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Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population

INTRODUCTION AND HYPOTHESIS: Childbirth remains an important risk factor for the development of pelvic floor disorders, regardless of the mode of delivery. To accurately assess these symptoms, accurate, woman-centric assessments are needed. Online versions of these assessments may be especially usef...

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Autores principales: O’Leary, Bobby D., Keane, Declan P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066939/
https://www.ncbi.nlm.nih.gov/pubmed/37004518
http://dx.doi.org/10.1007/s00192-023-05529-x
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author O’Leary, Bobby D.
Keane, Declan P.
author_facet O’Leary, Bobby D.
Keane, Declan P.
author_sort O’Leary, Bobby D.
collection PubMed
description INTRODUCTION AND HYPOTHESIS: Childbirth remains an important risk factor for the development of pelvic floor disorders, regardless of the mode of delivery. To accurately assess these symptoms, accurate, woman-centric assessments are needed. Online versions of these assessments may be especially useful in the COVID-19 era. Women may potentially answer questions differently in an online format, and this study aimed to validate an online version of the paper-based self-administered Australian Pelvic Floor Questionnaire (APFQ). METHODS: The questionnaire was completed antenatally and at 3 months postpartum by 647 and 481 women respectively. Test– validity was assessed in subgroups of 61 and 57 women in each period, using intraclass correlation coefficients and Cohen’s kappa. Sensitivity to change was assessed by comparing responses during pregnancy to those at 3 months postpartum. Internal consistency was assessed using Cronbach’s alpha. Construct validity was assessed by comparing women with and without subjective bothersomeness. RESULTS: Intraclass correlation coefficients were above 0.9 for all domains and the overall questionnaire. Cohen’s kappa for individual questions ranged from 0.71–1.00 across the antenatal and postnatal questionnaires. Cronbach’s alpha was acceptable for all domains except the prolapse domain. The APFQ was sensitive to changes occurring between antenatal recruitment and 3 months postpartum. Effect sizes ranged from 0.83–7.99. CONCLUSIONS: This online version of the APFQ is valid for assessing pelvic floor disorders in an Irish obstetric population. The APFQ is reproducible and responsive to change occurring with childbirth, and can be used to research longitudinal changes in pelvic floor disorders. As an online tool, this questionnaire may be useful in increasing response rates to clinical research.
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spelling pubmed-100669392023-04-03 Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population O’Leary, Bobby D. Keane, Declan P. Int Urogynecol J Original Article INTRODUCTION AND HYPOTHESIS: Childbirth remains an important risk factor for the development of pelvic floor disorders, regardless of the mode of delivery. To accurately assess these symptoms, accurate, woman-centric assessments are needed. Online versions of these assessments may be especially useful in the COVID-19 era. Women may potentially answer questions differently in an online format, and this study aimed to validate an online version of the paper-based self-administered Australian Pelvic Floor Questionnaire (APFQ). METHODS: The questionnaire was completed antenatally and at 3 months postpartum by 647 and 481 women respectively. Test– validity was assessed in subgroups of 61 and 57 women in each period, using intraclass correlation coefficients and Cohen’s kappa. Sensitivity to change was assessed by comparing responses during pregnancy to those at 3 months postpartum. Internal consistency was assessed using Cronbach’s alpha. Construct validity was assessed by comparing women with and without subjective bothersomeness. RESULTS: Intraclass correlation coefficients were above 0.9 for all domains and the overall questionnaire. Cohen’s kappa for individual questions ranged from 0.71–1.00 across the antenatal and postnatal questionnaires. Cronbach’s alpha was acceptable for all domains except the prolapse domain. The APFQ was sensitive to changes occurring between antenatal recruitment and 3 months postpartum. Effect sizes ranged from 0.83–7.99. CONCLUSIONS: This online version of the APFQ is valid for assessing pelvic floor disorders in an Irish obstetric population. The APFQ is reproducible and responsive to change occurring with childbirth, and can be used to research longitudinal changes in pelvic floor disorders. As an online tool, this questionnaire may be useful in increasing response rates to clinical research. Springer International Publishing 2023-04-01 2023 /pmc/articles/PMC10066939/ /pubmed/37004518 http://dx.doi.org/10.1007/s00192-023-05529-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
O’Leary, Bobby D.
Keane, Declan P.
Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title_full Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title_fullStr Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title_full_unstemmed Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title_short Validation of online delivery of the Australian Pelvic Floor Questionnaire in an Irish obstetric population
title_sort validation of online delivery of the australian pelvic floor questionnaire in an irish obstetric population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066939/
https://www.ncbi.nlm.nih.gov/pubmed/37004518
http://dx.doi.org/10.1007/s00192-023-05529-x
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