{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T04:34:25Z","timestamp":1773203665784,"version":"3.50.1"},"reference-count":38,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2022KY188"],"award-info":[{"award-number":["2022KY188"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2024KY1146"],"award-info":[{"award-number":["2024KY1146"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Scientific Research Foundation of the National Health Commission","award":["WKJ-ZJ-2211"],"award-info":[{"award-number":["WKJ-ZJ-2211"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,10,25]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>A significant number of women may experience urinary incontinence (UI) during pregnancy. While lifestyle modifications are recommended as important measures for preventing and treating UI, little is known about the lifestyle status of gravida with UI. This study aimed to develop the Lifestyle Profile Scale for Gravida with Urinary Incontinence (LPG-UI) and to evaluate its psychometric properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>It was an instrument design study carried out in two stages. In stage 1, a literature review was conducted to generate the initial item pool. Subsequently, a Delphi survey was conducted to obtain expert consensus and reduce the items. In stage 2, further item reduction was performed through item analysis. Then, psychometric properties of the instrument were evaluated, including structural validity, internal consistency, split-half reliability, test\u2013retest reliability and criterion validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was conducted in obstetric clinics of a tertiary maternity hospital in Zhejiang Province, mainland China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A sample of 447 pregnant women with UI were enrolled in stage 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A 24-item, 7-dimension lifestyle profile scale was ultimately obtained. The content validity was satisfactory. The split-half reliability and total-scale Cronbach\u2019s alpha coefficient were 0.890 and 0.819, respectively. The criterion validity was 0.598. The seven-factor model, which accounted for 63.667% of the total item variance, demonstrated a good fit with the data (\n                      <jats:inline-formula>\n                        <m:math xmlns:m=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" overflow=\"scroll\">\n                          <m:mi>\u03c7<\/m:mi>\n                          <m:mn>2<\/m:mn>\n                          <m:mo>\/<\/m:mo>\n                          <m:mi>d<\/m:mi>\n                          <m:mi>f<\/m:mi>\n                        <\/m:math>\n                      <\/jats:inline-formula>\n                      =1.672, root mean square error of approximation=0.053, goodness of fit=0.884).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The LPG-UI has sufficient validity and reliability for assessing the lifestyle status of pregnant women with UI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-085493","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T00:00:17Z","timestamp":1732924817000},"page":"e085493","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Lifestyle Profile Scale for Gravida with Urinary Incontinence: scale development and psychometric testing in Chinese Mainland"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7413-1554","authenticated-orcid":false,"given":"Minna","family":"Mao","sequence":"first","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"},{"name":"School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2434-8437","authenticated-orcid":false,"given":"Ping","family":"Xu","sequence":"additional","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"},{"name":"School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5091-9387","authenticated-orcid":false,"given":"Ping-ping","family":"Guo","sequence":"additional","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"},{"name":"School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1947-5140","authenticated-orcid":false,"given":"Xiaojuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8788-0680","authenticated-orcid":false,"given":"Hongyan","family":"Wang","sequence":"additional","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0883-0418","authenticated-orcid":false,"given":"Suwen","family":"Feng","sequence":"additional","affiliation":[{"name":"Women's Hospital School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"2025120523500051000_14.11.e085493.1","unstructured":"Altman D , Cartwright R , Lapitan MC , et al . 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Bristol: International Continence Society, 2017: 4\u2013142."},{"key":"2025120523500051000_14.11.e085493.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-023-05633-2","article-title":"Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework","volume":"23","author":"Xu","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025120523500051000_14.11.e085493.3","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1007\/s00192-020-04636-3","article-title":"Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis","volume":"32","author":"Moossdorff-Steinhauser","year":"2021","journal-title":"Int Urogynecol J"},{"key":"2025120523500051000_14.11.e085493.4","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/0391560320974880","article-title":"Urinary incontinence experiences of pregnant women: A qualitative study","volume":"88","author":"Erkal Aksoy","year":"2021","journal-title":"Urologia"},{"key":"2025120523500051000_14.11.e085493.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-023-16901-3","article-title":"Pelvic floor dysfunction: prevalence and associated factors","volume":"23","author":"Peinado-Molina","year":"2023","journal-title":"BMC Public Health"},{"key":"2025120523500051000_14.11.e085493.6","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1002\/nau.24442","article-title":"Factors involved in the persistence of stress urinary incontinence from postpartum to 12 years after first delivery","volume":"39","author":"Diez-Itza","year":"2020","journal-title":"Neurourol Urodyn"},{"key":"2025120523500051000_14.11.e085493.7","first-page":"289","article-title":"Update of guideline on the diagnosis and treatment of female stress urinary incontinence (2017)","volume":"52","author":"CSoOa","year":"2017","journal-title":"Chin J Obstet Gynecol"},{"key":"2025120523500051000_14.11.e085493.8","doi-asserted-by":"crossref","first-page":"822","DOI":"10.5603\/GP.a2021.0206","article-title":"Urogynecology Section of the Polish Society of Gynecologists and Obstetricians guidelines on the management of stress urinary incontinence in women","volume":"92","author":"Stangel-Wojcikiewicz","year":"2021","journal-title":"Ginekol Pol"},{"key":"2025120523500051000_14.11.e085493.9","unstructured":"National institute for health and care excellence . Guidelines. Pelvic floor dysfunction: prevention and non-surgical management. 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