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The Danish anal sphincter rupture questionnaire: validity and reliability
1Department of Physiotherapy, Hvidovre Hospital, Hvidovre, Denmark. ulla.due@hvh.regionh.dk
Acta Obstetricia Et Gynecologica Scandinavica
|November 22, 2008
Summary
A validated questionnaire effectively screens for anal sphincter rupture (ASR) issues in women, assessing physical, sexual, and quality-of-life impacts six months postpartum. This reliable tool aids in identifying treatment needs.
Area of Science:
- Obstetrics and Gynecology
- Pelvic Floor Physical Therapy
- Clinical Assessment Tools
Background:
- Women experiencing anal sphincter rupture (ASR) post-childbirth often receive specialized physiotherapy.
- A non-validated questionnaire on incontinence was previously administered six months after delivery.
- The need for a reliable and validated tool to assess ASR-related issues was identified.
Purpose of the Study:
- To revise, validate, and test the reliability of a questionnaire for anal sphincter rupture (ASR).
- To assess construct, content, and face validity of the ASR questionnaire.
- To evaluate the clinical relevance and acceptance of the developed screening tool.
Main Methods:
- The original questionnaire underwent revision and pilot testing with healthcare personnel.
- Expert panel discussions and interviews with ten women informed revisions.
- The questionnaire was pre-tested on 52 women with ASR, revised five times, and reliability tested on 20 women.
Main Results:
- The revised questionnaire effectively identified typical post-ASR problems.
- The questionnaire's length, language, and construction were deemed appropriate.
- High reliability was demonstrated (Kappa 0.733–0.923), with minor revisions needed for two questions.
Conclusions:
- The validated Danish questionnaire possesses strong construct, content, and face validity.
- It serves as an accepted, reliable, simple, and clinically relevant screening tool for ASR.
- The tool effectively captures physical and sexual problems, quality of life impacts, and treatment needs in women 6-8 months post-ASR.
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