Web versus paper-based completion of the epidemiology of prolapse and incontinence questionnaire.

Web versus paper-based completion of the epidemiology of prolapse and incontinence questionnaire.
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DOI:
10.1097/spv.0b013e31827bfd93
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发表时间:
2013-01
影响因子:
1.6
通讯作者:
Nygaard I
Nygaard I
中科院分区:
医学4区
文献类型:
--
作者:
Egger MJ;Lukacz ES;Newhouse M;Wang J;Nygaard I

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检验基于网络版本的脱垂和子宫内膜异位症流行病学问卷(EPIQ)的有效性和可靠性。参与者包括876名年龄在38岁至65岁之间在盐湖山谷初级保健诊所就诊的妇女。妇女完成了一个单一的网络或基于纸张的版本的症状困扰问题的EPIQ,和一个子集重复相同或相反的方法在2个不同的时间点。为评估网络版分量表,采用主成分分析和方差最大旋转法对与盆底疾病(PFD)症状相关的22个EPIQ项目进行因子分析。内部一致性采用系数α进行评估。重测和方法间的信度进行了评估,使用组内相关系数(ICC)的域得分。高于0.70的相关性被视为可接受。总体而言,384名和492名女性完成了至少1次网络EPIQ和1次纸质EPIQ,93%为白人,平均年龄为50±7岁。其中63人完成了网测,57人完成了网测,47人完成了网测,109人完成了纸测。总体而言,因素分析与原始EPIQ的7个领域一致。4个症状性PFD领域的Cronbach α和各种给药方法的重测信度范围与原始EPIQ工具相似。除肛门失禁量表(ICC=0.68)外,各领域评分的相关性均高于0.70。网络管理的EPIQ具有类似的心理测量学特性,具有可比的内部一致性和重测信度时,在相同的方式管理。两种给药方法之间的可靠性是可接受的。
To examine the validity and reliability of a web-based version of the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ). Participants included 876 women ages 38 to 65 attending primary care clinics in the Salt Lake Valley. Women completed a single web or paper based version of the symptom bother questions from EPIQ, and a subset repeated the same or opposite method at 2 separate time points. To assess subscales for the web-based version factor analysis of the 22 EPIQ items related to pelvic floor disorder (PFD) symptoms was performed using principal components analysis and varimax rotation. Internal consistency was assessed using coefficient alpha. Test-retest and inter-method reliability were assessed using intraclass correlation coefficients (ICC) for domain scores. Correlations above 0.70 were considered acceptable. Overall, 384 and 492 women completed at least 1 web and 1 paper EPIQ and 93% were Caucasian with mean age of 50±7 years. Of these, 63 completed web-web, 57 web-paper, 47 paper-web and 109 paper-paper test-retest. Overall, factor analyses were consistent with the 7 domains of the original EPIQ. Cronbach’s alpha for the 4 symptomatic PFD domains and range of test-retest reliability for the various administration methods were similar to the original EPIQ instrument. Correlations for domain scores were above 0.70, except the anal incontinence scale (ICC=0.68.) Web administration of the EPIQ has similar psychometric properties with comparable internal consistency and test-retest reliability when administered in the same modality. Reliability between both methods of administration is acceptable.