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The Brazilian Portuguese version of the ICIQ-OABqol: cross-cultural adaptation and reliability

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Abstract

Introduction and hypothesis

The International Consultation on Incontinence Questionnaire Overactive Bladder Symptoms Quality of Life (ICIQ-OABqol) Module evaluates the quality of life of individuals with overactive bladder (OAB) symptoms, and its use in scientific studies and clinical practice is recommended by the International Continence Society. The aim was to conduct the cross-cultural adaptation and validation of the Brazilian Portuguese version of the ICIQ-OABqol (ICIQ-OABqol_portuguese) in individuals with OAB symptoms.

Methods

An observational cross-sectional study was performed at the Clinical Physiotherapy of PUC MINAS in Belo Horizonte, MG, Brazil, between March 2017 and October 2018. The translation was previously carried out by the Mapi Research Institute. After receiving the translated questionnaire, the cross-cultural adaptation process was conducted as follows: (1) review by an expert committee (13 experts); (2) pre-test (n = 30); (3) cross-cultural adaptation; (4) validation of the ICIQ-OABqol_portuguese. We analyzed the intraexaminer reliability validation (n = 118) and internal consistency measurement (Cronbach’s α coefficient), test-retest reliability (ICC) and correlation between the ICIQ-OAB and ICIQ-OABqol_portuguese questionnaires through Pearson’s correlation coefficient and Bland-Altman scatter plot and concordance. Confirmatory factor analysis was used to confirm the domains of the instrument.

Results

The ICIQ-OABqol was cross-culturally adapted to Brazilian Portuguese and presented satisfactory internal consistency (α-Cronbach coefficient 0.88), adequate construct validity, strong reliability considering the test-retest with an interval of 19.68 (±6.98) days and moderate correlation with the ICIQ-OAB.

Conclusions

The Brazilian Portuguese version of the ICIQ-OABqol shows satisfactory psychometric properties and can be used to evaluate the quality of life of individuals of both sexes with OAB symptoms.

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Abbreviations

CP:

Concordance percentage

CFA:

Confirmatory factor analysis

CVI:

Content validity index

ICIQ-OABqol:

International Consultation on Incontinence Questionnaire Overactive Bladder Symptoms Quality of Life Module

ICIQ-OAB:

International Consultation on Incontinence Questionnaire Overactive Bladder Symptoms

ICS:

International Continence Society

ICC:

Intraclass correlation coefficient

KMO:

Kaiser-Meyer-Olkin

PRO:

Patient-reported outcomes

OAB:

Overactive bladder

PUC MINAS:

Pontifical Catholic University of Minas Gerais

UNICAMP:

State University of Campinas

References

  1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, 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. Milsom I, Altman D, Cartwright R, Lapitan MC, Nelson R, Sjöström S, Tikkinen KAO. Epidemiology of Urinary Incontinence (UI) and other lower Urinary Tract Symptoms (LUTS), Pelvic Organ Prolapse (POP) and Anal (AI) Incontinence in Abrams P, Cardozo L, Wagg A, Wein A. Incontinence. 6th International Consultation on Incontinence, Tokyo, September, 2016, International Continence Society, 6th edn. (pp 49–54). Bristol: International Continence Society; 2017.

  3. Teloken C, Caraver F, Weber FA, et al. Overactive bladder: prevalence and implications in Brazil. Eur Urol. 2006;49(6):1087–92. https://doi.org/10.1016/j.eururo.2006.01.026.

    Article  PubMed  Google Scholar 

  4. Soler R, Gomes CM, Averbeck MA, Koyama M. The prevalence of lower urinary tract symptoms (LUTS) in Brazil: results from the epidemiology of LUTS (Brazil LUTS) study. Neurourol Urodyn. 2018;37(4):1356–64. https://doi.org/10.1002/nau.23446.

    Article  PubMed  Google Scholar 

  5. Cheung WW, Khan NH, Choi KK, et al. Prevalence, evaluation and management of overactive bladder in primary care. BMC Fam Pract. 2009;10:8. https://doi.org/10.1186/1471-2296-10-8.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108:1132–9. https://doi.org/10.1111/j.1464-10X.2010.09993.x.

    Article  PubMed  Google Scholar 

  7. Irwin DE, Milsom I, Kopp Z, Abrams P, Cardozo L. Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU Int. 2006;97(1):96–100. https://doi.org/10.1111/j.1464-410X.2005.05889.x.

    Article  PubMed  Google Scholar 

  8. Abrams P, Kelleher CJ, Kerr LA, Rogers RG. Overactive bladder significantly affects quality of life. Am J Manag Care. 2000;6:S580.

    CAS  PubMed  Google Scholar 

  9. The International Consultation on Incontinence Questionnaire (2019) Bristol Urological Institute. http://www.iciq.net. Accessed 20 Nov 2018.

  10. Coyne K, Revicki D, Hunt T, Corey R, Stewart W, Bentkover J. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. 2002;11(6):563–74.

    Article  CAS  PubMed  Google Scholar 

  11. Matza LS, Thompson CL, Krasnow J, Brewster-Jordan J, Zyczynski T, Coyne S. Test-retest reliability of four questionnaires for patients with overactive bladder: the overactive bladder questionnaire (OAB-q), patient perception of bladder condition (PPBC), urgency questionnaire (UQ), and the primary OAB symptom questionnaire (POSQ). Neurourol Urodyn. 2005;24(3):215–25. https://doi.org/10.1002/nau.20110.

