Diseases of the Colon & Rectum

, Volume 49, Issue 4, pp 490–499 | Cite as

Adaptation to Spanish Language and Validation of the Fecal Incontinence Quality of Life Scale

  • Miguel MinguezEmail author
  • Vicente Garrigues
  • Maria Jose Soria
  • Montserrat Andreu
  • Fermin Mearin
  • Pere Clave
Original Contributions


The aim of this study was to perform a psychometric evaluation of the Fecal Incontinence Quality of Life Scale in the Spanish language.


Eleven hospitals in Spain participated in the study, which included 118 patients with active fecal incontinence. All the patients filled out a questionnaire on the severity of their incontinence, a general questionnaire of health (Medical Outcomes Survey Short Form), and a Spanish translation of the Fecal Incontinence Quality of Life Scale (Cuestionario de Calidad de Vida de Incontinencia Anal), which consists of 29 items in four domains: lifestyle, behavior, depression, and embarrassment. On a second visit, patients repeated the Fecal Incontinence Quality of Life Scale. For each domain, an evaluation was made of temporal reliability, internal reliability, the convergent validity with the generic questionnaire of health, and the discriminant validity correlating the domains of Cuestionario de Calidad de Vida de Incontinencia Anal with the severity of fecal incontinence.


For cultural adaptation, the answer alternatives for 14 items were modified. A total of 111 patients (94 percent) completed the study adequately. Temporal reliability (test–retest) was good for all domains except for embarrassment, which showed significant differences (P < 0.02). Internal reliability was good/excellent for all domains (Cronbach alpha >0.80, between 0.84 and 0.96). The four domains of Cuestionario de Calidad de Vida de Incontinencia Anal significantly correlated with the domains of the generic questionnaire on health (P < 0.01) and with the scale of severity of fecal incontinence (P < 0.001). All domains of Cuestionario de Calidad de Vida de Incontinencia Anal correlated negatively with the need to wear pads (P < 0.01) and with the presence of complete fecal incontinence.


The Cuestionario de Calidad de Vida de Incontinencia Anal incorporates sufficient requirements of reliability and validity to be applied to patients with fecal incontinence.

Key words

Fecal incontinence Quality-of-life scale Cultural adaptation 


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Copyright information

© The American Society of Colon and Rectal Surgeons 2006

Authors and Affiliations

  • Miguel Minguez
    • 1
    • 7
    Email author
  • Vicente Garrigues
    • 2
  • Maria Jose Soria
    • 3
  • Montserrat Andreu
    • 4
  • Fermin Mearin
    • 5
  • Pere Clave
    • 6
  1. 1.Department of GastroenterologyHospital Clinico UniversitarioValenciaSpain
  2. 2.Department of GastroenterologyHospital La FeValenciaSpain
  3. 3.Department of GastroenterologyHospital Universitario Puerta del MarCadizSpain
  4. 4.Department of GastroenterologyHospital del MarBarcelonaSpain
  5. 5.Department of GastroenterologyCentro Medico TeknonBarcelonaSpain
  6. 6.Department of GastroenterologyInstitut GuttmannBarcelonaSpain
  7. 7.Department of GastroenterologyHospital ClínicoValenciaSpain

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