Design and validation of a questionnaire about Urinary Incontinence in female athletes based on the Delphi method

Authors

  • Aldara Vázquez Méndez Universidade de A Coruña.
  • Zeltia Naia Universidade da Coruña. Departamento de Fisiotearapia, Medicina y Ciencias Biomédicas. Facultade de Fisioterapia, Campus de Oza, 15006 A Coruña, España. https://orcid.org/0000-0001-7878-4018
  • Olalla Bello Universidade da Coruña. Departamento de Fisiotearapia, Medicina y Ciencias Biomédicas. Facultade de Fisioterapia, Campus de Oza, 15006 A Coruña, España. https://orcid.org/0000-0002-7846-3123

DOI:

https://doi.org/10.47197/retos.v62.109172

Keywords:

Urinary Incontinence, Women, Sports, Delphi Technique, Surveys and Questionnaires

Abstract

Introduction: Urinary incontinence (UI) is defined as ‘any complaint of involuntary loss of urine’. Several studies describe UI as a frequent problem among young nulliparous women who regularly and intensively practice high-impact sports, having a significant impact on their quality of life and athletic performance. An accurate estimation of the prevalence of UI in nulliparous female athletes and how this problem affects their daily and sporting life could lead to the development of prevention and treatment strategies. However, there is no data collection tool focused on analysing the relationship between UI and sport, with the Delphi method being a particularly useful tool to design and validate new instruments. Objectives: To develop and validate a questionnaire to analyse the relationship between sports practice and the early onset of UI in women. Material and methods: A questionnaire was designed, using the Delphi method, by a group of experts, made up of 9 professionals. With the definitive version, a pilot study was conducted with 16 female basketball players. Results: A total of 3 rounds were carried out and a final questionnaire with 43 questions was obtained, with a Cronbach's alpha value of 0.967 in the reliability analysis. Conclusions: The results supported the reliability and validity of the questionnaire, designed using the Delphi method, to analyse the relationship between sports practice and early onset of UI in women.

References

Almeida, M. B. A., Barra, A. A., Saltiel, F., Silva-Filho, A. L., Fonseca, A. M. R. M., & Figueiredo, E. M. (2016). Uri-nary incontinence and other pelvic floor dysfunctions in female athletes in Brazil: A cross-sectional study. Scandinavi-an Journal of Medicine & Science in Sports, 26(9), 1109-1116. https://doi.org/10.1111/sms.12546

Almousa, S., & Bandin Van Loon, A. (2019). The prevalence of urinary incontinence in nulliparous female sportswomen: A systematic review. Journal of Sports Sciences, 37(14), 1663-1672. https://doi.org/10.1080/02640414.2019.1585312

Andrés, I., Muñoz Moreno, M. F., Ruíz López del Prado, G., Gil Sáez, B., Andrés Puertas, M & Almaraz Gómez, A. (2019). Validación de un cuestionario sobre actitudes y práctica de actividad física y otros hábitos saludables mediante el método Delphi. Revista Española de Salud Pública, 93. https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1135-57272019000100042&lng=es&nrm=iso&tlng=es

Cabrera, M. (2006). La incontinencia urinaria en la mujer deportista de élite. Revista Iberoamericana de Fisioterapia y Kinesiología, 9(2), 78-89. https://doi.org/10.1016/S1138-6045(06)73119-7

Cardoso, A. M. B., Lima, C. R. O. de P., & Ferreira, C. W. S. (2018). Prevalence of urinary incontinence in high-impact sports athletes and their association with knowledge, attitude and practice about this dysfunction. European Journal of Sport Science, 18(10), 1405-1412. https://doi.org/10.1080/17461391.2018.1496146

Carls, C. (2007). The prevalence of stress urinary incontinence in high school and college-age female athletes in the midwest: Implications for education and prevention. Urologic Nursing, 27(1), 21-24, 39.

Carvalhais, A., Natal Jorge, R., & Bø, K. (2018). Performing high-level sport is strongly associated with urinary inconti-nence in elite athletes: A comparative study of 372 elite female athletes and 372 controls. British Journal of Sports Medicine, 52(24), 1586-1590. https://doi.org/10.1136/bjsports-2017-097587

Cedeño, E. L. C., & Mena, K. E. S. (2022). El Método Delphi Cualitativo y su Rigor Científico: Una revisión argumen-tativa. Sociedad & Tecnología, 5(3), Article 3. https://doi.org/10.51247/st.v5i3.261

Chávez, M. A. R., & Torres, T. Z. R. (2024). El método DELPHI como herramienta de investigación. Una revisión: The DELPHI method as a research tool. A review. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades, 5(1), Article 1. https://doi.org/10.56712/latam.v5i1.1842

de Araujo, C. C., Juliato, C. R. T., de Andrade Marques, A., Reis, A., & Brito, L. G. O. (2021). Validation and cultural translation for the Brazilian Portuguese version of the Questionnaire for Urinary Incontinence Diagnosis. International Urogynecology Journal, 32(12), 3157-3162. https://doi.org/10.1007/s00192-020-04344-y

