Department of Military Medicine and "Tzameret", Faculty of Medicine, Medical Corps, Israel Defense Forces, Hebrew University of Jerusalem, Jerusalem, Israel.
Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Int Urogynecol J. 2023 Jul;34(7):1529-1539. doi: 10.1007/s00192-022-05417-w. Epub 2022 Dec 14.
Pregnancy and mode of delivery have a major effect on pelvic floor disorders (PFD). Assessing knowledge regarding PFD is essential not only for making more informed decisions regarding mode of delivery, but also for seeking help when PFD appear. The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) is a validated tool that assesses women's knowledge regarding urinary incontinence (UI) and pelvic organ prolapse (POP). Validation of the Arabic version of the PIKQ had never been carried out. The purpose of this study was to conduct a condition specific validation among parturients of the PIKQ in the Arabic language.
Translation of the PIKQ to the Arabic language was carried out according to international recommended guidelines. A cross-sectional study of pregnant women was conducted from June to September 2020 at the Soroka University Medical Center, Israel. The recommended 10:1 ratio between the number of subjects and the number of items in the questionnaire (n=24) was maintained. A total of 244 third trimester pregnant women have completed the Arabic version of the PIKQ. In addition to the validation of the psychometric characteristics, construct validity, criterion validity, and reliability were tested as well.
Initially, exploratory factor analysis (EFA) was conducted, resulting in two 12-item scales representing UI and POP. Then, to validate the scale construct we conducted confirmatory factor analysis (CFA). Results of the CFA demonstrated that the PIKQ displayed construct validity, with standardized factor loadings ranging from 0.30 to 0.62. Finally, Cronbach's alpha indicated a good internal reliability for the two factors UI and POP. Criterion validity further supported the validity of the scale.
The Arabic version of the PIKQ is a new, reliable, consistent, and valid instrument to examine the level of knowledge regarding UI and POP in Arabic speaking pregnant women. This instrument may be used to assess women's knowledge about PFD and to direct the need for educational interventions that may empower women to make informed decisions regarding perinatal care.
妊娠和分娩方式对盆底功能障碍（PFD）有重大影响。评估关于 PFD 的知识不仅对于做出更明智的分娩方式决策至关重要，而且对于 PFD 出现时寻求帮助也很重要。尿失禁（UI）和盆腔器官脱垂（POP）知识问卷（PIKQ）是一种经过验证的工具，可评估女性对尿失禁和盆腔器官脱垂的知识。PIKQ 的阿拉伯语版本从未经过验证。本研究的目的是在阿拉伯语中对 PIKQ 进行特定于条件的验证。
根据国际推荐指南将 PIKQ 翻译成阿拉伯语。2020 年 6 月至 9 月，在以色列 Soroka 大学医学中心进行了一项针对孕妇的横断面研究。问卷项目数量与受试者数量的建议比值为 10:1（n=24）。共有 244 名孕晚期妇女完成了 PIKQ 的阿拉伯语版本。除了验证心理测量特性外，还测试了结构有效性、标准有效性和可靠性。
最初进行了探索性因素分析（EFA），得出了两个代表 UI 和 POP 的 12 项量表。然后，为了验证量表的结构，我们进行了验证性因素分析（CFA）。CFA 的结果表明，PIKQ 具有结构有效性，标准化因子负荷在 0.30 到 0.62 之间。最后，Cronbach 的 alpha 表明 UI 和 POP 两个因素的内部信度良好。标准有效性进一步支持了该量表的有效性。
PIKQ 的阿拉伯语版本是一种新的、可靠的、一致的和有效的工具，可用于检查讲阿拉伯语的孕妇对 UI 和 POP 的知识水平。该工具可用于评估女性对 PFD 的知识，并指导需要进行教育干预，这可能使女性能够就围产期护理做出明智的决策。
