Abstract
Introduction and hypothesis
UDI-6 and IIQ-7 are useful disease-specific questionnaires evaluating the impact of urinary incontinence on the QOL of women. We aim at validating them in Chinese language.
Methods
Both instruments were translated; 207 urinary incontinent women completed UDI-6 and IIQ-7, SF-36, bladder diary and urodynamic evaluation. The reliability and validity were assessed.
Results
There were high internal consistency (Cronbach's alpha for UDI-6 and IIQ-7 was 0.80 and 0.93) and test–retest reliability (Intraclass correlation coefficient was 0.72 and 0.75, P < 0.001). Scoring of UDI-6 and IIQ-7 was negatively correlated with SF-36 (P < 0.001); positively correlated with daytime urinary frequency and incontinent episodes (P < 0.001), and women's VAS (P < 0.001). Subscales of UDI-6 and IIQ-7 could discriminate women with different urodynamic diagnoses.
Conclusions
The Chinese UDI-6 and IIQ-7 is reliable and valid. Study on the responsiveness to treatment is in progress. They are useful in assessing impact of the urinary incontinence in Chinese women.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Brieger GM, Mongelli M, Hin LY, Chung TKH (1997) The epidemiology of urinary dysfunction in Chinese women. Int Urogynecol J Pelvic Floor Dysfunct 8:191–195
Correia S, Dinis P, Rolo F, Lunet N (2009) Prevalence, treatment and known risk factors of urinary incontinence and overactive bladder in the non-institutionalized Portuguese population. Int Urogynecol J Pelvic Floor Dysfunct 20:1481–1489
Onur R, Deveci SE, Rahman S, Sevindik F, Acik Y (2009) Prevalence and risk factors of female urinary incontinence in eastern Turkey. Int J Urology 16:566–569
Lasserre A, Pelat C, Gueroult V, Hanslik T, Chartier-Kastler E, Blanchon T et al (2009) Urinary incontinence in French women: prevalence, risk factors, and impact on quality of life. Eur Urol 56:177–183
Zhu L, Lang J, Liu C, Han S, Huang J, Li X (2009) The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China. Menopause 16:831–836
Brieger GM, Yip SK, Hin LY, Chung TKH (1996) The prevalence of urinary dysfunction in Hong Kong Chinese women. Obstet Gynecol 88:1041–1044
Yip SK, Chan A, Pang S, Leung P, Tang C, Shek D et al (2003) The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function. Am J Obstet Gynecol 188:1244–1248
Yu HJ, Wong WY, Chen J, Chie WC (2003) Quality of life impact and treatment seeking of Chinese women with urinary incontinence. Qual Life Res 12:327–333
Kelleher CJ (1997) Quality of Life. In: Cardozo L (ed) Urogynecology: the King's approach. Churchill Livingstone, New York
Shumaker SA, Wyman JF, Uerbersax JS, McClish D, Fantl JA (1994) Health related quality of life measures for women with urinary incontinence. The Urogenital Distress inventory and the Incontinence Impact Questionnaire. Qual Life Res 3:291–306
Uebersax JS, Wyman JF, Shumaker SA, McClish D, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Neurourol Urodyn 14(2):131–139
Garrattt AM, Ruta DA, Abdalla MI, Buckingham JK (1993) Russell IT (1993) The SF 36 health survey questionnaire: an outcome measure suitable for routine use within the NHS. BMJ 306:1440–1444
Lam CLK, Gandek B, Ren XS, Chan MS (1998) Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 health survey. J Clin Epidemiol 51(11):1139–1147
Wyman JF, Choi SC, Harkins SW, Wilson MS, Fantl JA (1988) The urinary diary in evaluation of incontinent women: a test–retest analysis. Obstet Gynaecol 71:812–817
Brown JS, McNaughton KS, Wyman JF, Burgio KL, Harkaway R, Bergner D et al (2003) Urology 61(4):802–809
Bryant FB, Yarnold PR (1995) Principal components analysis and exploratory and confirmatory factor analysis. In: Grimm LG, Yarnold PR (eds) Reading and understanding multivariate analysis. American Psychological Association Books, Washington DC, pp 99–136
Gorusch RL (1983) Factor Analysis, 2nd edn. Lawrence Erlbaum Associates, Hillsdale
El-Azab AS, Mascha EJ (2009) Arabic validation of the Urogenital Distress Inventory and adapted Incontinence Impact Questionnaires—short forms. Neurourol Urodyn 28:33–39
Cam C, Sakalli M, Ay P, Cam M, Karateke A (2007) Validation of the short forms of the Incontinence Impact Questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6) in a Turkish population. Neurourol Urodyn 26:129–133
Coyne KS, Zhou Z, Thompson C, Versi E (2003) The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 92:731–735
Acknowledgements
The authors would like to thank Dr Barber MD, Agnes Chow for the translation process; Albe Pang and Connie Yuen for the help in recruiting women for the study.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chan, S.S.C., Choy, K.W., Lee, B.P.Y. et al. Chinese validation of Urogenital Distress Inventory and Incontinence Impact Questionnaire short form. Int Urogynecol J 21, 807–812 (2010). https://doi.org/10.1007/s00192-010-1102-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-010-1102-8