Brazilian version of the King's Health Questionnaire: assessment of the structural validity and internal consistency in female urinary incontinence.
Patient-reported outcome measures
Pelvic floor disorders
Quality of life
Urinary incontinence
Women's health
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
15
01
2022
accepted:
03
03
2022
pubmed:
13
4
2022
medline:
19
10
2022
entrez:
12
4
2022
Statut:
ppublish
Résumé
The use of valid patient-reported outcome measurements is essential in clinical and research settings. The structure of the Brazilian version of the King's Health Questionnaire (Br-KHQ) has not been evaluated. Thus, this study sought to evaluate the structural validity and internal consistency of the multi-item domains of the Br-KHQ in women with urinary incontinence (UI). A total of 462 Brazilian Portuguese speakers with UI aged 18 years or older were included in this study. Participants answered the Br-KHQ, and a questionnaire containing demographic and personal information. The structure of the Br-KHQ was examined through Exploratory Factor Analysis (EFA) with the implementation of parallel analysis and evaluated using confirmatory factor analysis (CFA). For the latter, several goodness-of-fit indices were considered to evaluate the model fit of the structures tested in this study. Internal consistency was assessed using Cronbach's alpha, composite reliability, and coefficient omega. The EFA showed that the questionnaire has a five-factor structure, i.e., limitations of daily life, personal relationship, emotions, sleep/energy, and severity measures. The CFA demonstrated that this structure presented the most adequate goodness-of-fit indices and the lowest values of Akaike information criterion and Bayesian information criterion, compared with the original and Portuguese structure. High values (>0.70) of internal consistency were found. The Brazilian version of the KHQ is composed of a five-factor structure. Further studies should evaluate other measurement properties of the Br-KHQ to ensure reliable interpretation of this patient-reported outcome measure in clinical practice.
Identifiants
pubmed: 35412068
doi: 10.1007/s00192-022-05189-3
pii: 10.1007/s00192-022-05189-3
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
3143-3154Informations de copyright
© 2022. The International Urogynecological Association.
Références
Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). BMC Urol. 2013;13:27. https://doi.org/10.1186/1471-2490-13-27 .
doi: 10.1186/1471-2490-13-27
pubmed: 23721491
pmcid: 3674916
Kelleher C, Cardozo L, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. 1997;104:1374–9.
doi: 10.1111/j.1471-0528.1997.tb11006.x
Wuytack F, Moran P, Daly D, et al. A systematic review of utility-based and disease-specific quality of life measurement instruments for women with urinary incontinence. Neurourol Urodyn. 2021;40:1275–303. https://doi.org/10.1002/nau.24678 .
doi: 10.1002/nau.24678
pubmed: 34082483
Johnston KM, Walker DR, Lakzadeh P. Characterizing the health-related quality of life burden of overactive bladder using disease-specific patient-reported outcome measures: a systematic literature review. Adv Ther. 2019;36:548–62. https://doi.org/10.1007/s12325-019-0880-8 .
doi: 10.1007/s12325-019-0880-8
pubmed: 30715686
pmcid: 6824512
De Vet HCW, Terwee C, Mokkink LB, Knol DL. Measurement in medicine: a practical guide. 1st ed. Cambridge: Cambridge University Press; 2011.
doi: 10.1017/CBO9780511996214
Vij M, Srikrishna S, Robinson D, Cardozo L. Quality assurance in quality of life assessment—measuring the validity of the King’s Health Questionnaire. Int Urogynecol J. 2014;25:1133–5. https://doi.org/10.1007/s00192-014-2370-5 .
doi: 10.1007/s00192-014-2370-5
pubmed: 24667983
Ioannidis JPA, Greenland S, Hlatky MA, et al. Increasing value and reducing waste in research design, conduct, and analysis. Lancet. 2014;383:166–75. https://doi.org/10.1016/S0140-6736(13)62227-8 .
doi: 10.1016/S0140-6736(13)62227-8
pubmed: 24411645
pmcid: 4697939
Tamanini JTN, D’Ancona CAL, Botega NJ, Rodrigues Netto Jr N. Validation of the Portuguese version of the King’s Health Questionnaire for urinary incontinent women. Rev Saude Publica. 2003;37:203–11. https://doi.org/10.1590/S0034-89102003000200007 .
doi: 10.1590/S0034-89102003000200007
pubmed: 12700842
Fonseca ESM, Camargo ALM, de Castro RA, et al. Validação do questionário de qualidade de vida (King’s Health Questionnaire) em mulheres brasileiras com incontinência urinária. Rev Bras Ginecol Obs. 2005;27:235–42. https://doi.org/10.1590/S0100-72032005000500002 .
doi: 10.1590/S0100-72032005000500002
Kaya S, Akbayrak T, Toprak Çelenay Ş, et al. Reliability and validity of the Turkish King’s Health Questionnaire in women with urinary incontinence. Int Urogynecol J. 2015;26:1853–9. https://doi.org/10.1007/s00192-015-2786-6 .
doi: 10.1007/s00192-015-2786-6
pubmed: 26209953
Viana R, Viana S, Neto F, Mascarenhas T. Adaptation and validation of the King’s Health Questionnaire in Portuguese women with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2015;26:1027–33. https://doi.org/10.1007/s00192-015-2628-6 .