Dos Santos, K. M., Da Roza, T., da Silva, L. L., Wolpe, R. E., da Silva Honório, G. J., & Tonon da Luz, S. C. (2018). Female sexual function and urinary incontinence in nulliparous athletes: An exploratory study. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 33, 21-26. https://doi.org/10.1016/j.ptsp.2018.06.004

Gagnon, A. J., DeBruyn, R., Essén, B., Gissler, M., Heaman, M., Jeambey, Z., Korfker, D., McCourt, C., Roth, C., Zeitlin, J., Small, R., & ROAM Collaboration. (2014). Development of the Migrant Friendly Maternity Care Ques-tionnaire (MFMCQ) for migrants to Western societies: An international Delphi consensus process. BMC Pregnancy and Childbirth, 14, 200. https://doi.org/10.1186/1471-2393-14-200

George, D., & Mallery, P. (2003). SPSS for Windows Step by Step: A Simple Guide and Reference, 11.0 Update. Allyn and Bacon.

George, C. E., & Trujillo, L. (2018). Aplicación del Método Delphi Modificado para la Validación de un Cuestionario de Incorporación de las TIC en la Práctica Docente. Revista Iberoamericana de Evaluación Educativa, 11(1), 113-134.

Hagovska, M., Švihra, J., Buková, A., Horbacz, A., Dračková, D., Švihrová, V., & Kraus, L. (2017). Prevalence of Uri-nary Incontinence in Females Performing High-Impact Exercises. International Journal of Sports Medicine, 38(3), 210-216. https://doi.org/10.1055/s-0042-123045

Hernández, K., Gea, G. M., & Antúnez, R. M. (2024). Diseño y validación mediante el método Delphi de un cuestiona-rio para conocer los criterios del jugador de baloncesto cuando penetra hacia la canasta. Cuadernos de Psicología del Deporte, 24(1), Article 1. https://doi.org/10.6018/cpd.544011

Jácome, C., Oliveira, D., Marques, A., & Sá-Couto, P. (2011). Prevalence and impact of urinary incontinence among female athletes. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federa-tion of Gynaecology and Obstetrics, 114(1), 60-63. https://doi.org/10.1016/j.ijgo.2011.02.004

Jenkins, E., Markham, C., Ryder, I., & Kettle, C. (2019). Labial trauma post birth: A delphi study of classification and suturing requirements. Midwifery, 71, 49-55. https://doi.org/10.1016/j.midw.2019.01.006

Kelleher, C. J., Cardozo, L. D., Khullar, V., & Salvatore, S. (1997). A new questionnaire to assess the quality of life of urinary incontinent women. British Journal of Obstetrics and Gynaecology, 104(12), 1374-1379. https://doi.org/10.1111/j.1471-0528.1997.tb11006.x

Leal Londoño, M. P., Travé Molero, R., Medina, F. X., Abadia Naudí, S., & Sánchez Bergara, S. (2021). Turismo depor-tivo: Una oportunidad para los territorios locales en un contexto global. Un estudio Delphi (Sport tourism: an oppor-tunity for local regions in a global context. A Delphi study). Retos, 42, 77–88. https://doi.org/10.47197/retos.v42i0.86696

Lima, M., Lima, J. S., & Sáez, A. (2012). Diseño y validación de dos escalas para medir la actitud hacia la alimentación y la actividad física durante la adolescencia. Revista Española de Salud Pública, 86(3), 253-268.

López, F. J., & Lluch, A. C. (2019). Diseño y validación mediante Método Delphi de un cuestionario para conocer las características de la actividad física en personas mayores que viven en residencias (Delphy Method validation and de-sign of a questionnaire to assess physical activity characte. Retos, 36, 515-520. https://doi.org/10.47197/retos.v36i36.69773

Mattsson, N. K., Nieminen, K., Heikkinen, A.-M., Jalkanen, J., Koivurova, S., Eloranta, M.-L., Suvitie, P., & Tolppa-nen, A.-M. (2017). Validation of the short forms of the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Im-pact Questionnaire (PFIQ-7), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in Finnish. Health and Quality of Life Outcomes, 15(1), 88. https://doi.org/10.1186/s12955-017-0648-2

Mediavilla, L., & García, J. M. (2013). Diseño, creación y validación de una entrevista para obtener datos biográficos, de carácter deportivo-militar, de los militares que participaron en unos juegos olímpicos. Journal of sport and health re-search, 5(2), 157-166.

