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de Araújo RC, Calixtre LB, Gomes WDL, Silva JDDA, Maranhão DCM, Angelo FDDA, Santos GLLDS, Amaral KMS, Gonçalves RLDS, de Alencar JG, Callisaya ML, Trombini-Souza F, Pitangui ACR. Longitudinal Analysis of Intrinsic Capacity and Other Risk Factors in Aging: FREVO Study Protocol. Healthcare (Basel) 2025; 13:993. [PMID: 40361771 PMCID: PMC12071889 DOI: 10.3390/healthcare13090993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2025] [Revised: 04/16/2025] [Accepted: 04/21/2025] [Indexed: 05/15/2025] Open
Abstract
Background/Objectives: Population aging presents important global and socio-economic challenges, especially in developing countries such as Brazil, where aging is projected to accelerate in the next years. This manuscript presents the protocol of the FREVO (risk factors in aging) study, a six-year longitudinal study that aims to assess intrinsic capacity and its interaction with other risk factors. Moreover, this study aims to evaluate the combination of these factors and their correlation with major adverse health outcomes among community-dwelling older adults in Petrolina, Brazil. Methods: This six-year prospective cohort study will recruit 496 participants aged 60 or older. Annual in-person assessments using validated tools will measure intrinsic capacity, personal information, lifestyle, and chronic conditions. Negative outcomes (falls, hospitalizations, dementia, and death) will be recorded biannually by phone. Statistical analyses will employ latent profile analysis to identify risk phenotypes and Cox regression models for time-to-event analyses. Results: This study will attempt to identify phenotypes and modifiable risk factors by using the WHO's intrinsic capacity framework in a low-resource Brazilian context for the assessment and promotion of healthy aging. Conclusions: Our findings will address important gaps that can contribute to a localized understanding of aging, aligning global frameworks with regional realities to promote independence, functionality, and quality of life for older adults.
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Affiliation(s)
- Rodrigo Cappato de Araújo
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
- Department of Physical Therapy, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil
| | - Letícia Bojikian Calixtre
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Wildja de Lima Gomes
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Juliana Daniele de Araújo Silva
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Diógenes Candido Mendes Maranhão
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Fernando Damasceno de Albuquerque Angelo
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Gabriel Lucas Leite da Silva Santos
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Késia Moreira Sampaio Amaral
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Ruth Lahis da Silva Gonçalves
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Julia Gomes de Alencar
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
| | - Michele L. Callisaya
- National Centre for Healthy Ageing, Melbourne, VIC 3199, Australia;
- Peninsula Clinical School, Central Clinical School, Monash University, Frankston, VIC 3199, Australia
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS 7005, Australia
| | - Francis Trombini-Souza
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
- Department of Physical Therapy, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil
| | - Ana Carolina Rodarti Pitangui
- Graduate Program of Rehabilitation and Functional Performance, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil; (L.B.C.); (W.d.L.G.); (J.D.d.A.S.); (D.C.M.M.); (F.D.d.A.A.); (G.L.L.d.S.S.); (K.M.S.A.); (R.L.d.S.G.); (J.G.d.A.); (F.T.-S.); (A.C.R.P.)
