Cross-cultural adaptation of the “barriers to incontinence care seeking questionnaire” in a elderly women population in an outpatient clinic.

Abstract

Introduction: Urinary incontinence is a very frequent pathology in the female population, however it remains a hidden health problem. The main objective of the work is to cross-culturally adapt the BISC-Q questionnaire to be use spanish speaking population. Material and method: The cross-cultural adaptation of the Questionnaire (BICS-Q) was carried out in the following stages: initial translation, synthesis of the translations, retro-translation, expert committee, pre-test and review of the adaptation process by the researchers. Then, a content validation was carried out through a survey looking for new barriers that were not part of the original questionnaire. The responses of the patients were unified and categorized within the 5 original domains. Women over 65 years of age were included in an outpatient specialized center for older adults. Results: The survey included 164 women, 56% reported urine losses in the last 12 months, of which 71% never consulted the doctor about this problem. The answers about the barriers to consult were predominantly related to ignorance of the disease, shame and misconceptions about the treatment. The responses of the patients were unified and categorized within the 5 original domains. The new questionnaire retains three of the five domains of the BICS-Q, the domain "costs" and "related to the site" was removed and a new one was added on "lack of information". Conclusions: The Argentine version of the BICS-Q questionnaire is an instrument adapted for the evaluation of barriers to medical consultation due to urinary incontinence in spanish speaking women over 65 years of age.

Keywords

• incontinencia urinaria
• encuestas y cuestionarios
• comparación transcultural
• anciano