Moser, H., Leitner, M., Eichelberger, P., Kuhn, A., Baeyens, J.-P., & Radlinger, L. (2018). Pelvic floor muscle activity during jumps in continent and incontinent women: An exploratory study. Archives of Gynecology and Obstetrics, 297(6), 1455-1463. https://doi.org/10.1007/s00404-018-4734-4

Nygaard, I. E. (1997). Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female Olympians. Obstetrics and Gynecology, 90(5), 718-722. https://doi.org/10.1016/S0029-7844(97)00436-5

Pires, T., Pires, P., Moreira, H., Gabriel, R., Viana, S., & Viana, R. (2020b). Assessment of pelvic floor muscles in sportswomen: Quality of life and related factors. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 43, 151-156. https://doi.org/10.1016/j.ptsp.2020.02.015

Pires, T., Pires, P., Moreira, H., & Viana, R. (2020a). Prevalence of Urinary Incontinence in High-Impact Sport Ath-letes: A Systematic Review and Meta-Analysis. Journal of Human Kinetics, 73, 279-288. https://doi.org/10.2478/hukin-2020-0008

Poświata, A., Socha, T., & Opara, J. (2014). Prevalence of Stress Urinary Incontinence in Elite Female Endurance Ath-letes. Journal of Human Kinetics, 44, 91-96. https://doi.org/10.2478/hukin-2014-0114

Reguant, M., & Fonseca, M. (2016). El método Delphi-. Reire, 9, 87-102. https://doi.org/10.1344/reire2016.9.1916

Renova, H. F. P., Arreola, D. I. C., & Ramírez, A. J. R. (2021). ¿Qué tan apropiadamente reportaron los autores el Coeficiente del Alfa de Cronbach? Ciencia Latina Revista Científica Multidisciplinar, 5(3), 2438-2462. https://doi.org/10.37811/cl_rcm.v5i3.463

Rial, T., & Riera, T. (2012). Prevalencia y abordaje desde el ejercicio físico de la incontinencia urinaria en mujeres de-portistas. Lec Educ Fis Deportes, 164.

Salazar Porras, D., Aguilar Hernández, L. M., & González Alfaro, F. J. (2023). Fisiopatología y tratamiento de la inconti-nencia urinaria en mujeres. Revista Medica Sinergia, 8(6), e1066. https://doi.org/10.31434/rms.v8i6.1066

Salazar Zuñiga, J. A., Leon Morales, F. R., Berríos Contreras, L., Lorca, L. A., Ibañez Rojas, G. E., & Leao Ribeiro, I. (2023). Efectividad de los ejercicios hipopresivos en la reducción de síntomas de incontinencia urinaria y mejora de calidad de vida en mujeres menopáusicas: una revisión sistemática de ensayos clínicos aleatorizados (Effectiveness of hypopressive exercises in reducing urinary incontinence symptoms and improving quality of life in menopausal wo-men: a systematic review of randomized clinical trials). Retos, 47, 920–925. https://doi.org/10.47197/retos.v47.96081

Schettino, M. T., Mainini, G., Ercolano, S., Vascone, C., Scalzone, G., D’Assisi, D., Tormettino, B., Gimigliano, F., Esposito, E., Di Donna, M. C., Colacurci, N., & Torella, M. (2014). Risk of pelvic floor dysfunctions in young ath-letes. Clinical and Experimental Obstetrics & Gynecology, 41(6), 671-676.

Simeone, C., Moroni, A., Pettenò, A., Antonelli, A., Zani, D., Orizio, C., & Cosciani Cunico, S. (2010). Occurrence rates and predictors of lower urinary tract symptoms and incontinence in female athletes. Urologia, 77(2), 139-146.

Sorrigueta-Hernández, A., Padilla-Fernandez, B.-Y., Marquez-Sanchez, M.-T., Flores-Fraile, M.-C., Flores-Fraile, J., Moreno-Pascual, C., Lorenzo-Gomez, A., Garcia-Cenador, M.-B., & Lorenzo-Gomez, M.-F. (2020). Benefits of Physiotherapy on Urinary Incontinence in High-Performance Female Athletes. Meta-Analysis. Journal of Clinical Medicine, 9(10). https://doi.org/10.3390/jcm9103240

Validation Methodology | ICIQ. (s. f.). Recuperado 5 de abril de 2021, de https://iciq.net/validation-methodology

Vio, F., Lera, L., Fuentes-García, A., & Salinas, J. (2016). Método Delphi para buscar consenso sobre metodologías educativas en alimentación saludable para alumnos de tercero a quinto año básico, sus familias y profesores. Nutrición Hospitalaria, 33(4), 801-807. https://doi.org/10.20960/nh.373

Published

2024-11-11

How to Cite

Vázquez Méndez, A., Naia, Z., & Bello, O. (2024). Design and validation of a questionnaire about Urinary Incontinence in female athletes based on the Delphi method. Retos, 62, 480–491. https://doi.org/10.47197/retos.v62.109172

Issue

Section

Original Research Article

Most read articles by the same author(s)