- Department of Physical Therapy, University of Pernambuco (UPE), Petrolina 56328-900, PE, Brazil
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Akay E, Güler OM, Bayraktar HK, Gül ADU, Türkoğlu A. Psychometric validity and reliability of the Turkish version of the questionnaire for urinary incontinence diagnosis in women with urinary incontinence. BMC Womens Health 2025; 25:197. [PMID: 40253398 PMCID: PMC12008939 DOI: 10.1186/s12905-025-03730-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2024] [Accepted: 04/09/2025] [Indexed: 04/21/2025] Open
Abstract
BACKGROUND The aim of this study was to evaluate the psychometric validity and reliability of the Turkish version of the Questionnaire for Urinary Incontinence Diagnosis (QUID), which was developed for women with urinary incontinence. METHODS This cross-sectional, methodological study included 600 female participants aged 18 years and above with Turkish reading and writing skills. Psychometric methods comprised correlation analysis, internal consistency (Cronbach's alpha), test-retest reliability, and receiver operating characteristic (ROC) curve analysis. The QUID, King's Health Questionnaire (KHQ), and Incontinence Severity Index (ISI) were administered consecutively to assess construct validity and diagnostic performance. Statistical significance was set at p < 0.05. RESULTS The Turkish version of the QUID demonstrated high validity and reliability in distinguishing stress and urge urinary incontinence. The QUID scores were significantly positively correlated with the KHQ and ISI scores, indicating consistency with the established measures (p < 0.05). The test‒retest reliability analysis confirmed that the QUID scale provided consistent results over time, with high internal consistency reflected by a Cronbach's alpha coefficient of 0.858, which suggests the questionnaire's stability and reliability for repeated measurements. Additionally, receiver operating characteristic (ROC) curve analyses revealed area under the curve (AUC) values ranging from 0.886 to 0.996 for each subscale, highlighting the high discriminative power of the QUID in distinguishing different types of urinary incontinence effectively. CONCLUSIONS The results of this study indicate that the Turkish version of the QUID is a reliable and valid tool for diagnosing urinary incontinence in clinical practice and may contribute positively to patients' quality of life by providing an accurate diagnosis. TRIAL REGISTRATION Not applicable.
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Affiliation(s)
- Emrullah Akay
- Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital, Başakşehir Mahallesi, Olimpiyat Bulvarı Yolu, No:2 L, Istanbul, 34480, Turkey.
| | - Osman Murat Güler
- Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital, Başakşehir Mahallesi, Olimpiyat Bulvarı Yolu, No:2 L, Istanbul, 34480, Turkey
| | - Hilal Künkül Bayraktar
- Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital, Başakşehir Mahallesi, Olimpiyat Bulvarı Yolu, No:2 L, Istanbul, 34480, Turkey
| | - Alime Dilayda Uzun Gül
- Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital, Başakşehir Mahallesi, Olimpiyat Bulvarı Yolu, No:2 L, Istanbul, 34480, Turkey
| | - Alper Türkoğlu
- Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital, Başakşehir Mahallesi, Olimpiyat Bulvarı Yolu, No:2 L, Istanbul, 34480, Turkey
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Brusaca LA, Rocha APR, Cardozo L, Oliveira AB, Driusso P. Brazilian version of the King's Health Questionnaire: assessment of the structural validity and internal consistency in female urinary incontinence. Int Urogynecol J 2022; 33:3143-3154. [PMID: 35412068 DOI: 10.1007/s00192-022-05189-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 03/03/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The use of valid patient-reported outcome measurements is essential in clinical and research settings. The structure of the Brazilian version of the King's Health Questionnaire (Br-KHQ) has not been evaluated. Thus, this study sought to evaluate the structural validity and internal consistency of the multi-item domains of the Br-KHQ in women with urinary incontinence (UI). METHODS A total of 462 Brazilian Portuguese speakers with UI aged 18 years or older were included in this study. Participants answered the Br-KHQ, and a questionnaire containing demographic and personal information. The structure of the Br-KHQ was examined through Exploratory Factor Analysis (EFA) with the implementation of parallel analysis and evaluated using confirmatory factor analysis (CFA). For the latter, several goodness-of-fit indices were considered to evaluate the model fit of the structures tested in this study. Internal consistency was assessed using Cronbach's alpha, composite reliability, and coefficient omega. RESULTS The EFA showed that the questionnaire has a five-factor structure, i.e., limitations of daily life, personal relationship, emotions, sleep/energy, and severity measures. The CFA demonstrated that this structure presented the most adequate goodness-of-fit indices and the lowest values of Akaike information criterion and Bayesian information criterion, compared with the original and Portuguese structure. High values (>0.70) of internal consistency were found. CONCLUSIONS The Brazilian version of the KHQ is composed of a five-factor structure. Further studies should evaluate other measurement properties of the Br-KHQ to ensure reliable interpretation of this patient-reported outcome measure in clinical practice.
