Seval Mehmet Murat, Çetinkaya Şerife Esra, Gökmen Derya, Koyuncu Demir Kazibe, Varlı Bulut, Dökmeci Fulya
Department of Obstetrics and Gynecology, Ankara University School of Medicine, Mamak, Ankara, Turkey.
Ankara University Graduate School of Health Sciences, Ankara, Turkey.
Int Urogynecol J. 2025 Feb;36(2):439-445. doi: 10.1007/s00192-024-06039-0. Epub 2025 Jan 13.
Coital incontinence (CI) is an important problem that negatively affects women's quality of life and is often underreported owing to embarrassment, indicating the importance of its assessment with validated questionnaires. The aim of this study was to validate the Turkish-translated version of the International Female Coital Incontinence Questionnaire (IFCI-Q) for the objective evaluation of women with CI in Turkish-speaking populations.
Ninety women with CI filled out the Turkish-translated version of IFCI-Q. Confirmatory factor analysis (CFA), Cronbach's alpha, and intraclass correlation coefficients (ICCs) were evaluated for the construct validity, internal consistency, and test-retest reliability, respectively. Known group validity, which is the ability of the scale to reveal the expected difference according to patients' demographics and PISQ-12 scores, was evaluated.
The construct validity was confirmed after excluding the first and third items of the questionnaire (CFI 0.966, TLI 0.944). The first item was excluded from the CFA as all women who completed the IFCI-Q had CI and therefore answered this item questioning the existence of CI as "yes." The third item was eliminated because its factor loading was below 0.20. Cronbach's alpha value for the scale was 0.67. ICC was calculated as 0.97 (0.95-0.98; p < 0.001), indicating a strong positive agreement between the test scores at two time points 2 weeks apart.
The Turkish version of IFCI-Q seems to be a reliable, consistent, and valid instrument in the screening and assessment of CI in a gynecology outpatient clinic-based cohort of Turkish-speaking women.
性交失禁（CI）是一个重要问题，会对女性生活质量产生负面影响，且由于尴尬往往报告不足，这表明使用经过验证的问卷进行评估的重要性。本研究的目的是验证国际女性性交失禁问卷（IFCI-Q）土耳其语翻译版本，以便在说土耳其语的人群中对患有CI的女性进行客观评估。
90名患有CI的女性填写了IFCI-Q土耳其语翻译版本。分别对验证性因素分析（CFA）、克朗巴哈系数（Cronbach's alpha）和组内相关系数（ICC）进行结构效度、内部一致性和重测信度评估。评估量表根据患者人口统计学和PISQ-12评分揭示预期差异的能力，即已知组效度。
在排除问卷的第一项和第三项后，结构效度得到确认（CFI 0.966，TLI 0.944）。第一项被排除在CFA之外，因为所有完成IFCI-Q的女性都患有CI，因此对该询问CI是否存在的项目回答为“是”。第三项被剔除，因为其因子载荷低于0.20。该量表的克朗巴哈系数值为0.67。ICC计算为0.97（0.95 - 0.98；p < 0.001），表明在相隔2周的两个时间点的测试分数之间存在强正一致性。
在以妇科门诊为基础的说土耳其语女性队列中，IFCI-Q土耳其语版本似乎是筛查和评估CI的可靠、一致且有效的工具。
