{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:28:42Z","timestamp":1787099322070,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the measurement properties of the International Consultation on Incontinence\u2014Perinatal Pelvic Health Self\u2010Assessment Questionnaire (ICIQ\u2010PPHSAQ) and to identify symptom subscales for scoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, Setting and Population<\/jats:title>\n                    <jats:p>Two cohorts of perinatal women (antenatal and postnatal) at nine NHS trusts in England completed ICIQ\u2010PPHSAQ at baseline (16\u201319\u2009weeks' gestation for the antenatal cohort and 6\u20139\u2009weeks postnatal for the postnatal cohort) and at up to three further timepoints, with follow\u2010up extending to 9\u2009months postnatal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Descriptive analyses and exploratory factor analyses (EFAs) identified symptom subscales from which subscale scores were calculated. Internal consistency was evaluated using Cronbach's alpha (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      ). Test\u2013retest reliability was assessed using an interval of 1\u2009week after baseline, using weighted Kappa (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      ) for individual ordinal items and the intraclass correlation coefficient (ICC) for subscale scores. Construct validity and known\u2010groups validity were assessed by comparison with the Patient Global Impression of Severity (PGI\u2010S). Responsiveness was assessed by examining the mean differences between baseline and each timepoint.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 162 antenatal women who were 16\u201319\u2009weeks gestation, and 173 women 6\u20139\u2009weeks postnatal were recruited. Almost all the items performed acceptably in the test\u2013retest analyses and completion rates were high in all the scored items (&lt;\u20095% missing data). EFAs derived nine symptom subscales; seven of which had acceptable overall reliability indicators, except the vaginal symptom and vaginal changes subscales. Known\u2010groups validity was demonstrated for all nine subscales, and six out of nine showed responsiveness to change (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) over the study time\u2010period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study provides evidence supporting the validity and reliability of ICIQ\u2010PPHSAQ, with responsiveness demonstrated across several domains. The instrument can be used to assess perinatal pelvic floor dysfunction risk factors and symptoms in English perinatal pelvic health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70236","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:00:14Z","timestamp":1775635214000},"page":"1876-1884","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Perinatal Pelvic Floor Dysfunction Symptoms and Risk Factors: Measurement Properties of the International Consultation on Incontinence\u2014Perinatal Pelvic Health Self\u2010Assessment Questionnaire (\n                    <scp>ICIQ<\/scp>\n                    \u2010\n                    <scp>PPHSAQ<\/scp>\n                    )"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-2322","authenticated-orcid":false,"given":"Alan","family":"Uren","sequence":"first","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5685-8079","authenticated-orcid":false,"given":"Anne","family":"Fee","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Abrams","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Avery","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"},{"name":"University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Sucha","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario (CHEO) Research Institute  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Barrowman","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario (CHEO) Research Institute  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nichola","family":"Bale","sequence":"additional","affiliation":[{"name":"Women and Children's Research Team, North Bristol NHS Trust, Southmead Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1825-4864","authenticated-orcid":false,"given":"Tim","family":"Draycott","sequence":"additional","affiliation":[{"name":"The Royal College of Obstetricians and Gynaecologists  London UK"},{"name":"Department of Obstetrics &amp; 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