title: Responsiveness of the Spanish Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaires Short Forms (PFDI-20 and PFIQ-7) in women with pelvic floor disorders.
abstract: OBJECTIVE
  To evaluate the responsiveness of the Spanish versions of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire Short Forms (PFDI-20 and PFIQ-7), in order to assess symptoms and quality of life in Spanish women with pelvic floor disorders.
  
  
  METHODS
  Prospective observational study to assess the responsiveness in 85 women with pelvic floor disorders. PFDI-20 and PFIQ-7 were completed before and after Physiotherapy intervention. The responsiveness was assessed with the p values using the Wilcoxon signed-rank test, the standardized response means of the change (SRM) and the effect size (ES).
  
  
  RESULTS
  The Spanish PFDI-20 and PFIQ-7 and the subscales demonstrated small to good responsiveness. The responsiveness was higher for PFDI-20 than for PFIQ-7. The statistic for PFDI-20 was moderate to good (ES 0.68 and SRM 0.84; p<0.0001), and small to moderate for PFIQ-7 (ES 0.48 and SRM 0.57; p<0.0001). Regarding the subscales, the responsiveness was better for Pelvic Organ Prolapse Distress Inventory (POPDI) than Pelvic Organ Prolapse Impact Questionnaire (POPIQ) (ES 0.70 and SRM 0.78; ES 0.42 and SRM 0.47 respectively; p<0.0001). Moderate responsiveness was found for Urinary Distress Inventory (UDI) and Urinary Impact Questionnaire (UIQ) (ES 0.54 and SRM 0.67; ES 0.52 and SRM 0.61 respectively; p<0.0001). Colo-Rectal-Anal Distress Inventory (CRADI) and Colo-Rectal-Anal Impact Questionnaire (CRAIQ) showed poor responsiveness, small in both (ES 0.42, SRM 0.50 and p<0.0001; ES 0.34, SRM 0.39 respectively; p<0.001). All responsiveness was significant.
  
  
  CONCLUSIONS
  PFDI-20 and PFIQ-7 Spanish versions showed good responsiveness to evaluate the symptoms and the quality of life in Spanish women with PFD undergoing Physiotherapy treatment.
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain. Electronic address: beatriz.sanchez@uah.es.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Sánchez Sánchez
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Torres Lacomba
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Navarro Brazález
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Ester
authors.initials: E
authors.lastname: Cerezo Téllez
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Soraya
authors.initials: S
authors.lastname: Pacheco Da Costa
authors.affiliation: Physiotherapy Department, Physiotherapy in Women's Health Research Group, Faculty of Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gutiérrez Ortega
mesh_terms: D000328:Adult; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D007802:Language; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy; D056887:Pelvic Organ Prolapse / Q000209:etiology; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D011594:Psychometrics; D011788:Quality of Life; D012720:Severity of Illness Index; D013030:Spain; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000209:etiology
keywords: PFDI-20; PFIQ-7; Pelvic organ prolapse; Quality of life questionnaire; Responsiveness; Spanish validation