ArticleFemale pelvic medicine & reconstructive surgery
Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.
Article in Female pelvic medicine & reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Patient-Reported Outcome Measures for Use in Women With Pelvic Organ Prolapse: A Systematic Review.Obstetrics and gynecology · 2023Pooled it
- Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial.The lancet. Gastroenterology & hepatology · 2019Trial
- Factors Associated With Self-reported Family History of Pelvic Floor Disorders.Urogynecology (Philadelphia, Pa.) · 2026Article
- Associations of urinary incontinence, absorbent product use, and confidence gained from absorbent product use with perceived ageism in later adulthood.The Gerontologist · 2026Article
- A mixed-methods scoping review on bladder self-care practices in women with and without lower urinary tract symptoms.Continence (Amsterdam, Netherlands) · 2026Article
- Assessing Self-Management Coping in Urinary Incontinence: Psychometric Evaluation of the UI-SMCSI in Middle-Aged Women.International urogynecology journal · 2026Article
- Associations of Self-Rated Deficits in Executive Function with Lower Urinary Tract Symptoms, Adaptive Behaviors, and Bladder Health among Women.Journal of women's health (2002) · 2026Article
- Association of Chronic Conditions With Bladder Health in Women: Cross-Sectional Results From the RISE FOR HEALTH Study.Preventing chronic disease · 2025Article
- Bladder health in US women: population-based estimates from the RISE FOR HEALTH study.American journal of obstetrics and gynecology · 2025Article
- Optimizing remote access to urinary incontinence treatments for women veterans (PRACTICAL): Study protocol for a pragmatic clinical trial comparing two virtual care options.Contemporary clinical trials · 2023Article
- Validation of bladder health scales and function indices for women's research.American journal of obstetrics and gynecology · 2023Article
- Design of a Randomized Controlled Trial of Percutaneous Posterior Tibial Nerve Stimulation for the Treatment of Refractory Fecal Incontinence in Women: The NeurOmodulaTion for Accidental Bowel Leakage Study.Female pelvic medicine & reconstructive surgery · 2021Article
- Measuring Bladder Health: Development and Cognitive Evaluation of Items for a Novel Bladder Health Instrument.The Journal of urology · 2021Article
- The responsiveness and minimally important difference for the Accidental Bowel Leakage Evaluation questionnaire.International urogynecology journal · 2020Article
- Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth.International urogynecology journal · 2020Article
- Accidental Bowel Leakage Evaluation: A New Patient-Centered Validated Measure of Accidental Bowel Leakage Symptoms in Women.Diseases of the colon and rectum · 2020Article
- Prevalence and predictors of double incontinence 1 year after first delivery.International urogynecology journal · 2018Article
Corrections and comments
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Authors and funding
14 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo establish validity for the Pelvic Floor Disorders Network (PFDN) self-administered Adaptive Behavior Index (ABI) and to assess whether ABI assesses known discordance between severity of pelvic floor symptoms and self-reported bother.
methodsIn addition to the ABI questionnaire, participants in 1 of 6 Pelvic Floor Disorders Network trials completed condition-specific measures of pretreatment symptom severity (including Pelvic Floor Distress Inventory; PFDI) and health-related quality of life (Pelvic Floor Impact Questionnaire; PFIQ). The final survey was developed from an iterative process using subject and expert endorsement, factor analyses, and response distributions. Domains were created using a development cohort (n = 304 women), reliability and validity were established using a validation cohort (n = 596 women), and test-retest reliability was assessed (n = 111 women).
resultsFactor analyses supported an 11-item avoidance domain and a 6-item hygiene domain. Cronbach' alphas were 0.88 and 0.68, respectively. Test-retest reliability was 0.84 for both domains. Construct validity was demonstrated in correlations between the ABI domains and baseline PFDI and PFIQ (r values, 0.43-0.79 with all P values <0.0001). Moreover, the ABI accounted for 8% to 26% of unexplained variance between the symptoms severity measure and the impact on health related quality of life. After treatment, avoidance domain scores improved for urinary and fecal incontinence groups and hygiene scores improved for the fecal incontinence group.
conclusionsThe ABI is a reliable and valid measure in women with pelvic floor disorders. Adaptive behaviors account in part for discordance between pelvic floor symptom severity and bother.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.