Pelvic Floor Impact Questionnaire (PFIQ - 7): Difference between revisions

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(Objective, method of use)
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[[Image:Pelvic floor.jpg|right]]  
[[Image:Pelvic floor.jpg|right]]  


The PFIQ-7 is a shortened version of the PFIQ and is used to assess life impact in women with pelvic floor disorders.&nbsp; It includes all of the Incontinence Impact Questionnaire-7 as well as items related to other pelvic floor disorders.<ref name="Barber">Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 2005;193:103-113.</ref>  
The Pelvic Floor Impact Questionnaire-7 (PFIQ-7) is a shortened, less comprehensive version of the Pelvic Floor Impact Questionnaire (PFIQ).<ref name="Barber">Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). American journal of obstetrics and gynecology. 2005 Jul 1;193(1):103-13.</ref> It was created by Barber and colleagues (2004)<ref name="Barber" /> to save time, yet remain effective, in clinical and research encounters. It is a health-related quality of life questionnaire that is specific for women with pelvic floor conditions.<ref name="Barber" /> It includes scales from the Urinary Impact Questionnaire (UIQ-7), Pelvic Organ Prolapse Impact Questionnaire (POPIQ-7), and the Colorectal-Anal Impact Questionnaire-7 (CRAIQ-7).<ref name="Barber" />


==Intended Population ==
==Intended Population ==


Women with disorders of the pelvic floor including [[Incontinence|urinary incontinence]], [[Pelvic Organ Prolapse|pelvic organ prolapse]], and fecal incontinence.<ref name="Barber" />
Women with pelvic floor conditions including [[Incontinence|urinary incontinence]], [[Pelvic Organ Prolapse|pelvic organ prolapse]], and fecal incontinence.<ref name="Barber" />


== Method of Use  ==
== Method of Use  ==


The PFIQ-7 consists of 3 scales of 7 questions each taken from&nbsp; the Urinary Impact Questionnaire, the Pelvic Organ Prolapse Impact Questionnaire, and the Colorectal-Anal Impact Questionnaire.&nbsp; The 3 scales are scored from 0 (least impact) to 100 (greatest impact) and an overall summary score (0 to 300).<ref name="Barber" />
The PFIQ-7 consists of 7 questions that need to be answered 3 times each (corresponds to the scales previously mentioned) considering symptoms related to the bladder or urine, vagina or pelvis, and bowel or rectum and their effect on function, social health, and mental health in the past 3 months. The responses for each question range from "not at all," which is a 0, to "quite a bit," which is a 4. The total for each of the 3 scales is configured. They are then added together, divided by 3, and then multiplied by 100 to get the PFIQ-7 score.


== Evidence  ==
== Evidence  ==
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== Links  ==
== Links  ==


[http://www.rehabmeasures.org/Lists/RehabMeasures/PrintView.aspx?ID=1119 Pelvic Floor Impact Questionnaire (PFIQ-7) on the Rehabilitation Measures Database]  
[https://www.sralab.org/sites/default/files/2017-06/Pelvic%20Floor%20Impact%20Questionnaire%20%28PFIQ-7%29.pdf Pelvic Floor Impact Questionnaire (PFIQ-7) on the Rehabilitation Measures Database]  


[http://www.womenshealthapta.org/wp-content/uploads/2013/12/PFDI-PFIQ.pdf Paper by Barber et al 2005 describing the development of the PFIQ-7]  
[http://www.womenshealthapta.org/wp-content/uploads/2013/12/PFDI-PFIQ.pdf Paper by Barber et al 2005 describing the development of the PFIQ-7]  
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[[Category:Outcome_Measures]]
[[Category:Outcome_Measures]]
[[Category:Pelvic Health]] [[Category:Pelvis]] [[Category:Womens_Health]] [[Category:Pelvis]] [[Category:Pelvis - Outcome Measures]]
[[Category:Pelvic Health]]  
[[Category:Pelvis]]  
[[Category:Womens_Health]]  
[[Category:Pelvis]]  
[[Category:Pelvis - Outcome Measures]]

Revision as of 04:38, 25 June 2020

Objective[edit | edit source]

Pelvic floor.jpg

The Pelvic Floor Impact Questionnaire-7 (PFIQ-7) is a shortened, less comprehensive version of the Pelvic Floor Impact Questionnaire (PFIQ).[1] It was created by Barber and colleagues (2004)[1] to save time, yet remain effective, in clinical and research encounters. It is a health-related quality of life questionnaire that is specific for women with pelvic floor conditions.[1] It includes scales from the Urinary Impact Questionnaire (UIQ-7), Pelvic Organ Prolapse Impact Questionnaire (POPIQ-7), and the Colorectal-Anal Impact Questionnaire-7 (CRAIQ-7).[1]

Intended Population[edit | edit source]

Women with pelvic floor conditions including urinary incontinence, pelvic organ prolapse, and fecal incontinence.[1]

Method of Use[edit | edit source]

The PFIQ-7 consists of 7 questions that need to be answered 3 times each (corresponds to the scales previously mentioned) considering symptoms related to the bladder or urine, vagina or pelvis, and bowel or rectum and their effect on function, social health, and mental health in the past 3 months. The responses for each question range from "not at all," which is a 0, to "quite a bit," which is a 4. The total for each of the 3 scales is configured. They are then added together, divided by 3, and then multiplied by 100 to get the PFIQ-7 score.

Evidence[edit | edit source]

Reliability[edit | edit source]

Each of the 3 scales (Urinary Impact Questionnaire, Pelvic Organ Prolapse Impact Questionnaire, and Colorectal-Anal Impact Questionnaire) correlates highly with their long forms (r = .96, r - .96, r = .94, respectively, P< .0001).[1]

Validity[edit | edit source]

The PFIQ-7 demonstrates construct validity as it demonstrates a significant association with appropriate measures of symptom severity and pelvic floor diagnoses.[1]

Responsiveness[edit | edit source]

The PFIQ-7 demonstrated moderate responsiveness with an effect size of .67 and a standardized response mean of .63.  The ability of the PFIQ-7 to discriminate between subjects who indicated that they were "worse" after surgery from those who indicated they were "better" was excellent with c-statistic of .88[1]

Miscellaneous[edit | edit source]

The PFIQ-7 demonstrated a statistically significant improvement at 3 to 6 months after surgery, but the responsiveness was somewhat less than the PFDI-20.

One of the strengths of the PFIQ-7 is that it give a comprehensive assessment of the effect of pelvic floor disorders on the quality of life of women, rather than only assessing one aspect of pelvic floor function such as urinary incontinence.  Its relative length makes it easy to use in both clinical and research settings.

Further studies are needed to determine the between-treatment MCID (clinically meaningful change in quality of life[2]) and the MCID of the individual scales.[1]

Links[edit | edit source]

Pelvic Floor Impact Questionnaire (PFIQ-7) on the Rehabilitation Measures Database

Paper by Barber et al 2005 describing the development of the PFIQ-7

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References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). American journal of obstetrics and gynecology. 2005 Jul 1;193(1):103-13.
  2. Crosby RD, Kolotkin RL, Rhys Williams G. Defining clinicallyfckLRmeaningful change in health-related quality of life. J ClinfckLREpidemiol 2003;56:395-407