title: Validation of the Spanish-language version of the Prolapse Quality of Life questionnaire in Chilean women.
abstract: OBJECTIVE
  The Prolapse Quality of Life (P-QOL) questionnaire is a specific health-related quality of life (HRQL) instrument to assess the impact of POP on women. It has been validated in English-speaking women and to date has been translated into several other languages. However, currently there is no Spanish translation of the P-QOL questionnaire. The aim of this study was to translate the P-QOL questionnaire into Spanish and to assess its feasibility, validity, and reliability.
  
  
  METHODS
  Following a forward- and back-translation of the original English P-QOL questionnaire into Spanish language, the translated questionnaire was reviewed by a group of patients as well as an expert panel to assess its comprehensibility. In this cross-sectional study women with POP symptoms were recruited from a tertiary referral teaching hospital. Women were defined as symptomatic if they report feeling a lump/bulge/pressure in the vagina. The Spanish translated P-QOL questionnaire was self-administered to all women. Reliability, content, and construct validity were evaluated using the Cronbach's alpha coefficient, ANOVA, and Spearman's correlation tests.
  
  
  RESULTS
  One hundred and twenty-eight women were studied. There were no missing items. The Cronbach's alpha ranged from 0.626 to 0.866 across domains, demonstrating the good reliability of the Spanish P-QOL. The severity of symptoms was related to the worst quality of life, but the severity of POP was not related to poorer QoL.
  
  
  CONCLUSIONS
  The Spanish translated version of the P-QOL is a reliable, consistent and valid instrument to assess symptom severity and QoL impact in Chilean women with POP.
authors.affiliation: School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile, ccflores@uc.cl.
authors.forename: Claudia
authors.initials: C
authors.lastname: Flores-Espinoza
authors.forename: Alejandra Ximena
authors.initials: AX
authors.lastname: Araya
authors.forename: Javier
authors.initials: J
authors.lastname: Pizarro-Berdichevsky
authors.forename: Vera
authors.initials: V
authors.lastname: Santos
authors.forename: Montserrat
authors.initials: M
authors.lastname: Ferrer
authors.forename: Olatz
authors.initials: O
authors.lastname: Garin
authors.forename: Steven
authors.initials: S
authors.lastname: Swift
authors.forename: Alessandro G
authors.initials: AG
authors.lastname: Digesu
mesh_terms: D000328:Adult; D002677:Chile; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000175:diagnosis / Q000523:psychology*; D011788:Quality of Life; D011795:Surveys and Questionnaires