Browsing by Author "Cankaya, Hatice"

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Turkish Adaptation and Psychometric Evaluation of the Barriers to Incontinence Care-Seeking Questionnaire
(Springer London Ltd, 2025-07-07) Yesilyurt, Seda Yakit; Hekimoglu, Hanife Busra; Goksuluk, Merve Basol; Gonzalez, Patricia Brihuega; Cankaya, Hatice; Ozengin, Nuriye; Brihuega González, Patricia; Başol Göksülük, Merve; Yakit Yeşilyurt, Seda
Introduction and HypothesisThis study was aimed at adapting, validating, and assessing the reliability of the Turkish version of the "Barriers to Incontinence Care-Seeking Questionnaire" (BICS-Q).MethodsOne hundred and forty-eight Turkish women with mild to moderate urinary incontinence (UI) was assessed. The adaptation process was conducted in alignment with the COSMIN guidelines: forward-backward translation, expert review, cultural adaptation, and a pilot study. For construct validity, items from the study by El-Azab and Shaaban, which measure barriers to seeking care for incontinence, were adapted to this self-reported questionnaire (BICS-Q), and their associations with the total score as well as the subscale scores of the questionnaire were evaluated. Cronbach's alpha was used for internal consistency, and the intraclass correlation (ICC) coefficient was estimated for test-retest reliability.ResultsThe psychometric analyses indicated that the Turkish BICS-Q has high internal consistency (Cronbach's alpha = 0.846) and test-retest reliability (ICC = 0.854). Item analysis revealed that each item was significantly correlated with the total score, thereby confirming construct validity. It was also found that embarrassment, financial concerns, and low expectations from medical consultation were ranked as the most important barriers to treatment.ConclusionsThis study demonstrated the applicability of the Turkish BICS-Q for both research and clinical purposes, emphasizing its role in identifying health care inequalities and guiding policy improvements for women with UI. The present validation study provides evidence that the Turkish BICS-Q is an appropriate tool for assessing barriers to incontinence care seeking that can be used to further research and interventions toward overcoming the barriers in Turkey.
Turkish Validity and Reliability of PRAFAB Questionnaire: A Validation Study
(Bayrakol Medical Publisher, 2026) Ipekten, Funda; Berghmans, Bary; Ozengin, Nuriye; Yesilyurt, Seda Yakit; Yildiz, Elif Duygu; Cankaya, Hatice
Aim: PRAFAB-Questionnaire is a short, responsive, and practical tool that assesses subjective severity and the impact of urinary incontinence (UI). The aim of this study was to conduct a Turkish adaptation, validity and reliability of the PRAFAB-Questionnaire. Methods: A total of 55 women with stress and mixed UI complaints were included in the study. The English version of the questionnaire was translated into Turkish. Explanatory and confirmatory factor analysis, concurrent validity (with Incontinence Severity Index (ISI) and Visual Analogue Scale (VAS) for body/selfimage) and face validity were conducted for validity. Women were asked to refill the questionnaire after one week. Test-retest results and Cronbach's alpha coefficient were calculated for reliability analysis. Results: Explanatory factor analysis revealed that the questionnaire had only one factor, and confirmatory factor analysis confirmed this single factor. There was a moderate positive correlation between PRAFAB-Questionnaire and VAS scores (r = 0.690, p < .001). There was a strong positive correlation between PRAFAB-Questionnaire and ISI (r = 0.741, p < .001). PRAFAB also had face validity. Reliability between PRAFAB-Questionnaire items and total score was good to excellent (ICC: 0.807-0.925). Cronbach's alpha coefficient was 0.720. Conclusion: Turkish version of PRAFAB-Questionnaire has been shown valid and reliable. The responsiveness of the questionnaire needs to be evaluated for different types of UI for further studies.