1st Department of Obstetrics and Gynecology, University of Athens Medical School, Urogynecology Unit, Alexandra Hospital, Athens, Greece.
Neurourol Urodyn. 2012 Sep;31(7):1141-4. doi: 10.1002/nau.22197. Epub 2012 Apr 16.
The objective of this study was to validate four specific International Consultation on Incontinence Questionnaires (ICIQ) modules in the Greek language: (i) the ICIQ-FLUTS long form (ICIQ-FLUTS-LF), (ii) the ICIQ-FLUTS, (iii) the ICIQ-FLUTS-SEX, and (iv) the ICIQ-Vaginal Symptoms Questionnaire (ICIQ-VS), originally validated in English.
The English questionnaires were initially translated into Greek, then back-translated into English and final modifications were made after testing the questionnaires on a sample of patients. To validate the translated questionnaires, the following tests were undertaken: Content/face validity, internal consistency (reliability) and stability (test-retest reliability).
A total of 122 women participated in the study. Eighty-nine presented with pelvic organ prolapse (POP) and/or urinary incontinence (UI) symptoms and 33 attended an outpatient gynecological clinic without POP/UI symptoms. All modules showed excellent content/face validity (missing values 0-2.5%). Cronbach's alpha test for internal consistency showed satisfactory to excellent reliability (0.876 for ICIQ-FLUTS-LF, 0.85 for ICIQ-FLUTS, and 0.83 for ICIQ-VS), with the exception ICIQ-FLUTS-SEX which was 0.69. The test-retest reliability showed moderate to near-perfect agreement (weighted kappa value 0.52-0.99).
The Greek versions of the ICIQ-FLUTS-LF, ICIQ-FLUTS, and ICIQ-VS questionnaires were successfully validated. Our data showed that the ICIQ FLUTS-SEX questionnaire, as it stands in its current English version, cannot be reliably used to assess sex symptoms in the Greek female population.
本研究的目的是验证四种特定的国际尿失禁咨询问卷（ICIQ）模块在希腊语中的有效性：（i）ICIQ-FLUTS 长表（ICIQ-FLUTS-LF），（ii）ICIQ-FLUTS，（iii）ICIQ-FLUTS-SEX，和（iv）ICIQ-阴道症状问卷（ICIQ-VS），最初在英语中验证。
将英语问卷初步翻译成希腊语，然后将其回译为英语，并在患者样本中测试问卷后进行最终修改。为了验证翻译后的问卷，进行了以下测试：内容/表面有效性、内部一致性（可靠性）和稳定性（测试-重测可靠性）。
共有 122 名女性参与了这项研究。89 名患有盆腔器官脱垂（POP）和/或尿失禁（UI）症状，33 名在没有 POP/UI 症状的妇科门诊就诊。所有模块均显示出极好的内容/表面有效性（缺失值为 0-2.5%）。内部一致性的克朗巴赫α测试显示出令人满意至极好的可靠性（ICIQ-FLUTS-LF 为 0.876，ICIQ-FLUTS 为 0.85，ICIQ-VS 为 0.83），但 ICIQ-FLUTS-SEX 除外，其可靠性为 0.69。测试-重测可靠性显示出中度至近乎完美的一致性（加权kappa 值为 0.52-0.99）。
ICIQ-FLUTS-LF、ICIQ-FLUTS 和 ICIQ-VS 问卷的希腊语版本已成功验证。我们的数据表明，目前英文版的 ICIQ-FLUTS-SEX 问卷不能可靠地用于评估希腊女性人群的性症状。
