Skip to main content

Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.

Publication ,  Journal Article
Wei, JT; Dunn, R; Nygaard, I; Burgio, K; Lukacz, ES; Markland, A; Wren, PA; Brubaker, L; Barber, MD; Jelovsek, JE; Spino, C; Meikle, S ...
Published in: Female Pelvic Med Reconstr Surg
July 20, 2017

PURPOSE: To establish validity for the Pelvic Floor Disorders Network (PFDN) self-administered Adaptive Behavior Index (ABI) and to assess whether ABI assesses known discordance between severity of pelvic floor symptoms and self-reported bother. METHODS: In addition to the ABI questionnaire, participants in 1 of 6 Pelvic Floor Disorders Network trials completed condition-specific measures of pretreatment symptom severity (including Pelvic Floor Distress Inventory; PFDI) and health-related quality of life (Pelvic Floor Impact Questionnaire; PFIQ). The final survey was developed from an iterative process using subject and expert endorsement, factor analyses, and response distributions. Domains were created using a development cohort (n = 304 women), reliability and validity were established using a validation cohort (n = 596 women), and test-retest reliability was assessed (n = 111 women). RESULTS: Factor analyses supported an 11-item avoidance domain and a 6-item hygiene domain. Cronbach' alphas were 0.88 and 0.68, respectively. Test-retest reliability was 0.84 for both domains. Construct validity was demonstrated in correlations between the ABI domains and baseline PFDI and PFIQ (r values, 0.43-0.79 with all P values <0.0001). Moreover, the ABI accounted for 8% to 26% of unexplained variance between the symptoms severity measure and the impact on health related quality of life. After treatment, avoidance domain scores improved for urinary and fecal incontinence groups and hygiene scores improved for the fecal incontinence group. CONCLUSIONS: The ABI is a reliable and valid measure in women with pelvic floor disorders. Adaptive behaviors account in part for discordance between pelvic floor symptom severity and bother.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Female Pelvic Med Reconstr Surg

DOI

EISSN

2154-4212

Publication Date

July 20, 2017

Location

United States

Related Subject Headings

  • Young Adult
  • Urinary Incontinence
  • Severity of Illness Index
  • Reproducibility of Results
  • Quality of Life
  • Pelvic Organ Prolapse
  • Pelvic Floor Disorders
  • Middle Aged
  • Humans
  • Health Surveys
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wei, J. T., Dunn, R., Nygaard, I., Burgio, K., Lukacz, E. S., Markland, A., … PFDN, . (2017). Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders. Female Pelvic Med Reconstr Surg. https://doi.org/10.1097/SPV.0000000000000431
Wei, John T., Rodney Dunn, Ingrid Nygaard, Kathryn Burgio, Emily S. Lukacz, Alayne Markland, Patricia A. Wren, et al. “Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.Female Pelvic Med Reconstr Surg, July 20, 2017. https://doi.org/10.1097/SPV.0000000000000431.
Wei JT, Dunn R, Nygaard I, Burgio K, Lukacz ES, Markland A, et al. Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders. Female Pelvic Med Reconstr Surg. 2017 Jul 20;
Wei, John T., et al. “Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.Female Pelvic Med Reconstr Surg, July 2017. Pubmed, doi:10.1097/SPV.0000000000000431.
Wei JT, Dunn R, Nygaard I, Burgio K, Lukacz ES, Markland A, Wren PA, Brubaker L, Barber MD, Jelovsek JE, Spino C, Meikle S, Janz N, PFDN. Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders. Female Pelvic Med Reconstr Surg. 2017 Jul 20;

Published In

Female Pelvic Med Reconstr Surg

DOI

EISSN

2154-4212

Publication Date

July 20, 2017

Location

United States

Related Subject Headings

  • Young Adult
  • Urinary Incontinence
  • Severity of Illness Index
  • Reproducibility of Results
  • Quality of Life
  • Pelvic Organ Prolapse
  • Pelvic Floor Disorders
  • Middle Aged
  • Humans
  • Health Surveys