title: Validation of Hebrew versions of the Pelvic Floor Distress Inventory, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, and the Urgency, Severity and Impact Questionnaire.
abstract: OBJECTIVE
  Validated objective tools in the native languages of investigated populations are important for evaluating effects of medical disorders and treatments. The aim of our study was to validate a Hebrew version of the validated questionnaires commonly used in the field of urogynecology.
  
  
  METHODS
  This is a 2-step, prospective, multicenter study. Using a back-translation method, Hebrew-language versions of the following questionnaires were developed: Pelvic Floor Distress Inventory, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, and the Urgency, Severity and Impact Questionnaire. The questionnaires were administered in both Hebrew and English to 56 bilingual patients with pelvic organ prolapse and/or urinary incontinence. To test reliability, the participants were asked to refill the questionnaires in Hebrew 2 weeks later. Scores from the Hebrew and English versions were compared, using the Wilcoxon signed rank test. Correlations between versions were assessed by the Spearman test. P < 0.05 or less was considered significant.
  
  
  RESULTS
  Scores from the Hebrew and English versions were found to be highly correlated, ρ = 0.61-0.96; P < 0.001. No differences in total scores were detected between the 2 versions of the 3 questionnaires and their subcategories (P > 0.05). Cronbach alpha values were good (0.65-096) for all questionnaires. Scores were highly correlated when the patients refilled the questionnaires in Hebrew (ρ = 0.81-0.98; P < 0.001).
  
  
  CONCLUSIONS
  This study provides validated Hebrew versions of 3 well-accepted pelvic floor questionnaires. These questionnaires will enable standardization when assessing women with pelvic floor dysfunction.
authors.affiliation: Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel. l_lior@rambam.health.gov.il
authors.forename: Lior
authors.initials: L
authors.lastname: Lowenstein
authors.forename: Gil
authors.initials: G
authors.lastname: Levy
authors.forename: Keren Or
authors.initials: KO
authors.lastname: Chen
authors.forename: Shimon
authors.initials: S
authors.lastname: Ginath
authors.forename: Alex
authors.initials: A
authors.lastname: Condrea
authors.forename: Anna
authors.initials: A
authors.lastname: Padoa
mesh_terms: D005260:Female; D006801:Humans; D007557:Israel; D056887:Pelvic Organ Prolapse; D011446:Prospective Studies; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological; D011795:Surveys and Questionnaires / Q000592:standards*; D014549:Urinary Incontinence