关键词: bladder health lower urinary tract symptoms primary prevention survey methodology women's health

Mesh : Pregnancy Humans Female Urinary Bladder Health Knowledge, Attitudes, Practice Longitudinal Studies Urinary Incontinence / diagnosis prevention & control Urinary Bladder, Overactive / diagnosis therapy Lower Urinary Tract Symptoms / diagnosis prevention & control

来  源:   DOI:10.1002/nau.25168   PDF(Pubmed)

Abstract:
Few instruments measure knowledge, attitudes, and beliefs (KAB) related to bladder health. Existing questionnaires have predominantly focused on KAB related to specific conditions such as urinary incontinence, overactive bladder, and other pelvic floor disorders. To address this literature gap, the Prevention of Lower Urinary Tract Symptoms (PLUS) research consortium developed an instrument that is being administered in the baseline assessment of the PLUS RISE FOR HEALTH longitudinal study.
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).
摘要:
背景:很少有仪器测量知识,态度,与膀胱健康相关的信念(KAB)。现有的调查问卷主要集中在与尿失禁等特定条件相关的KAB上。膀胱过度活动症,和其他盆底疾病。为了解决这个文献空白,下尿路症状预防(PLUS)研究联盟开发了一种仪器,该仪器正在对PLUSRISEFORHEALTH纵向研究进行基线评估.
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)。
公众号