Yakıt Yeşilyurt, Seda

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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.
Citation - WoS: 1
Citation - Scopus: 1
Does Pelvic Floor Muscle Exercise Change the Hemodynamic Responses of the Inferior Vena Cava in Pregnant Women? a Prospective-Controlled Study
(Springer london ltd, 2024-07-04) Yakıt Yeşilyurt, Seda; Ramazanoğlu, İrem; Tosun, Gökhan; Özer, Mehmet; Çeliker Tosun, Özge; Tosun, Ozge Celiker; Yesilyurt, Seda Yakit
Introduction and HypothesisThis study was aimed at exploring the immediate impacts of pelvic floor muscle exercises (PFMEs) on various maternal physiological parameters in pregnant women.MethodsThe study included a total of 52 women, 26 pregnant (Pregnant group: 28.04 +/- 6.01 years; 26.83 +/- 3.81 kg/m2) and 26 nonpregnant (Control group: 29.42 +/- 5.73 years; 25.41 +/- 3.03 kg/m2) individuals. All women received PFME as follows: PFME was performed for 5 min (6-s holding contraction, 10 s of relaxation, 3 rapid PFM contractions). Evaluations were conducted before, immediately after, and 5 min post-exercise, with measurements including inferior vena cava (IVC) diameters and pulsatility index, blood pressure, oxygen saturation, and heart rates. Two-way analysis of variance was performed for group and time comparisons in repeated measurements.ResultsIn both groups, the IVC collapsibility index values were lower 5 min after exercise, although this decrease, although clinically significant, did not reach statistical significance (p = 0.057). Post-exercise systolic blood pressure significantly decreased in both groups, whereas diastolic blood pressure decreased significantly in the pregnant group (p = 0.001, p = 0.023).ConclusionsThe study found no statistically significant changes in the collapsibility index of the IVC after PFME but observed a clinically suggestive decrease. The clinical decrease in the collapsibility index can be interpreted as PFME in the supine position increasing venous return. Additionally, PFME was found not to alter maternal and fetal heart rates but contributed to the decrease in maternal systolic and diastolic blood pressure. Our study supports the view that the acute effects of PFME neither induce fetal stress nor pose maternal risks.

Journal	Count
International Urogynecology Journal	3
Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi	1
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi	1
International Journal of Gynecology & Obstetrics	1
Internatıonal Urogynecology Journal	1

Yakıt Yeşilyurt, Seda

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Sustainable Development Goals

NO POVERTY

ZERO HUNGER

GOOD HEALTH AND WELL-BEING

QUALITY EDUCATION

GENDER EQUALITY

CLEAN WATER AND SANITATION

AFFORDABLE AND CLEAN ENERGY

DECENT WORK AND ECONOMIC GROWTH

INDUSTRY, INNOVATION AND INFRASTRUCTURE

REDUCED INEQUALITIES

SUSTAINABLE CITIES AND COMMUNITIES

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PEACE, JUSTICE AND STRONG INSTITUTIONS

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9

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1

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7

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7

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15

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15

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9

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