What are the concerns and goals of women attending a urogynaecology clinic? Content analysis of free-text data from an electronic pelvic floor assessment questionnaire (ePAQ-PF)

Gray, Thomas, Strickland, Scarlett, Pooranawattanakul, Sarita, Li, Weiguang, Campbell, Patrick, Jones, Georgina and Radley, Stephen (2019) What are the concerns and goals of women attending a urogynaecology clinic? Content analysis of free-text data from an electronic pelvic floor assessment questionnaire (ePAQ-PF). International Urogynecology Journal, 30 (1). pp. 33-41. ISSN 0937-3462

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Abstract

Introduction and hypothesis: Understanding patients’ concerns and goals is essential for providing individualised care in urogynaecology. The study objectives were to undertake a content analysis of free-text concerns and goals recorded by patients using an electronic pelvic-floor questionnaire (ePAQ-PF) and measure how these related to self-reported symptom and health-related quality-of-life (HRQOL) data also recorded using ePAQ-PF.  Methods: A total of 1996 consenting patients completed ePAQ-PF. Content analysis was undertaken of free-text responses to the item: ‘Considering the issues that currently concern you the most, what do you hope to achieve from any help, advice or treatment?’ Key content themes were identified by the lead researcher, and three researchers read and coded all recorded responses. Student’s t test was used to compare ePAQ-PF domain scores for patients reporting concerns in the relevant domain with those who did not.  Results: In total, 63% of participants who completed the questionnaire, recorded at least one free-text item. Content analysis identified 1560 individual concerns coding into the 19 ePAQ-PF domains. Symptom scores were significantly higher for patients reporting free-text concerns in 18 domains (p < 0.05). Additional concerns relating specifically to body image were recorded by 11% of patients. Key areas of importance emerging for personal goals included cure/improvement, better understanding, incontinence pad use, sexual function and surgery.  Conclusions: Free-text reporting in ePAQ-PF is utilised by patients and facilitates self-expression and discussion of issues impacting on HRQOL. The significant relationship between recorded free-text concerns and ePAQ-PF domain scores suggests convergent validity for the instrument. Development and psychometric testing of a domain to assess body image is proposed.

Item Type:	Article
Additional Information:	Publisher Copyright: © 2018, The International Urogynecological Association.
Uncontrolled Keywords:	body image,incontinence,patient-reported outcome measures,prolapse,obstetrics and gynaecology,urology ,/dk/atira/pure/subjectarea/asjc/2700/2729
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:	https://www.scopus.com/pages/publication...
Depositing User:	LivePure Connector
Date Deposited:	02 Jun 2026 15:21
Last Modified:	04 Jun 2026 09:43
URI:	https://ueaeprints.uea.ac.uk/id/eprint/103243
DOI:	10.1007/s00192-018-3697-0

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