A carregar...
Publicação
Adaptação cultural e propriedades psicométricas de um instrumento, ICIQ-MLUTSsex, para avaliação da disfunção sexual em homens portugueses com sintomas do trato urinário inferior
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 12.26 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Os sintomas do trato urinário inferior (STUI) são comuns em homens a partir dos 40 anos, comprometendo a qualidade de vida (QV), a saúde sexual e mental. A associação entre STUI e disfunção sexual (DS) é recorrente, destacando a necessidade de instrumentos culturalmente adaptados e validados para avaliação clínica e investigação. Adaptar transcultural e linguísticamente o International Consultation on Incontinence Questionnaire – Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module (ICIQ-MLUTSsex) para português europeu e analisar as suas propriedades psicométricas em homens com STUI. A validação metodológica incluiu tradução, retrotradução, revisão por especialistas e pré-teste cognitivo (n = 11). As propriedades psicométricas foram testadas numa amostra transversal (n = 84) considerando validade e fiabilidade. A validade de conteúdo foi aferida por painel de especialistas; a validade de construto foi avaliada por análise fatorial exploratória (AFE); a validade de critério foi analisada por correlações de Spearman entre o ICIQ-MLUTSsex, International Prostate Symptom Score (IPSS) e Índice Internacional de Função Erétil (IIEF-5); a fiabilidade foi estimada pelo coeficiente alfa de Cronbach (consistência interna) e pelo coeficiente de correlação intraclasse (ICC) (estabilidade temporal com aplicação em dois momentos e intervalo de uma semana). O ICIQ-MLUTSsex apresentou alta consistência interna (α = 0.8). O ICIQ-MLUTSsex apresentou correlação positiva moderada com o IPSS em M1 e M2 (rho (M1) = rho (M2) = 0.5; p < 0.001), correlação negativa forte com o IIEF-5 em M1 e M2 (rho (M1) = rho (M2) = -0.7; p < 0.001) e correlação positiva muito forte entre M1 e M2 (rho = 0.98; p < 0.001), evidenciando excelente fiabilidade. O ICIQ-MLUTSsex mostrou-se válido e fiável para avaliar DS em homens portugueses com STUI.
Lower urinary tract symptoms (LUTS) are common in men over 40, compromising quality of life (QV), sexual health, and mental health. The association between LUTS and sexual dysfunction (SD) is recurrent, highlighting the need for culturally adapted and validated instruments for clinical assessment and research. To cross-culturally and linguistically adapt the International Consultation on Incontinence Questionnaire – Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module (ICIQ-MLUTSsex) into European Portuguese and analyze its psychometric properties in men with LUTS. The methodological validation included translation, back-translation, expert review, and cognitive pre-testing (n = 11). The psychometric properties were tested in a cross-sectional sample (n = 84) considering validity and reliability. Content validity was assessed by an expert panel; construct validity was evaluated by exploratory factor analysis (EFA); criterion validity was analyzed by Spearman correlations between the ICIQ-MLUTSsex, International Prostate Symptom Score (IPSS), and International Index of Erectile Function (IIEF-5); and reliability was estimated by Cronbach's alpha coefficient (internal consistency) and intraclass correlation coefficient (ICC) (temporal stability with administration at two time points one week apart). The ICIQ-MLUTSsex showed high internal consistency (α = 0.8). The ICIQ-MLUTSsex showed moderate positive correlation with the International Prostate Symptom Score (IPSS) at M1 and M2 (rho (M1) = rho (M2) = 0.5; p < 0.001), strong negative correlation with the International Index of Erectile Function (IIEF-5) at M1 and M2 (rho (M1) = rho (M2) = -0.7; p < 0.001) and very strong positive correlation between M1 and M2 (rho = 0.98; p < 0.001), demonstrating excellent reliability. The ICIQ-MLUTSsex proved to be valid and reliable for assessing SD in Portuguese men with LUTS.
Lower urinary tract symptoms (LUTS) are common in men over 40, compromising quality of life (QV), sexual health, and mental health. The association between LUTS and sexual dysfunction (SD) is recurrent, highlighting the need for culturally adapted and validated instruments for clinical assessment and research. To cross-culturally and linguistically adapt the International Consultation on Incontinence Questionnaire – Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module (ICIQ-MLUTSsex) into European Portuguese and analyze its psychometric properties in men with LUTS. The methodological validation included translation, back-translation, expert review, and cognitive pre-testing (n = 11). The psychometric properties were tested in a cross-sectional sample (n = 84) considering validity and reliability. Content validity was assessed by an expert panel; construct validity was evaluated by exploratory factor analysis (EFA); criterion validity was analyzed by Spearman correlations between the ICIQ-MLUTSsex, International Prostate Symptom Score (IPSS), and International Index of Erectile Function (IIEF-5); and reliability was estimated by Cronbach's alpha coefficient (internal consistency) and intraclass correlation coefficient (ICC) (temporal stability with administration at two time points one week apart). The ICIQ-MLUTSsex showed high internal consistency (α = 0.8). The ICIQ-MLUTSsex showed moderate positive correlation with the International Prostate Symptom Score (IPSS) at M1 and M2 (rho (M1) = rho (M2) = 0.5; p < 0.001), strong negative correlation with the International Index of Erectile Function (IIEF-5) at M1 and M2 (rho (M1) = rho (M2) = -0.7; p < 0.001) and very strong positive correlation between M1 and M2 (rho = 0.98; p < 0.001), demonstrating excellent reliability. The ICIQ-MLUTSsex proved to be valid and reliable for assessing SD in Portuguese men with LUTS.
Descrição
Palavras-chave
Disfunção erétil Estudos de validação Questionários Saúde do homem Sintomas urinários