Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1592
Title: Perinatal incontinence: Psychometric evaluation of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and Wexner Scale
Authors: Fenwick, Jennifer ;Gamble, J.;Creedy, D.K.;Slavin, V.
Affliation: Central Coast Local Health District
Issue Date: Aug-2019
Source: 38(8):2209-2223
Journal title: Neurourology and Urodynamics
Department: Nursing & Midwifery Directorate
Abstract: AIM: The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) and the Wexner Scale have been included in the International Consortium for Health Outcomes Measurement core outcome set during pregnancy and childbirth, to measure urinary and anal incontinence. The reliability and validity of these instruments have not been fully evaluated in maternity populations. The aim of this study was to conduct a psychometric evaluation of the ICIQ-UI SF and Wexner Scale. METHODS: Consecutive pregnant women (n = 309) who booked for care at one Australian birth facility between August 2017 and April 2018 completed the online surveys. Women who screened positive for urinary and/or anal incontinence were administered the ICIQ-UI SF and/or Wexner Scale during pregnancy ( <27 and 36-weeks) and postpartum (6 and 26-weeks). Scale internal consistency, construct validity, and responsiveness were evaluated. FINDINGS: In women with urinary incontinence, the ICIQ-UI SF demonstrated good internal consistency during pregnancy (baseline and 36 weeks) and 6-weeks postpartum (mean inter-item correlation: 0.47, 0.39, and 0.46, respectively), recorded significant change across three time-points, and was sensitive to group differences in age and obesity during pregnancy. Wexner Scale was unsuitable for psychometric analysis due to insufficient numbers of women with anal incontinence. CONCLUSION: The ICIQ-UI SF is a valid and reliable instrument to measure urinary incontinence during pregnancy and postpartum. The findings support the inclusion of the ICIQ-UI SF in the International Consortium for Health Outcomes Measurement core outcome set for use during the perinatal period. Psychometric analysis of the Wexner Scale in larger maternity populations is recommended.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1592
DOI: 10.1002/nau.24121
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/31385364
ISSN: 0733-2467
Publicaton type: Journal Article
Keywords: Pregnancy
Gynaecology
Gynecology
Appears in Collections:Obstetrics / Paediatrics

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