Day-to-Day Impact of Vaginal Aging Questionnaire

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Top Contributors - Khloud Shreif  

Objective[edit | edit source]

The Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire represents a recent and multidimensional self-report assessment tool. Its primary purpose is to enable a thorough evaluation of how vaginal symptoms specifically impact the daily experiences and lives of a wide-ranging including individuals from various cultural, ethnic, and demographic backgrounds[1].

Intended Population[edit | edit source]

The intended population for the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire is postmenopausal women. It is designed to assess and evaluate the impact of vaginal aging-related symptoms and issues on the daily lives and quality of life of women who have gone through menopause.

Method of Use[edit | edit source]

The DIVA questionnaire is divided into four sections, each focusing on different aspects of how vaginal symptoms affect women:

  1. Daily Activities: This section has 5 items.
  2. Emotional Well-Being: It contains 4 items.
  3. Sexual Functioning: There are 5 items in the short version and 9 items in the longer version.
  4. Self-Concept and Body Image: This section comprises 5 items.

In each section, items are rated on a scale from 0 to 4 to assess the impact of vaginal symptoms, with higher scores denoting greater impact of vaginal symptoms[2][1].

Evidence[edit | edit source]

Reliability[edit | edit source]

It showed excellent internal consistency 0.82 to 0.93.

Test-retest correlations, assessing the questionnaire's consistency over time, ranged from 0.47 to 0.72.

Validity[edit | edit source]

Construct validity: DIVA questionnaire's validity was assessed through its correlations with other measures as following

  • Strong links between DIVA's scales and vaginal symptom bothersomeness, Female Sexual Function Index Scoring (FSFI), and Female Sexual Distress Scale (FSDS)[3].
  • The DIVA's sexual functioning scale strongly matched a generic sexual problems measure.
  • Its emotional well-being scale moderately related to the HADS depression and anxiety scores. and strong correlations between with PHQ-8 scores
  • Poor connections were found between DIVA's self-concept/body image scale and HADS scores[2].

Responsiveness[edit | edit source]

The DIVA questionnaire showcases potential for both epidemiologic and therapeutic research. Its application could extend to clinical practice, helping healthcare providers evaluate the effects of treatments on patients’ functionality and well-being, and demonstrated good psychometric properties, indicating its potential for use in both research and clinical settings to evaluate the impact of vaginal symptoms in postmenopausal women[3].

Miscellaneous[edit | edit source]

DIVA doesn't specifically address issues related to sexual activity, which could explain the lack of observed correlation in this subset of participants. The analysis also points out that more research is needed to determine the clinical relevance of observed DIVA score differences[3].

References[edit | edit source]

  1. 1.0 1.1 Hunter MM, Nakagawa S, Van Den Eeden SK, Kuppermann M, Huang AJ. Predictors of impact of vaginal symptoms in postmenopausal women. Menopause (New York, NY). 2016 Jan;23(1):40.
  2. 2.0 2.1 Huang AJ, Gregorich SE, Kuppermann M, Nakagawa S, Van Den Eeden SK, Brown JS, Richter HE, Walter LC, Thom D, Stewart AL. The day-to-day impact of vaginal aging questionnaire: A multidimensional measure of the impact of vaginal symptoms on functioning and well-being in postmenopausal women. Menopause (New York, NY). 2015 Feb;22(2):144.
  3. 3.0 3.1 3.2 Hunter MM, Guthrie KA, Larson JC, Reed SD, Mitchell CM, Diem SJ, LaCroix AZ, Huang AJ. Convergent-divergent validity and correlates of the day-to-day impact of vaginal aging domain scales in the MsFLASH vaginal health trial. The journal of sexual medicine. 2020 Jan;17(1):117-25.