Persian version of the international consultation on incontinence questionnaire-pediatric lower urinary tract symptoms caregiver module: translation, validation and cultural adaptation.
4 affiliations
- 1School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
- 2Department of Urology, West Virginia University, Morgantown, WV, USA.
- 3Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
- 4Isfahan Kidney Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. [email protected].
Abstract
Background
Currently, the International Consultation on Incontinence Questionnaire-Pediatric Lower Urinary Tract Symptoms (ICIQ-CLUTS), a well-established tool for assessing LUTS in children, is not available in Persian. This study aims to translate and validate this tool for Persian-speaking caregivers.Methods
The ICIQ-CLUTS was translated and validated following ICIQ recommendations. The final version was self-administered by 67 caregivers of children aged 5 to 9 years. The study was conducted between June and November 2024. A concise clinical diagnosis of LUTS was used as a diagnostic reference. Internal consistency (Cronbach's α) and test-retest reliability (Intraclass Correlation Coefficient, ICC) were computed to assess the reliability. Construct validity was measured through exploratory factor analysis (EFA) by principal component analysis (PCA) using varimax rotation. Discriminative validity was measured using ROC analysis and diagnostic accuracy metrics.Results
Of the total 67 participants, 32 were cases. Internal consistency was good (α = 0.768), and test-retest reliability was excellent (ICC = 0.983). Standard error of measurement and minimum detectable change were 0.53 and 1.46, respectively. EFA found three factors-urgency, incontinence and bladder control, and voiding and bowel dysfunction-accounting for 72.1% of the variance. The questionnaire demonstrated excellent discriminative capability (AUC = 0.917, 95% CI: 0.848-0.986). Additionally, 75% sensitivity, 100% specificity, and 88.1% accuracy were obtained for a cut-off point of 15.5.Conclusion
ICIQ-CLUTS-Pe is psychometrically sound and culturally adapted to discriminate LUTS among Persian-speaking caregivers. The tool is validated to effectively quantify symptom severity and monitor treatment response in both clinical and research settings.
Related
- Translation and Validation of the 5-Item Dry Eye Questionnaire into Lithuanian
- Translation and Validation of the Japanese version of the Adult Picky Eating Questionnaire (J-APEQ)
- Translation, Cultural Adaptation, and Validation of the Turkish Version of the St George's Respiratory Questionnaire for Idiopathic Pulmonary Fibrosis (SGRQ-I).
- Validation and reliability testing of the Persian translation of the Vertigo Handicap Questionnaire
- International Validation of the Short Version of the Quality of Life Relevance-Acne Questionnaire
BibTeX
@article{norouzi2026persian,
title = {{Persian version of the international consultation on incontinence questionnaire-pediatric lower urinary tract symptoms caregiver module: translation, validation and cultural adaptation.}},
author = {Mahdi Norouzi and Elham Aghaei and Farshid Alizadeh and Jalil Hosseini and Mahtab Zargham and Farshad Gholipour},
journal = {BMC pediatrics},
year = {2026},
month = jul,
doi = {10.1186/s12887-026-07386-1},
url = {https://europepmc.org/article/MED/42907982},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Persian version of the international consultation on incontinence questionnaire-pediatric lower urinary tract symptoms caregiver module: translation, validation and cultural adaptation.
AU - Mahdi Norouzi
AU - Elham Aghaei
AU - Farshid Alizadeh
AU - Jalil Hosseini
AU - Mahtab Zargham
AU - Farshad Gholipour
PY - 2026
DA - 2026/07/01
JO - BMC pediatrics
DO - 10.1186/s12887-026-07386-1
UR - https://europepmc.org/article/MED/42907982
AB - Background Currently, the International Consultation on Incontinence Questionnaire-Pediatric Lower Urinary Tract Symptoms (ICIQ-CLUTS), a well-established tool for assessing LUTS in children, is not available in Persian. This study aims to translate and validate this tool for Persian-speaking caregivers.Methods The ICIQ-CLUTS was translated and validated following ICIQ recommendations. The final version was self-administered by 67 caregivers of children aged 5 to 9 years. The study was conducted between June and November 2024. A concise clinical diagnosis of LUTS was used as a diagnostic reference. Internal consistency (Cronbach's α) and test-retest reliability (Intraclass Correlation Coefficient, ICC) were computed to assess the reliability. Construct validity was measured through exploratory factor analysis (EFA) by principal component analysis (PCA) using varimax rotation. Discriminative validity was measured using ROC analysis and diagnostic accuracy metrics.Results Of the total 67 participants, 32 were cases. Internal consistency was good (α = 0.768), and test-retest reliability was excellent (ICC = 0.983). Standard error of measurement and minimum detectable change were 0.53 and 1.46, respectively. EFA found three factors-urgency, incontinence and bladder control, and voiding and bowel dysfunction-accounting for 72.1% of the variance. The questionnaire demonstrated excellent discriminative capability (AUC = 0.917, 95% CI: 0.848-0.986). Additionally, 75% sensitivity, 100% specificity, and 88.1% accuracy were obtained for a cut-off point of 15.5.Conclusion ICIQ-CLUTS-Pe is psychometrically sound and culturally adapted to discriminate LUTS among Persian-speaking caregivers. The tool is validated to effectively quantify symptom severity and monitor treatment response in both clinical and research settings.
SN - 1471-2431
ER -