Validation of the Turkish pediatric incontinence questionnaire (PinQ-TR): A reliable measure for assessing HRQoL in children with LUTD.

IF 1.9 3区 医学 Q2 PEDIATRICS
Ece Zeynep Saatçı, Halil Tuğtepe, Elif Elçin Dereli, W F Bower, Tuğba Kuru Çolak
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引用次数: 0

Abstract

Background: Lower urinary tract dysfunction (LUTD) is a prevalent condition in childhood that adversely affects multiple dimensions of health-related quality of life (HRQoL). The Pediatric Incontinence Questionnaire (PinQ) is a widely used, disease-specific instrument for capturing the psychosocial impact of urinary incontinence in children. To date, no validated Turkish version of this tool has been available.

Objectives: This study aimed to translate, culturally adapt, and psychometrically validate the Turkish version of the Pediatric Incontinence Questionnaire (PinQ-TR) for use in children with LUTD, ensuring its conceptual equivalence and measurement accuracy in the Turkish pediatric population.

Methods: A methodological study was conducted with 120 children aged 6-16 years diagnosed with LUTD. The translation process followed internationally accepted guidelines for cross-cultural adaptation. Psychometric evaluation included internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficient, ICC), and construct validity. Convergent and discriminant validity were tested through correlations with the Pediatric Quality of Life Inventory (PedsQL) and Dysfunctional Voiding and Incontinence Scoring System (DVISS), respectively.

Results: The PinQ-TR demonstrated strong internal consistency (α = 0.79) and excellent test-retest reliability (ICC = 0.967). Moderate-to-strong correlations with PedsQL and DVISS scores confirmed its construct validity. Floor and ceiling effects were minimal, indicating a broad sensitivity to patient-reported outcomes.

Conclusions: The PinQ-TR is a valid, reliable, and culturally appropriate instrument for assessing HRQoL in Turkish-speaking children with LUTD. Its integration into clinical and research contexts may enhance outcome tracking, patient-centered care, and cross-cultural comparability in pediatric urology.

土耳其儿童尿失禁问卷(PinQ-TR)的验证:评估LUTD儿童HRQoL的可靠措施。
背景:下尿路功能障碍(LUTD)是儿童时期的一种普遍疾病,对健康相关生活质量(HRQoL)的多个维度产生不利影响。儿童尿失禁问卷(PinQ)是一种广泛使用的疾病特异性工具,用于捕获儿童尿失禁的心理社会影响。迄今为止,该工具还没有经过验证的土耳其语版本。目的:本研究旨在翻译、文化适应和心理测量学验证土耳其版儿童尿失禁问卷(PinQ-TR)用于LUTD儿童,确保其在土耳其儿科人群中的概念等效性和测量准确性。方法:对120例6-16岁诊断为LUTD的儿童进行方法学研究。翻译过程遵循国际公认的跨文化适应准则。心理测量评估包括内部一致性(Cronbach’s alpha)、重测信度(类内相关系数,ICC)和结构效度。分别通过儿童生活质量量表(PedsQL)和功能障碍排尿和失禁评分系统(DVISS)的相关性来检验收敛效度和判别效度。结果:PinQ-TR具有较强的内部一致性(α = 0.79)和良好的重测信度(ICC = 0.967)。与PedsQL和DVISS得分的中至强相关性证实了其结构效度。下限和上限效应最小,表明对患者报告的结果具有广泛的敏感性。结论:PinQ-TR是评估土耳其语LUTD患儿HRQoL的有效、可靠和文化适宜的工具。将其整合到临床和研究环境中可以加强结果跟踪、以患者为中心的护理和儿科泌尿科的跨文化可比性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pediatric Urology
Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY
CiteScore
3.70
自引率
15.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.
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