1590/S1413-81232011000800006.

    Article  Google Scholar 

  26. Powell C. The Delphi technique: myths and realities. J Adv Nurs. 2003;41(4):376–82. https://doi.org/10.1046/j.1365-2648.2003.02537.x.

    Article  PubMed  Google Scholar 

  27. Hsu C-C, Sandford BA. The Delphi technique: making sense of consensus. Pract Assess Res Eval. 2007;12:10. https://doi.org/10.7275/pdz9-th90 Available at: https://scholarworks.umass.edu/pare/vol12/iss1/10.

    Article  Google Scholar 

  28. Hernández-Nieto RA. Contributions to statistical analysis. Mérida: Universidad de Los Andes; 2002.

    Google Scholar 

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Funding

This study was funded by CAPES (Coordination of Personal Improvement of Higher Education).

Author information

Authors and Affiliations

  1. Federal University of Ceará, Alexandre Baraúna Street 1115, Rodolfo Teófilo, Fortaleza, CE, Brazil

    Gabriela Lima Ribeiro, Camila Teixeira Moreira Vasconcelos & José Ananias Vasconcelos Neto

  2. Hospital Complex of the Federal University of Ceará, Empresa Brasileira de Serviços Hospitalares-EBSERH, Fortaleza, Brazil

    Mariana Luisa Veras Firmiano & Dayana Maia Saboia

  3. Campinas State University, Campinas, Brazil

    Maria Helena Baena de Moraes Lopes

Authors
  1. Gabriela Lima Ribeiro
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  2. Mariana Luisa Veras Firmiano
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  3. Camila Teixeira Moreira Vasconcelos
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  4. Dayana Maia Saboia
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  5. Maria Helena Baena de Moraes Lopes
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  6. José Ananias Vasconcelos Neto
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Correspondence to Camila Teixeira Moreira Vasconcelos.

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Ribeiro, G.L., Firmiano, M.L.V., Vasconcelos, C.T.M. et al. Scale of pregnant women’s assessment of knowledge, attitude and practice related to urinary incontinence. Int Urogynecol J 33, 1503–1509 (2022). https://doi.org/10.1007/s00192-021-04837-4

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  • DOI: https://doi.org/10.1007/s00192-021-04837-4

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