{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T19:19:51Z","timestamp":1774379991448,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T00:00:00Z","timestamp":1678492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Few instruments measure knowledge, attitudes, and beliefs (KAB) related to bladder health. Existing questionnaires have predominantly focused on KAB related to specific conditions such as urinary incontinence, overactive bladder, and other pelvic floor disorders. To address this literature gap, the Prevention of Lower Urinary Tract Symptoms (PLUS) research consortium developed an instrument that is being administered in the baseline assessment of the PLUS RISE FOR HEALTH longitudinal study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The bladder health knowledge, attitudes, and beliefs (BH\u2010KAB) instrument development process consisted of two phases, item development and evaluation. Item development was guided by a conceptual framework, review of existing KAB instruments, and a review of qualitative data from the PLUS consortium Study of Habits, Attitudes, Realities, and Experiences (SHARE). Evaluation comprised three methods to assess content validity and reduce and refine items: q\u2010sort, e\u2010panel survey, and cognitive interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final 18\u2010item BH\u2010KAB instrument assesses self\u2010reported bladder knowledge; perceptions of bladder function, anatomy, and related medical conditions; attitudes toward\u00a0different patterns of fluid intake, voiding, and nocturia; the potential to prevent or treat urinary tract infections and incontinence; and the impact of pregnancy and pelvic muscle exercises on bladder health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The PLUS BH\u2010KAB instrument may be used independently or in conjunction with other KAB instruments for a more comprehensive assessment of women's KAB related to bladder health. The BH\u2010KAB instrument can inform clinical conversations, health education programming, and research examining potential determinants of bladder health, LUTS, and related behavioral habits (e.g., toileting, fluid intake, pelvic muscle exercises).<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25168","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T12:34:31Z","timestamp":1678538071000},"page":"1055-1067","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Development of a tool to assess bladder health knowledge, attitudes, and beliefs (BH\u2010KAB)"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6694-4421","authenticated-orcid":false,"given":"Daphne Yvette","family":"LaCoursiere","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of California, San Diego La Jolla California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1785-0744","authenticated-orcid":false,"given":"Lisa","family":"Kane Low","sequence":"additional","affiliation":[{"name":"School of Nursing University of Michigan Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9661-647X","authenticated-orcid":false,"given":"Sara","family":"Putnam","sequence":"additional","affiliation":[{"name":"Division of Biostatistics University of Minnesota School of Public Health Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1431-8469","authenticated-orcid":false,"given":"Jean F.","family":"Wyman","sequence":"additional","affiliation":[{"name":"School of Nursing University of Minnesota Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-6397","authenticated-orcid":false,"given":"Diane K.","family":"Newman","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8876-9962","authenticated-orcid":false,"given":"Shayna","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Connecticut School of Medicine Farmington Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-8982","authenticated-orcid":false,"given":"Leslie","family":"Rickey","sequence":"additional","affiliation":[{"name":"Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5926-1107","authenticated-orcid":false,"given":"Amanda","family":"Berry","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1105-7323","authenticated-orcid":false,"given":"Sheila","family":"Gahagan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6713-794X","authenticated-orcid":false,"given":"Camille P.","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Birmingham, Atlanta Geriatric Research Education, and Clinical Center Atlanta Georgia USA"},{"name":"Department of Medicine, Division of Geriatrics &amp; 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