Marta G Porto, Filipa Pimenta, Inês Queiroz-Garcia, Marta Uva, Matilde Patrone, Teresa Mascarenhas, João Marôco
{"title":"评估尿失禁患者的自我管理应对：中年妇女尿失禁自我管理应对问卷的心理测量学评估。","authors":"Marta G Porto, Filipa Pimenta, Inês Queiroz-Garcia, Marta Uva, Matilde Patrone, Teresa Mascarenhas, João Marôco","doi":"10.1007/s00192-025-06274-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary incontinence (UI) significantly impairs women's quality of life and often leads to the adoption of self-management coping strategies. This study aimed to develop and validate the UI Self-Management Coping Strategies Instrument (UI-SMCSI) to assess coping strategies in women with UI.</p><p><strong>Method: </strong>A sample of 1538 Portuguese women aged 40-65 years with self-reported UI participated in the study. A quantitative design was employed to evaluate the instrument's factor structure, multigroup invariance, internal consistency, and validity evidence based on its internal structure and relations to other variables.</p><p><strong>Results: </strong>Confirmatory factor analysis supported a bidimensional first-order structure comprising defensive and hiding strategies, with excellent model fit indices (CFI = .989; TLI = .987; RMSEA = .072). Internal consistency was strong (α_defensive = .94; α_hiding = .80). Measurement invariance was confirmed across UI subtypes (stress, urge, and mixed). Convergent validity was supported by a moderately strong correlation (r = .615, p < .001) with the severity measures dimension of the King's Health Questionnaire.</p><p><strong>Discussion: </strong>The UI-SMCSI is a reliable and valid instrument for assessing UI self-management coping strategies among Portuguese women with UI. It offers a practical tool for healthcare professionals to identify behavioral patterns that may hinder effective UI management. Future research should explore the scale's sensitivity to intervention and its applicability to other demographic and cultural populations.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing Self-Management Coping in Urinary Incontinence: Psychometric Evaluation of the UI-SMCSI in Middle-Aged Women.\",\"authors\":\"Marta G Porto, Filipa Pimenta, Inês Queiroz-Garcia, Marta Uva, Matilde Patrone, Teresa Mascarenhas, João Marôco\",\"doi\":\"10.1007/s00192-025-06274-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and hypothesis: </strong>Urinary incontinence (UI) significantly impairs women's quality of life and often leads to the adoption of self-management coping strategies. This study aimed to develop and validate the UI Self-Management Coping Strategies Instrument (UI-SMCSI) to assess coping strategies in women with UI.</p><p><strong>Method: </strong>A sample of 1538 Portuguese women aged 40-65 years with self-reported UI participated in the study. A quantitative design was employed to evaluate the instrument's factor structure, multigroup invariance, internal consistency, and validity evidence based on its internal structure and relations to other variables.</p><p><strong>Results: </strong>Confirmatory factor analysis supported a bidimensional first-order structure comprising defensive and hiding strategies, with excellent model fit indices (CFI = .989; TLI = .987; RMSEA = .072). Internal consistency was strong (α_defensive = .94; α_hiding = .80). Measurement invariance was confirmed across UI subtypes (stress, urge, and mixed). Convergent validity was supported by a moderately strong correlation (r = .615, p < .001) with the severity measures dimension of the King's Health Questionnaire.</p><p><strong>Discussion: </strong>The UI-SMCSI is a reliable and valid instrument for assessing UI self-management coping strategies among Portuguese women with UI. It offers a practical tool for healthcare professionals to identify behavioral patterns that may hinder effective UI management. Future research should explore the scale's sensitivity to intervention and its applicability to other demographic and cultural populations.</p>\",\"PeriodicalId\":14355,\"journal\":{\"name\":\"International Urogynecology Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Urogynecology Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00192-025-06274-z\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06274-z","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Assessing Self-Management Coping in Urinary Incontinence: Psychometric Evaluation of the UI-SMCSI in Middle-Aged Women.
Introduction and hypothesis: Urinary incontinence (UI) significantly impairs women's quality of life and often leads to the adoption of self-management coping strategies. This study aimed to develop and validate the UI Self-Management Coping Strategies Instrument (UI-SMCSI) to assess coping strategies in women with UI.
Method: A sample of 1538 Portuguese women aged 40-65 years with self-reported UI participated in the study. A quantitative design was employed to evaluate the instrument's factor structure, multigroup invariance, internal consistency, and validity evidence based on its internal structure and relations to other variables.
Results: Confirmatory factor analysis supported a bidimensional first-order structure comprising defensive and hiding strategies, with excellent model fit indices (CFI = .989; TLI = .987; RMSEA = .072). Internal consistency was strong (α_defensive = .94; α_hiding = .80). Measurement invariance was confirmed across UI subtypes (stress, urge, and mixed). Convergent validity was supported by a moderately strong correlation (r = .615, p < .001) with the severity measures dimension of the King's Health Questionnaire.
Discussion: The UI-SMCSI is a reliable and valid instrument for assessing UI self-management coping strategies among Portuguese women with UI. It offers a practical tool for healthcare professionals to identify behavioral patterns that may hinder effective UI management. Future research should explore the scale's sensitivity to intervention and its applicability to other demographic and cultural populations.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
