澳大利亚盆底功能问卷(APFQ-IR)在伊朗育龄妇女中的心理测量学评估及跨文化调适。
Psychometric evaluation and cross-cultural adaptation of the Australian Pelvic Floor Questionnaire (APFQ-IR) in Iranian reproductive age women.
机构信息
Students Research Committee, Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Cabrini Research, Cabrini Health, Melbourne, VIC, 3144, Australia.
出版信息
Sci Rep. 2023 Dec 27;13(1):23015. doi: 10.1038/s41598-023-50417-5.
Pelvic floor disorders (PFDs), as a silent alert, is one of the pervasive debilitating health concerns among women all over the world, such that in developed countries, one in four women, suffers from PFDs. Validity and reliability of the Australian Pelvic Floor Questionnaire (APFQ) has not been determined in Iran, so to determine APFQ's psychometric characteristics, we decided to conduct this study on women of reproductive age in Tabriz city, Iran. This methodological cross-sectional study was intended to determine the psychometric properties of the Persian version of the APFQ-IR in 5 steps including "translation process, content validity, face validity, construct validity (exploratory and confirmatory factor analyses and examination of ceiling and floor effects) and reliability" on 400 reproductive age women referring to health centers in Tabriz city, Iran, with cluster random sampling method in the period between May 2022 to September 2022. The translation process was done based on two approaches, Dual panel, and Beaton et al.'s five steps. Then, in order to evaluate content validity, face validity, and construct validity, 10 instrument and PFDs experts, 10 women from the target group investigated the instrument's items, and 400 eligible women completed the instrument. Finally, to determine the reliability, two internal consistency methods, (Cronbach's alpha and McDonald's omega) and test-retest method (ICC) were used. In the present study, content validity assessment of APFQ-IR, showed a good level of validity (CVR = 0.96, CVI = 0.94). To assess construct validity, exploratory factor analysis results on 36 items, led to the identification of 4 factors including bladder function, bowel function, prolapse symptom and sexual function, which explained 45.53% of the cumulative variance and indicated the sufficiency of the sample size (Kaiser-Meyer-Olkin = 0.750). Implementing confirmatory factor analysis, (RMSEA = 0.08, SRMR = 0.08, TLI = 0.90, CFI = 0.93, χ/df = 3.52) confirmed the model fit indices. Finally the internal consistency and reliability was high for the entire instrument (Cronbach's alpha = 0.85; McDonald's omega (95% CI) = 0.85 (0.83-0.87) and Intraclass Correlation Coefficient (95% CI) = 0.88 (0.74-0.94)). The Persian version of the APFQ-IR, has a good validity and reliability and has acceptable psychometric properties, thus can be used both for research purposes and for clinical evaluation of pelvic floor disorders symptoms in health centers.
盆腔器官脱垂(pelvic floor disorders,PFD)是全世界女性普遍存在的致残性健康问题之一,在发达国家,每四名女性中就有一人患有 PFD。澳大利亚盆腔器官脱垂问卷(Australian Pelvic Floor Questionnaire,APFQ)在伊朗的有效性和可靠性尚未确定,因此,我们决定在伊朗大不里士市的育龄妇女中进行这项研究,以确定 APFQ 的心理测量学特征。这项方法学的横断面研究旨在通过翻译过程、内容有效性、表面有效性、结构有效性(探索性和验证性因子分析以及天花板和地板效应的检查)和可靠性,确定伊朗 APFQ-IR 的心理测量学特征,共纳入 5 个步骤,包括 400 名符合条件的育龄妇女,采用聚类随机抽样方法,于 2022 年 5 月至 9 月期间在伊朗大不里士市的健康中心进行。翻译过程是基于两种方法进行的,即双面板和 Beaton 等人的五步方法。然后,为了评估内容有效性、表面有效性和结构有效性,我们邀请了 10 名仪器和 PFD 专家以及 10 名目标人群中的女性对仪器的项目进行评估,共有 400 名符合条件的女性完成了该仪器的评估。最后,为了确定可靠性,我们使用了两种内部一致性方法(Cronbach's alpha 和 McDonald's omega)和测试-重测方法(ICC)。在本研究中,APFQ-IR 的内容有效性评估显示出良好的有效性水平(CVR=0.96,CVI=0.94)。为了评估结构有效性,对 36 个项目进行的探索性因子分析结果,确定了 4 个因子,包括膀胱功能、肠道功能、脱垂症状和性功能,这些因子解释了 45.53%的累积方差,表明样本量充足(Kaiser-Meyer-Olkin=0.750)。实施验证性因子分析时,(RMSEA=0.08,SRMR=0.08,TLI=0.90,CFI=0.93,χ/df=3.52)证实了模型拟合指数。最后,整个仪器的内部一致性和可靠性都很高(Cronbach's alpha=0.85;McDonald's omega(95%CI)=0.85(0.83-0.87)和 Intraclass Correlation Coefficient(95%CI)=0.88(0.74-0.94))。伊朗版的 APFQ-IR 具有良好的有效性和可靠性,具有可接受的心理测量学特性,因此可用于健康中心的盆腔器官脱垂症状的研究和临床评估。