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Introduction and Hypothesis <p>Pelvic floor disorders (PFDs) are globally prevalent conditions with significant regional variations, necessitating culturally specific patient-reported outcome measures (PROMs). Validated PROM, such as the Initial Measurement of Patient-Reported Pelvic Floor Complaints Tool Short Form (IMPACT-SF), quantify pelvic floor symptoms, but do not assess toileting behaviours or all the Rome IV criteria. Thus, the study aimed to adapt the original tool and translate the modified IMPACT-SF into Kannada.</p> Methods <p>The study was conducted in three phases: (i) Phase 1: Adaptation of IMPACT-SF, (ii) Phase 2: Content validation of modified IMPACT-SF and (iii) Phase 3: Translation of modified IMPACT-SF to Kannada. This study followed the guidelines of the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) and those of Beaton et al. (Spine 2000;25(24):3186–91). The 11 experts were asked about comprehensiveness, relevance, sentence formation, clarity and suggestions during the content validation. The item- and scale-level content validity indices (I-CVI and S-CVI) were finalised following the third round of expert evaluation. Five female participants were included for the critical review of questions. The translation of the modified IMPACT-SF was completed following cognitive debriefing of 30 female participants.</p> Results <p>The modified IMPACT-SF demonstrated excellent content validity (S-CVI 0.92–0.97). Minor amendments were made to the Kannada version of the modified IMPACT-SF.</p> Conclusion <p>The modified IMPACT-SF was culturally adapted and content-validated; however, complete psychometric validation remains outstanding. As a preliminary screening tool, it addresses gaps unmet by existing PROMs, warranting field testing in a clinically diverse PFD population.</p> Graphical Abstract <p></p>

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Preliminary Content Validation and Translation of the Modified Initial Measurement of Patient-Reported Pelvic Floor Complaints Tool Short Form in Kannada

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月22日

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  • Neha Shetty,
  • Rajeshwari G. Bhat,
  • Bhamini Krishna Rao

摘要

Introduction and Hypothesis

Pelvic floor disorders (PFDs) are globally prevalent conditions with significant regional variations, necessitating culturally specific patient-reported outcome measures (PROMs). Validated PROM, such as the Initial Measurement of Patient-Reported Pelvic Floor Complaints Tool Short Form (IMPACT-SF), quantify pelvic floor symptoms, but do not assess toileting behaviours or all the Rome IV criteria. Thus, the study aimed to adapt the original tool and translate the modified IMPACT-SF into Kannada.

Methods

The study was conducted in three phases: (i) Phase 1: Adaptation of IMPACT-SF, (ii) Phase 2: Content validation of modified IMPACT-SF and (iii) Phase 3: Translation of modified IMPACT-SF to Kannada. This study followed the guidelines of the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) and those of Beaton et al. (Spine 2000;25(24):3186–91). The 11 experts were asked about comprehensiveness, relevance, sentence formation, clarity and suggestions during the content validation. The item- and scale-level content validity indices (I-CVI and S-CVI) were finalised following the third round of expert evaluation. Five female participants were included for the critical review of questions. The translation of the modified IMPACT-SF was completed following cognitive debriefing of 30 female participants.

Results

The modified IMPACT-SF demonstrated excellent content validity (S-CVI 0.92–0.97). Minor amendments were made to the Kannada version of the modified IMPACT-SF.

Conclusion

The modified IMPACT-SF was culturally adapted and content-validated; however, complete psychometric validation remains outstanding. As a preliminary screening tool, it addresses gaps unmet by existing PROMs, warranting field testing in a clinically diverse PFD population.

Graphical Abstract