doi: 10.1007/s00192-015-2628-6
Kieres P, Skorupska K, Mlodawski J, et al. Reliability of The King’s Health Questionnaire and the International Consultation on Incontinence Modular Questionnaire (ICIQ-SF) Short Form in assessing urinary incontinence effects in Polish women. Ginekol Pol. 2021;92(12):850–5. https://doi.org/10.5603/GP.a2021.0057 .
doi: 10.5603/GP.a2021.0057
pubmed: 33914301
Prinsen CAC, Mokkink LB, Bouter LM, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res. 2018;27:1147–57. https://doi.org/10.1007/s11136-018-1798-3 .
doi: 10.1007/s11136-018-1798-3
pubmed: 29435801
pmcid: 5891568
Rosseel Y. Lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48(2):1–36. https://doi.org/10.18637/jss.v048.i02 .
doi: 10.18637/jss.v048.i02
Costello AB, Osborne J. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pract Assessment Res Eval. 2005;10:1–9. https://doi.org/10.7275/jyj1-4868 .
doi: 10.7275/jyj1-4868
Worthington RL, Whittaker TA. Scale development research: a content analysis and recommendations for best practices. Couns Psychol. 2006;34:806–38. https://doi.org/10.1177/0011000006288127 .
doi: 10.1177/0011000006288127
Figueiredo VB, Nascimento SL, Martínez RFL, et al. Effects of individual pelvic floor muscle training vs individual training progressing to group training vs group training alone in women with stress urinary incontinence: a randomized clinical trial. Neurourol Urodyn. 2020;39:1447–55. https://doi.org/10.1002/nau.24370 .
doi: 10.1002/nau.24370
pubmed: 32353206
Alem MER, Chaves TC, de Figueiredo VB, et al. Cross-cultural adaptation to Brazilian Portuguese and assessment of the measurement properties of the Questionnaire for Urinary Incontinence Diagnosis (QUID). Eur J Obstet Gynecol Reprod Biol. 2020;255:111–7. https://doi.org/10.1016/j.ejogrb.2020.10.005 .
doi: 10.1016/j.ejogrb.2020.10.005
Pereira VS, de Melo MV, Correia GN, Driusso P. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric. 2012;15:45–51. https://doi.org/10.3109/13697137.2011.593211 .
doi: 10.3109/13697137.2011.593211
pubmed: 22066898
Nascimento-Correia G, Santos-Pereira V, Tahara N, Driusso P. Efectos del fortalecimiento del suelo pélvico en la calidad de vida de un grupo de mujeres con incontinencia urinaria: estudio aleatorizado controlado. Actas Urol Esp. 2012;36:216–21. https://doi.org/10.1016/j.acuro.2011.07.007 .
doi: 10.1016/j.acuro.2011.07.007
pubmed: 21959066
Timmerman ME, Lorenzo-Seva U. Dimensionality assessment of ordered polytomous items with parallel analysis. Psychol Methods. 2011;16:209–20. https://doi.org/10.1037/a0023353 .
doi: 10.1037/a0023353
pubmed: 21500916
Li C-H. Confirmatory factor analysis with ordinal data: comparing robust maximum likelihood and diagonally weighted least squares. Behav Res Methods. 2016;48:936–49. https://doi.org/10.3758/s13428-015-0619-7 .
doi: 10.3758/s13428-015-0619-7
pubmed: 26174714
Schreiber JB, Nora A, Stage FK, et al. Reporting structural equation modeling and confirmatory factor analysis results: a review. J Educ Res. 2006;99:323–38. https://doi.org/10.3200/JOER.99.6.323-338 .
doi: 10.3200/JOER.99.6.323-338
Raykov T. Estimation of congeneric scale reliability using covariance structure analysis with nonlinear constraints. Br J Math Stat Psychol. 2001;54:315–23. https://doi.org/10.1348/000711001159582 .
doi: 10.1348/000711001159582
pubmed: 11817096
Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and Mcdonald’s ωH: their relations with each other and two alternative conceptualizations of reliability. Psychometrika. 2005;70:123–33. https://doi.org/10.1007/s11336-003-0974-7 .
doi: 10.1007/s11336-003-0974-7
R Core Team. R: a language and environment for statistical computing. 2021.
Revelle W. psych: procedures for psychological, psychometric, and personality research
Homma Y, Uemura S. Use of the short form of King’s Health Questionnaire to measure quality of life in patients with an overactive bladder. BJU Int. 2004;93:1009–13. https://doi.org/10.1111/j.1464-410X.2003.04771.x .
doi: 10.1111/j.1464-410X.2003.04771.x
pubmed: 15142153
Edelen MO, Reeve BB. Applying item response theory (IRT) modeling to questionnaire development, evaluation, and refinement. Qual Life Res. 2007;16:5–18. https://doi.org/10.1007/s11136-007-9198-0 .
doi: 10.1007/s11136-007-9198-0
pubmed: 17375372
Brusaca LA, Rocha APR, Oliveira AB, Driusso P (2021) RE: Wuytack et al. A systematic review of utility-based and disease-specific quality of life measurement instruments for women with urinary incontinence. Neurourol Urodyn 40:2063–2064. https://doi.org/10.1002/nau.24789
doi: 10.1002/nau.24789
pubmed: 34494683