Abstract：
OBJECTIVE: Despite high prevalence and burden of pelvic floor dysfunctions (PFD), there is a limited number of scales assessing knowledge of pelvic floor health (PFH), and no studies comparing their psychometric or feasibility properties. The study aimed both to investigate the psychometric properties and feasibility of Incontinence Quiz (IQ), Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and Pelvic Floor Health Knowledge Questionnaire (PFHKQ), and to compare level of PFH knowledge in women with and without PFD.
METHODS: In this prospective cross-sectional study, a total of 150 women were included. After recording physical-sociodemographic characteristics, obstetric histories and menstrual status, Pelvic Floor Distress Inventory-20 and Female Sexual Function Index were administered to classify them into study groups as women with and without PFD. Their PFH knowledge was assessed using IQ, PIKQ and PFHKQ, which were filled twice with one week interval for the test-retest purpose. The scores, reliability, validity, ceiling-floor effects and feasibility of the knowledge scales were compared with each other, and between the study groups.
RESULTS: IQ, PIKQ, and PFHKQ scores of women with and without PFD were similar. Based on response patterns to items, PFHKQ had the highest internal consistency followed by PIKQ and IQ. The PIKQ was the most stable scale across the total sample and in the PFD group. The PFHKQ had the highest ICC value in women without PFD. There was a strong correlation between the total scores of knowledge scales in both groups. Scores of knowledge and symptom scales were not significantly correlated. IQ was completed in the shortest time, and was easier to complete than PFHKQ. Only the diagnosis/treatment subscale of PFHKQ had a ceiling effect.
CONCLUSIONS: It was concluded that PFH knowledge of women with and without PFD were at a low-moderate level and similar to each other; IQ, PIKQ and PFHKQ were reliable, valid and feasible scales, which can be used in measuring knowledge level about PFH.
METHODS: In this prospective cross-sectional study, a total of 150 women were included. After recording physical-sociodemographic characteristics, obstetric histories and menstrual status, Pelvic Floor Distress Inventory-20 and Female Sexual Function Index were administered to classify them into study groups as women with and without PFD. Their PFH knowledge was assessed using IQ, PIKQ and PFHKQ, which were filled twice with one week interval for the test-retest purpose. The scores, reliability, validity, ceiling-floor effects and feasibility of the knowledge scales were compared with each other, and between the study groups.
RESULTS: IQ, PIKQ, and PFHKQ scores of women with and without PFD were similar. Based on response patterns to items, PFHKQ had the highest internal consistency followed by PIKQ and IQ. The PIKQ was the most stable scale across the total sample and in the PFD group. The PFHKQ had the highest ICC value in women without PFD. There was a strong correlation between the total scores of knowledge scales in both groups. Scores of knowledge and symptom scales were not significantly correlated. IQ was completed in the shortest time, and was easier to complete than PFHKQ. Only the diagnosis/treatment subscale of PFHKQ had a ceiling effect.
CONCLUSIONS: It was concluded that PFH knowledge of women with and without PFD were at a low-moderate level and similar to each other; IQ, PIKQ and PFHKQ were reliable, valid and feasible scales, which can be used in measuring knowledge level about PFH.
摘要：
目标：尽管盆底功能障碍（PFD）的患病率和负担很高，评估盆底健康(PFH)知识的量表数量有限，没有研究比较它们的心理测量学或可行性。该研究旨在调查失禁测验（IQ）的心理测量特性和可行性，脱垂和失禁知识问卷（PIKQ）和盆底健康知识问卷（PFHKQ），并比较有和没有PFD的女性的PFH知识水平。
方法：在这项前瞻性横断面研究中，共包括150名妇女。在记录了身体社会人口统计学特征后，产科历史和月经状况，使用盆底窘迫量表-20和女性性功能指数将其分为有和没有PFD的女性。他们的PFH知识是用智商评估的，PIKQ和PFHKQ,以一周的间隔填充两次，以进行测试-重新测试。分数，可靠性,有效性，对知识量表的天花板-地板效应和可行性进行了比较，以及研究小组之间。
结果：智商，PIKQ,有和没有PFD的女性的PFHKQ评分相似。基于对项目的响应模式，PFHKQ的内部一致性最高，其次是PIKQ和IQ。PIKQ是整个样品和PFD组中最稳定的量表。在没有PFD的女性中，PFHKQ的ICC值最高。两组的知识量表总分之间存在很强的相关性。知识得分和症状量表没有显着相关。智商在最短的时间内完成，并且比PFHKQ更容易完成。仅PFHKQ的诊断/治疗子量表具有上限效应。
结论：结论：有和没有PFD的女性的PFH知识处于中低水平，并且彼此相似；智商，PIKQ和PFHKQ是可靠的，有效和可行的尺度，可用于测量有关PFH的知识水平。
方法：在这项前瞻性横断面研究中，共包括150名妇女。在记录了身体社会人口统计学特征后，产科历史和月经状况，使用盆底窘迫量表-20和女性性功能指数将其分为有和没有PFD的女性。他们的PFH知识是用智商评估的，PIKQ和PFHKQ,以一周的间隔填充两次，以进行测试-重新测试。分数，可靠性,有效性，对知识量表的天花板-地板效应和可行性进行了比较，以及研究小组之间。
结果：智商，PIKQ,有和没有PFD的女性的PFHKQ评分相似。基于对项目的响应模式，PFHKQ的内部一致性最高，其次是PIKQ和IQ。PIKQ是整个样品和PFD组中最稳定的量表。在没有PFD的女性中，PFHKQ的ICC值最高。两组的知识量表总分之间存在很强的相关性。知识得分和症状量表没有显着相关。智商在最短的时间内完成，并且比PFHKQ更容易完成。仅PFHKQ的诊断/治疗子量表具有上限效应。
结论：结论：有和没有PFD的女性的PFH知识处于中低水平，并且彼此相似；智商，PIKQ和PFHKQ是可靠的，有效和可行的尺度，可用于测量有关PFH的知识水平。
