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Knowledge, attitude, and practice instruments for urinary incontinence: A psychometric review
Gabriela Lima Ribeiro1, Camila Teixeira Moreira Vasconcelos1, Maria Laura Silva Gomes1
1Nursing Department, Federal University of Ceará, Fortaleza, Brazil.
Neurourology and Urodynamics
|November 7, 2019
Summary
This review analyzed tools measuring urinary incontinence (UI) knowledge, attitude, and practice. While most tools had good methodological quality, some validation details were insufficient, impacting result quality.
Area of Science:
- Urology
- Psychometrics
- Health Sciences Research
Background:
- Urinary incontinence (UI) affects many individuals, necessitating reliable measurement tools.
- Assessing knowledge, attitude, and practice (KAP) related to UI is crucial for effective management.
- A systematic evaluation of existing measurement instruments' psychometric properties is needed.
Purpose of the Study:
- To analyze the psychometric properties of instruments measuring knowledge, attitude, and practice related to urinary incontinence (UI).
- To provide a strategy for selecting suitable instruments based on psychometric quality.
- To guide researchers in clinical practice for accurate UI assessment.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE/PubMed, CINAHL, SCOPUS, PsycINFO, Web of Science, Cochrane, LILACS, Google) in September 2018.
- Evaluation of psychometric properties using established standards: COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) and Quality Criteria for Measurement Properties.
- Inclusion of seven articles published between 1999 and 2018.
Main Results:
- Most instruments demonstrated "excellent" or "good" methodological quality.
- Inadequate description of validation stages in some studies led to "indeterminate" quality for certain properties.
- No single questionnaire could be recommended without reservations; however, Urinary Incontinence Scales and Barriers Incontinence Care Seeking Questionnaire showed superior evaluations.
Conclusions:
- A strategic approach to selecting UI measurement instruments based on psychometric properties is provided.
- The review guides researchers in choosing appropriate tools for assessing KAP related to UI.
- Enhancing the reporting of validation stages in future instrument development is recommended.
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