The bladder health knowledge, attitudes, and beliefs (BH-KAB) instrument development process consisted of two phases, item development and evaluation. Item development was guided by a conceptual framework, review of existing KAB instruments, and a review of qualitative data from the PLUS consortium Study of Habits, Attitudes, Realities, and Experiences (SHARE). Evaluation comprised three methods to assess content validity and reduce and refine items: q-sort, e-panel survey, and cognitive interviews.
The final 18-item BH-KAB instrument assesses self-reported bladder knowledge; perceptions of bladder function, anatomy, and related medical conditions; attitudes toward different patterns of fluid intake, voiding, and nocturia; the potential to prevent or treat urinary tract infections and incontinence; and the impact of pregnancy and pelvic muscle exercises on bladder health.
The PLUS BH-KAB instrument may be used independently or in conjunction with other KAB instruments for a more comprehensive assessment of women\'s KAB related to bladder health. The BH-KAB instrument can inform clinical conversations, health education programming, and research examining potential determinants of bladder health, LUTS, and related behavioral habits (e.g., toileting, fluid intake, pelvic muscle exercises).
方法:膀胱健康知识,态度,和信念(BH-KAB)仪器开发过程包括两个阶段,项目开发和评估。项目开发以概念框架为指导,审查现有的KAB工具,以及对PLUS联盟习惯研究的定性数据的回顾,态度,现实情况,经验(分享)。评估包括三种评估内容有效性和减少和细化项目的方法:q排序,电子面板调查,和认知访谈。
结果:最终的18项BH-KAB仪器评估自我报告的膀胱知识;对膀胱功能的感知,解剖学,和相关的医疗条件;对不同液体摄入模式的态度,作废,和夜尿症;预防或治疗尿路感染和尿失禁的潜力;以及怀孕和盆腔肌肉锻炼对膀胱健康的影响。
结论:PLUSBH-KAB仪器可单独使用或与其他KAB仪器联合使用,以更全面地评估女性膀胱健康相关的KAB。BH-KAB仪器可以为临床对话提供信息,健康教育规划,和研究膀胱健康的潜在决定因素,LUTS,和相关的行为习惯(例如,如厕,液体摄入,骨盆肌肉锻炼)。