Adaptação cultural e validação dos instrumentos “Questionnaire for the assessment of pelvic floor disorders and theis risk factors during pregnancy and post partum” e “Childbirth experience questionnaire” para o português/Brasil
Vieira, Renata Cristina Martins da Silva
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The Questionnaire for the evaluation of pelvic floor disorders and their risk factors during pregnancy and postpartum was designed to evaluate pelvic floor dysfunctions, such as urinary incontinence, pelvic organ prolapse and sexual dysfunctions during pregnancy and postpartum, while the Childbirth Experience Questionnaire (CEQ) is an instrument developed to assess women's perceptions of labor and delivery. Study I aimed to: perform cultural adaptation and validation of the CEQ questionnaire for Portuguese/Brazil (CEQ-B). The translation of the CEQ version was performed, analyzed by the Committee of Experts, back-translation and pre-testing. Two applications of CEQ-B together with the Medical Outcomes Study 36 - Item Short - Form Health Survey (SF-36) quality of life questionnaire, and the Likert Scale applied to assess the level of difficulty in answering the instrument. Participants were 308 women with a mean age of 31.1 ± 8.7 years, the results of internal consistency of the total CEQ-B score were 0.89, the test-retest showed substantial results, with ICC of 0.90 and the validity of the construct was made through spearman's correlation between all domains of the SF-36 and the total score of the CEQ-B, the analyses were considered adequate. Study II aimed to perform the validation and cultural adaptation of the Questionnaire for the evaluation of pelvic floor disorders and their risk factors during pregnancy and postpartum (QMAP) for the Portuguese/ Brazil. The questionnaire was translated and after evaluation by the Committee of Experts the back translation was made and after this, the pre-test was performed. The participants answered the questionnaire twice, with an interval of 7 to 10 days and also answered the Medical Outcomes Study 36 - Item Short - Form Health Survey (SF-36). Sixty-six women (77% pregnant and 23% postpartum women) participated in the study, with a mean age of 26.5 ± 5.8. There was no missing, no floor-ceiling effect, internal consistency was 0.71 (Cronbach's Alpha), and construct validity assessed with the physical aspect domain of the SF-36 questionnaire was considered moderate, the reproducibility result made by the retest test obtained a result of 0.72. It was possible to conclude that the questionnaire instruments for the evaluation of pelvic floor disorders and their risk factors during pregnancy and postpartum (QMAP) and Childbirth Experience Questionnaire (CEQ-B) were considered validated and reproducible for use in the Brazilian population.
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