Sun Yuanjie, Liu Yan, Su Tongsheng, Yuan Jingxue, Liu Zhishun
Department of Acupuncture Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Key Laboratory of Chinese Internal Medicine of Ministry of Education, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Medicine (Baltimore). 2019 Nov;98(44):e17719. doi: 10.1097/MD.0000000000017719.
Mixed urinary incontinence (MUI) is a coexistence of both urgency urinary incontinence and stress urinary incontinence. Medical, Epidemiologic, and Social aspects of Aging (MESA) questionnaire is a validated and commonly used tool to diagnose predominant components of it and assess the severity, which can offer help in clinic. However, MESA questionnaire is still not available in China. The aim of the study is to translate English MESA questionnaire into a Chinese version, adapt it in Chinese culture, and validate the measurement properties among female patients with MUI and urgency-predominant MUI.
MESA questionnaire will be translated and culturally adapted in China. The validation will be embedded in a multicentered randomized controlled trial targeted at women with urgency-predominant MUI. Apart from MESA questionnaire, 3 groups of patients are to receive clinical extended assessment, keep 3-day voiding diary, and complete International Consultation on Incontinence Questionnaire Short Form to evaluate the measurement properties of reliability and validity (internal consistence, test-retest reliability, construct validity, and responsiveness).
If MESA questionnaire is of relatively high reliability and validity in diagnosing subtypes of MUI and assessing the severity, it can help to choose more appropriate therapy for patients and simplify the workload of clinicians.
ClinicalTrials.gov NCT03803878, January 11, 2019.
混合性尿失禁(MUI)是急迫性尿失禁和压力性尿失禁同时存在的情况。医学、流行病学和社会老龄化方面问卷(MESA问卷)是一种经过验证且常用的工具,用于诊断其主要成分并评估严重程度,可为临床提供帮助。然而,MESA问卷在中国仍未可得。本研究的目的是将英文MESA问卷翻译成中文版,使其适应中国文化,并在患有MUI和以急迫性为主的MUI的女性患者中验证其测量属性。
MESA问卷将在中国进行翻译和文化调适。验证将纳入一项针对以急迫性为主的MUI女性患者的多中心随机对照试验。除MESA问卷外,三组患者将接受临床扩展评估,记录3天排尿日记,并完成国际尿失禁咨询问卷简表,以评估信度和效度(内部一致性、重测信度、结构效度和反应度)的测量属性。
如果MESA问卷在诊断MUI亚型和评估严重程度方面具有较高的信度和效度,它可以帮助为患者选择更合适的治疗方法,并简化临床医生的工作量。
ClinicalTrials.gov NCT03803878,2019年1月11日。