Development and initial psychometric testing of a body-image domain within an electronic pelvic floor questionnaire (ePAQ-pelvic floor)

Scurr, Kaia, Gray, Thomas G., Jones, Georgina L. and Radley, Stephen C. (2020) Development and initial psychometric testing of a body-image domain within an electronic pelvic floor questionnaire (ePAQ-pelvic floor). International Urogynecology Journal, 31 (6). pp. 1245-1253. ISSN 0937-3462

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Abstract

Introduction: Urogynaecological conditions have been shown to negatively impact on body image in a number of previous studies. ePAQ-Pelvic Floor (ePAQ-PF) is a patient-reported outcome measure used in clinical practice to assess urogynaecological conditions and their impact on quality of life. This study aimed to develop and undertake initial psychometric testing of a new domain to assess urogynaecological body image within ePAQ-PF.  Methods: A patient involvement group, analysis of free-text data from ePAQ-PF and a systematic review of existing PROMs assessing urogynaecological body image informed the content of a new body-image domain within ePAQ-PF. This was administered to 208 patients who consented to the use of their anonymised ePAQ-PF responses for research purposes. These data underwent factor analysis, internal consistency reliability and item-total correlation testing. Evidence-based hypotheses were formulated to test construct validity. Criterion validity was assessed against the Body-image Scale (BIS). Patients completed a separate questionnaire (QQ-11) to measure the face validity of ePAQ-PF.  Results: Factor analysis revealed a four-item body-image domain with good internal consistency reliability (Cronbach’s α = 0.899) and item-total correlation (Spearman’s rank r > 0.40). ePAQ-PF body-image domain scores correlated significantly with the BIS scores (r = 0.501). Age, prolapse, sexual dysfunction, pelvic pain and urinary incontinence scores correlated significantly with body-image domain score. QQ-11 value scores demonstrated good acceptability.  Conclusions: Body-image assessment should form part of routine care in urogynaecology. Preliminary results support the validity, reliability and functionality of the body-image domain in ePAQ-PF. Further psychometric testing of this is required, including tests of responsiveness and stability.

Item Type:	Article
Additional Information:	Publisher Copyright: © 2020, The International Urogynecological Association.
Uncontrolled Keywords:	body image,patient reported outcome measure,pelvic floor disorders,urogynaecology,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:	03 Jun 2026 10:25
Last Modified:	04 Jun 2026 09:45
URI:	https://ueaeprints.uea.ac.uk/id/eprint/103251
DOI:	10.1007/s00192-020-04247-y

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