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Validation and cross-cultural adaptation of the Brazilian Portuguese version of the questionnaire for the assessment of pelvic floor disorders and their risk factors during pregnancy and postpartum

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Abstract

Introduction and hypothesis

Pelvic floor dysfunction may be treated and prevented during pregnancy and postpartum, as it decreases women’s quality of life. The aim of the present study was to translate and validate the Brazilian Portuguese questionnaire for the assessment of pelvic floor disorders and their risk factors during pregnancy and postpartum.

Methods

This is a cross-sectional study. Two translators fluent in German translated the German version of the questionnaire into English. The back translation was performed by two other translators. The final version was tested on Brazilian pregnant/puerperal women. The participants answered the questionnaire twice, with an interval of 7–10 days between sessions. They also completed the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). To evaluate the test–retest reliability, we used the intraclass correlation coefficient (ICC), Cronbach's alpha coefficient, to test the internal consistency, and Pearson's linear correlation to assess construct validity.

Results

Sixty-six women were included (77% pregnant; 23% puerperal women), with a mean age of 26.5 ± 5.8 years and a body mass index of 26.4 ± 5.7 kg/cm2. There were no missing ceiling or floor effects. The construct validity presented a moderate correlation with the role physical domain of the SF-36 (r = −0.48), the ICC test–retest showed good reliability of 0.72, and the internal consistency was 0.71.

Conclusions

These results provide evidence that the questionnaire for the assessment of pelvic floor disorders and their risk factors during pregnancy and postpartum is a valid and reliable instrument when utilized in Brazilian pregnant and postpartum 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 grant #2018/26718–9, São Paulo Research Foundation (FAPESP).

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Authors and Affiliations

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

    Renata Cristina Martins da Silva Vieira, Jordana Barbosa da Silva & Patricia Driusso

  2. Department of Gynecology and Obstetrics, Faculty of Medicine, University of São Paulo, Ribeirão Preto, Brazil

    Ricardo de Carvalho Cavalli

Authors
  1. Renata Cristina Martins da Silva Vieira
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  2. Jordana Barbosa da Silva
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  3. Ricardo de Carvalho Cavalli
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  4. Patricia Driusso
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Contributions

R.C.M. da Silva Vieira: project development, data collection and analysis, manuscript writing, and final approval of the version to be published; J.B. da Silva: data collection, drafting and revising the article critically, and final approval of the version to be published; R. de Carvalho Cavalli: drafting and revising the article critically, and final approval of the version to be published; P. Driusso: project development, data analysis, 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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This study was approved by the Ethics and Research Committee of the Federal University of São Carlos.

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da Silva Vieira, R.C.M., Silva, J.B.d., de Carvalho Cavalli, R. et al. Validation and cross-cultural adaptation of the Brazilian Portuguese version of the questionnaire for the assessment of pelvic floor disorders and their risk factors during pregnancy and postpartum. Int Urogynecol J 33, 3155–3161 (2022). https://doi.org/10.1007/s00192-022-05101-z

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