Responsiveness of the Spanish Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaires Short Forms (PFDI-20 and PFIQ-7) in women with pelvic floor disorders

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 190; pp. 20 - 25
• Main Authors: Sánchez, Beatriz Sánchez, Torres Lacomba, Maria, Navarro Brazález, Beatriz, Cerezo Téllez, Ester, Pacheco Da Costa, Soraya, Gutiérrez Ortega, Carlos
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01.07.2015
• Subjects: Adult; Fecal Incontinence - etiology; Female; Humans; Language; Middle Aged; Obstetrics and Gynecology; Pelvic Floor Disorders - complications; Pelvic Floor Disorders - psychology; Pelvic Floor Disorders - therapy; Pelvic organ prolapse; Pelvic Organ Prolapse - etiology; PFDI-20; PFIQ-7; Physical Therapy Modalities; Prospective Studies; Psychometrics; Quality of Life; Quality of life questionnaire; Responsiveness; Severity of Illness Index; Spain; Spanish validation; Surveys and Questionnaires; Urinary Incontinence, Stress - etiology; Spain; Responsiveness; PFIQ-7; Quality of life questionnaire; Pelvic organ prolapse; Spanish validation; PFDI-20
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2015.03.029

Abstract Objective To evaluate the responsiveness of the Spanish versions of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire Short Forms (PFDI-20 and PFIQ-7), in order to assess symptoms and quality of life in Spanish women with pelvic floor disorders. Study design Prospective observational study to assess the responsiveness in 85 women with pelvic floor disorders. PFDI-20 and PFIQ-7 were completed before and after Physiotherapy intervention. The responsiveness was assessed with the p values using the Wilcoxon signed-rank test, the standardized response means of the change (SRM) and the effect size (ES). Results The Spanish PFDI-20 and PFIQ-7 and the subscales demonstrated small to good responsiveness. The responsiveness was higher for PFDI-20 than for PFIQ-7. The statistic for PFDI-20 was moderate to good (ES 0.68 and SRM 0.84; p < 0.0001), and small to moderate for PFIQ-7 (ES 0.48 and SRM 0.57; p < 0.0001). Regarding the subscales, the responsiveness was better for Pelvic Organ Prolapse Distress Inventory (POPDI) than Pelvic Organ Prolapse Impact Questionnaire (POPIQ) (ES 0.70 and SRM 0.78; ES 0.42 and SRM 0.47 respectively; p < 0.0001). Moderate responsiveness was found for Urinary Distress Inventory (UDI) and Urinary Impact Questionnaire (UIQ) (ES 0.54 and SRM 0.67; ES 0.52 and SRM 0.61 respectively; p < 0.0001). Colo-Rectal-Anal Distress Inventory (CRADI) and Colo-Rectal-Anal Impact Questionnaire (CRAIQ) showed poor responsiveness, small in both (ES 0.42, SRM 0.50 and p < 0.0001; ES 0.34, SRM 0.39 respectively; p < 0.001). All responsiveness was significant. Conclusions PFDI-20 and PFIQ-7 Spanish versions showed good responsiveness to evaluate the symptoms and the quality of life in Spanish women with PFD undergoing Physiotherapy treatment.