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Open AccessArticle

How Do We Assess Patient Skills in a Competence-Based Program? Assessment of Patient Competences Using the Spanish Version of the Prolapse and Incontinence Knowledge Questionnaire and Real Practical Cases in Women with Pelvic Floor Disorders

1
Physiotherapy in Women’s Health Research Group, Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28871 Madrid, Spain
2
Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(5), 2377; https://doi.org/10.3390/ijerph18052377
Received: 1 February 2021 / Revised: 24 February 2021 / Accepted: 25 February 2021 / Published: 1 March 2021
(This article belongs to the Section Women's Health)
Therapeutic patient education programs must assess the competences that patients achieve. Evaluation in the pedagogical domain ensures that learning has taken place among patients. The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) is a tool for assessing patient knowledge about urinary (UI) and pelvic organ prolapse (POP) conditions. The aim of this study was to translate the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) into Spanish and test its measurement properties, as well as propose real practical cases as a competence assessment tool. The cross-cultural adaptation was conducted by a standardized translation/back-translation method. Measurement properties analysis was performed by assessing the validity, reliability, responsiveness, and interpretability. A total of 275 women were recruited. The discriminant validity showed statistically significant differences in the PIKQ scores between patients and expert groups. Cronbach’s alpha revealed good internal consistency. The test–retest reliability showed excellent correlation with UI and POP scales. Regarding responsiveness, the effect size, and standardized response mean demonstrated excellent values. No floor or ceiling effects were shown. In addition, three “real practical cases” evaluating skills in identifying and analyzing, decision making, and problem-solving were developed and tested. The Spanish PIKQ is a comprehensible, valid, reliable, and responsive tool for the Spanish population. Real practical cases are useful competence assessment tools that are well accepted by women with pelvic floor disorders (PFD), improving their understanding and their decision-making regarding PFD. View Full-Text
Keywords: validation; Spanish; prolapse and incontinence knowledge questionnaire (PIKQ); patient education; patient competence; patient competence assessment; competence assessment tools; pelvic floor disorders validation; Spanish; prolapse and incontinence knowledge questionnaire (PIKQ); patient education; patient competence; patient competence assessment; competence assessment tools; pelvic floor disorders
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MDPI and ACS Style

Sánchez-Sánchez, B.; Arranz-Martín, B.; Navarro-Brazález, B.; Vergara-Pérez, F.; Bailón-Cerezo, J.; Torres-Lacomba, M. How Do We Assess Patient Skills in a Competence-Based Program? Assessment of Patient Competences Using the Spanish Version of the Prolapse and Incontinence Knowledge Questionnaire and Real Practical Cases in Women with Pelvic Floor Disorders. Int. J. Environ. Res. Public Health 2021, 18, 2377. https://doi.org/10.3390/ijerph18052377

AMA Style

Sánchez-Sánchez B, Arranz-Martín B, Navarro-Brazález B, Vergara-Pérez F, Bailón-Cerezo J, Torres-Lacomba M. How Do We Assess Patient Skills in a Competence-Based Program? Assessment of Patient Competences Using the Spanish Version of the Prolapse and Incontinence Knowledge Questionnaire and Real Practical Cases in Women with Pelvic Floor Disorders. International Journal of Environmental Research and Public Health. 2021; 18(5):2377. https://doi.org/10.3390/ijerph18052377

Chicago/Turabian Style

Sánchez-Sánchez, Beatriz; Arranz-Martín, Beatriz; Navarro-Brazález, Beatriz; Vergara-Pérez, Fernando; Bailón-Cerezo, Javier; Torres-Lacomba, María. 2021. "How Do We Assess Patient Skills in a Competence-Based Program? Assessment of Patient Competences Using the Spanish Version of the Prolapse and Incontinence Knowledge Questionnaire and Real Practical Cases in Women with Pelvic Floor Disorders" Int. J. Environ. Res. Public Health 18, no. 5: 2377. https://doi.org/10.3390/ijerph18052377

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