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Affiliation(s)
- Luiz Augusto Brusaca
- Laboratory of Clinical and Occupational Kinesiology (LACO), Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil
| | - Ana Paula Rodrigues Rocha
- Women's Health Research Laboratory (LAMU), Department of Physical Therapy, Federal University of São Carlos, Washington Luiz Road, km 235, SP310, São Carlos, SP, 13565-905, Brazil
| | - Linda Cardozo
- Department of Urogynaecology, King's College Hospital, London, UK
| | - Ana Beatriz Oliveira
- Laboratory of Clinical and Occupational Kinesiology (LACO), Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil
| | - Patricia Driusso
- Women's Health Research Laboratory (LAMU), Department of Physical Therapy, Federal University of São Carlos, Washington Luiz Road, km 235, SP310, São Carlos, SP, 13565-905, Brazil.
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Alem MER, da Silva JB, Beleza ACS, Chaves TC, Driusso P. Cross-cultural adaptation and measurement property analysis of the Brazilian Portuguese version of the Three Incontinence Questionnaire. Int Urogynecol J 2022; 33:3053-3060. [PMID: 34985535 DOI: 10.1007/s00192-021-05036-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 10/30/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The differential diagnosis of urinary symptoms may allow health professionals to establish a therapeutic objective and to choose the appropriate treatment for the patient's complaint. The aim of this study was to cross-culturally adapt the Three Incontinence Questionnaire (3IQ) into Brazilian Portuguese (3IQ-Br) and to analyze test-retest reliability, construct, and criterion validity in women. METHODS The cross-cultural adaptation of the 3IQ-Br included forward-translation, back-translation, and consensus among an expert committee. Participants with and without urinary incontinence (UI) completed the 3IQ-Br, King's Health Questionnaire (KHQ), and Questionnaire for Female Urinary Incontinence Diagnosis (QUID-Br). Only women with UI answered 3IQ-Br after 7-10 days. Test-retest reliability and construct validity were analyzed using the Cohen linear kappa (k). The 3IQ-Br accuracy was analyzed using the area under the curve (AUC) of the receiver-operating characteristic (ROC) curve, considering the sensitivity and specificity to correctly classify women with and without UI. RESULTS The reliability of each question from the 3IQ-Br was considered substantial in the test-retest. The agreement among 3IQ-Br, QUID-Br, and KHQ was almost perfect for UI diagnosis (k > 0.8). The 3IQ-Br was considered to have good accuracy in distinguishing women with UI considering the KHQ (AUC 0.83, 95% confidence interval [CI] 0.78 to 0.87, p < 0.001), and fair to the QUID-Br (AUC 0.73, 95% CI 0.68 to 0.78; p < 0.001). CONCLUSIONS The results of this study showed that this version of the 3IQ-Br has acceptable measurement properties for identifying and differentiating UI symptoms in Brazilian women.
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Affiliation(s)
- Michele Elisabete Rúbio Alem
- Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, Rodovia Washington Luís, 235 km, São Carlos, SP, CEP 13565-905, Brazil
| | - Jordana Barbosa da Silva
- Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, Rodovia Washington Luís, 235 km, São Carlos, SP, CEP 13565-905, Brazil
| | - Ana Carolina Sartorato Beleza
- Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, Rodovia Washington Luís, 235 km, São Carlos, SP, CEP 13565-905, Brazil
| | - Thais Cristina Chaves
- Physical Therapy Department, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Patricia Driusso
- Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, Rodovia Washington Luís, 235 km, São Carlos, SP, CEP 13565-905, Brazil.
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