ArticleInternational urogynecology journal2026
Preliminary Content Validation and Translation of the Modified Initial Measurement of Patient-Reported Pelvic Floor Complaints Tool Short Form in Kannada.
Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and hypothesisPelvic 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.
methodsThe 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.
resultsThe 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.
conclusionThe 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.
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