    Article  PubMed  Google Scholar 

  12. Acquadro C, Kopp Z, Coyne K, Corcos J, Tubaro A, Choo MS. Translating overactive bladder questionnaires in 14 languages. Urology. 2006;67(3):536–40. https://doi.org/10.1016/j.urology.2005.09.035.

    Article  PubMed  Google Scholar 

  13. Koller M, West K. Linguistic validation manual for patient-reported outcomes (PRO) instruments. In: C Acquadro, K Conway, C Girourdet, I Mear. MAPI research trust. Lyon, France. 15. Qual Life Res. 2005;14(7):1791–2. https://doi.org/10.1007/s11136-005-5367-1.

    Article  Google Scholar 

  14. Beaton DT, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross cultural adaptation of self report measures. Spine. 2000;25(24):3186–91.

    Article  CAS  PubMed  Google Scholar 

  15. Terwee CB, Bot SD, Boer MR, Van der Windt DA, Knol DL, Dekker J. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012.

    Article  PubMed  Google Scholar 

  16. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417–32.

    Article  CAS  PubMed  Google Scholar 

  17. Costa NM, Coluci AM. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc saude coletiva. 2011;16(7):3061–8. https://doi.org/10.1590/S1413-81232011000800006.

    Article  Google Scholar 

  18. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489–97.

    Article  PubMed  Google Scholar 

  19. Pereira S, Thiel R, Riccetto C, et al. Validação do International Consultation On Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) para a língua portuguesa. Rev Bras Ginecol Obstet. 2010;32(6):273–8. https://doi.org/10.1590/S0100-72032010000600004.

    Article  PubMed  Google Scholar 

  20. Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 2003;80(1):99–103. https://doi.org/10.1207/S15327752JPA800118.

    Article  PubMed  Google Scholar 

  21. Filho DB, Júnior JS. Visão além do alcance: uma introdução à análise fatorial. Opin Pub Jun16(1):160-185. 2010. https://doi.org/10.1590/S0104-62762010000100007.

  22. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420–8. https://doi.org/10.1037/0033-2909.86.2.420.

    Article  CAS  PubMed  Google Scholar 

  23. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307–10. https://doi.org/10.1016/S0140-6736(86)90837-8.

    Article  CAS  PubMed  Google Scholar 

  24. Coyne K, Schmier J, Hunt T, Corey R, Liberman J, Revicki D. Developing a specific HRQL instrument for overactive bladder. Value Health. 2000;3:141. https://doi.org/10.1016/S1098-3015(11)70554-X.

    Article  Google Scholar 

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Acknowledgments

We thank the honorary professors of the Pontifical Catholic University of Minas Gerais (PUC Minas), Patrícia Dayrell and Daniel Câmara Azevedo, for the critical review of the manuscript. We also thank the research subjects, institutions involved and International Consultation on Incontinence Questionnaire (http://iciq.net/) for all their support for this study.

Funding

The present study was carried out with support from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-Financing Code 001, through the State University of Campinas (UNICAMP), as well as support from the Federal University of Alfenas (UNIFAL-MG) and Pontifical Catholic University of Minas Gerais (PUC MINAS).

This study was financed in part by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-Finance Code 001, through the Postgraduate Program in Surgical Science of the State University of Campinas (UNICAMP), with support from the Federal University of Alfenas-UNIFAL-MG, Fundação de Amparo à Pesquisa do Estado de Minas Gerais-FAPEMIG (PPM-00471-18) and the Pontifical Catholic University of Minas Gerais-PUC MINAS - Brazil.

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Authors and Affiliations

  1. Physiotherapy Department, Pontifical Catholic University of Minas Gerais (PUC-MINAS), Belo Horizonte, Minas Gerais, Brazil

    Silvia Monteiro, Anna Karoline Rocha, Kamila Santos, Ingrid Campos & Tuany Pereira

  2. Postgraduate Program in Surgical Science-Surgical Department, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil

    Silvia Monteiro, Cássio Riccetto & Simone Botelho

  3. UroPhysiotherapy Laboratory-Postgraduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL-MG), Av. Jovino Fernandes Sales, 2600, Santa Clara, Building C, Room 101-K, Alfenas, MG, 37130-000, Brazil

    Simone Botelho

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  1. Silvia Monteiro
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  2. Cássio Riccetto
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  3. Anna Karoline Rocha
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  4. Kamila Santos
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  5. Ingrid Campos
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Contributions

• Sílvia Monteiro: Project development, data management, manuscript writing/editing.

• Cássio Riccetto: Project development, manuscript writing/editing.

• Anna Karoline Rocha: Data collection and data analysis.

• Kamila Santos: Data collection and data analysis.

• Ingrid Campos: Data collection and data analysis.

• Tuany Pereira: Data collection and data analysis.

• Simone Botelho: Project development, manuscript writing/editing.

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Correspondence to Simone Botelho.

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Monteiro, S., Riccetto, C., Rocha, A.K. et al. The Brazilian Portuguese version of the ICIQ-OABqol: cross-cultural adaptation and reliability. Int Urogynecol J 31, 2507–2514 (2020). https://doi.org/10.1007/s00192-020-04280-x

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