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Cross-cultural adaptation and measurement property analysis of the Brazilian Portuguese version of the Three Incontinence Questionnaire

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Abstract

Introduction and hypothesis

The differential diagnosis of urinary symptoms may allow health professionals to establish a therapeutic objective and to choose the appropriate treatment for the patient's complaint. The aim of this study was to cross-culturally adapt the Three Incontinence Questionnaire (3IQ) into Brazilian Portuguese (3IQ-Br) and to analyze test-retest reliability, construct, and criterion validity in women.

Methods

The cross-cultural adaptation of the 3IQ-Br included forward-translation, back-translation, and consensus among an expert committee. Participants with and without urinary incontinence (UI) completed the 3IQ-Br, King's Health Questionnaire (KHQ), and Questionnaire for Female Urinary Incontinence Diagnosis (QUID-Br). Only women with UI answered 3IQ-Br after 7–10 days. Test-retest reliability and construct validity were analyzed using the Cohen linear kappa (k). The 3IQ-Br accuracy was analyzed using the area under the curve (AUC) of the receiver-operating characteristic (ROC) curve, considering the sensitivity and specificity to correctly classify women with and without UI.

Results

The reliability of each question from the 3IQ-Br was considered substantial in the test-retest. The agreement among 3IQ-Br, QUID-Br, and KHQ was almost perfect for UI diagnosis (k > 0.8). The 3IQ-Br was considered to have good accuracy in distinguishing women with UI considering the KHQ (AUC 0.83, 95% confidence interval [CI] 0.78 to 0.87, p < 0.001), and fair to the QUID-Br (AUC 0.73, 95% CI 0.68 to 0.78; p < 0.001).

Conclusions

The results of this study showed that this version of the 3IQ-Br has acceptable measurement properties for identifying and differentiating UI symptoms in Brazilian women.

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Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001 and 2018/26718-9, São Paulo. Research Foundation (FAPESP).

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Authors and Affiliations

  1. Women’s Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, Rodovia Washington Luís, 235 km, São Carlos, SP, CEP 13565‐905, Brazil

    Michele Elisabete Rúbio Alem, Jordana Barbosa da Silva, Ana Carolina Sartorato Beleza & Patricia Driusso

  2. Physical Therapy Department, Federal University of São Carlos, São Carlos, São Paulo, Brazil

    Thais Cristina Chaves

Authors
  1. Michele Elisabete Rúbio Alem
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  2. Jordana Barbosa da Silva
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  3. Ana Carolina Sartorato Beleza
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  4. Thais Cristina Chaves
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  5. Patricia Driusso
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Contributions

MER Alem: project development, data collection and analysis, manuscript writing.

JB Silva: data collection, support for writing the manuscript.

ACS Beleza: drafting and revising the article critically.

TC Chaves: data analysis.

P Driusso: project development, drafting and revising the article critically, and final approval of the version to be published.

Corresponding author

Correspondence to Patricia Driusso.

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Alem, M.E.R., da Silva, J.B., Beleza, A.C.S. et al. Cross-cultural adaptation and measurement property analysis of the Brazilian Portuguese version of the Three Incontinence Questionnaire. Int Urogynecol J 33, 3053–3060 (2022). https://doi.org/10.1007/s00192-021-05036-x

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  • DOI: https://doi.org/10.1007/s00192-021-05036-x

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