Table 1 Development of the preliminary 41 items and steps taken for item reduction
Development of the inventory | Psychometric evaluation | Final version | ||||||
|---|---|---|---|---|---|---|---|---|
Constructed items | CVR | Advisory Panel | Think aloud | Item | PCA Components | Clinical round table | PCA Correlations | |
Do you feel that your vaginal opening is too wide/loose or too big? | 1 | No changes | *Do you feel that your vagina is too wide/loose? | 1 | Component 7 | Retained | r < 0.6 for all items | Retained |
Do you have a feeling of looseness deeper down, inside the vagina? | 0.6 | No changes | *Do you have a feeling of looseness deep inside the vagina? | 2 | Component 7 | Retained | r < 0.6 for all items | Retained |
Do you feel that your vaginal opening is too narrow/tight or too small? | -0.2 | Dismissed due to CVR < 0 | ||||||
Are you experiencing discomfort because you feel your vaginal opening is exposed or unprotected? | 0.6 | No changes | No changes | 3 | Component 7 | Dismissed | ||
+ Are you experiencing that your genital area is cold because your vaginal opening is exposed or unprotected? | 4 | Component 10 | Dismissed | |||||
+ Are you bothered by air or a sensation of draft in the genital area? | 5 | Component 1 | Dismissed | |||||
Are you bothered by air filling the vagina? | 0.6 | No changes | *Are you bothered by air entering the vagina? | 6 | Component 1 | Retained | Correlated (r = 0.62) with item 9 | Retained |
+ Are you bothered by air entering the vagina when you are at rest? | 7 | Component 1 | Dismissed | |||||
+ Are you bothered by air entering the vagina during exertion? | 8 | Component 1 | Dismissed | |||||
+ Are you bothered by air entering the vagina when you have sex? | 9 | Component 8 | Retained | Correlated (r = 0.62) with item 2 | Dismissed | |||
Are you bothered by sounds caused by air escaping from the vagina (vaginal flatulence)? | 1 | No changes | No changes | 10 | Component 1 | Retained | r < 0.6 for all items | Retained |
+ Are you bothered by vaginal flatulence while at rest? | 11 | Component 1 | ||||||
+ Are you bothered by vaginal flatulence during exertion? | 12 | Component 1 | Dismissed | |||||
+ Are you bothered by vaginal flatulence during sex? | 13 | Component 8 | Dismissed | |||||
+ Do you experience difficulties defecating? | 14 | Component 4 | Dismissed | |||||
Do you need to use your fingers to apply pressure from inside the vagina or around the anus to empty your bowel? | 1 | No changes | *Do you need to use your fingers to apply pressure from inside the vagina or around the anus to defecate? | 15 | Component 9 | Retained | r < 0.6 for all items | Retained |
+ Do you need to use your fingers to apply pressure from inside the vagina or around the anus to release anal flatulence? | 16 | Component 4 | ||||||
Do you have to sit or stand in a particular position to be able to defecate? | 0.6 | No changes | No changes | 17 | Component 4 | Retained | r < 0.6 for all items | Retained |
+ Does it make it easier to defecate if you sit or stand in a particular position? | 18 | Component 4 | Dismissed | |||||
+ Are you bothered by flatus incontinence? | No changes | 19 | Component 6 | Dismissed | ||||
+ Are you bothered by leakage of loose stool? | No changes | 20 | Component 6 | Retained | r < 0.6 for all items | Retained | ||
+ Are you bothered by leakage of solid stool? | No changes | 21 | Component 6 | Dismissed | ||||
Are you bothered by a feeling of heaviness in the genital area? | 1 | No changes | No changes | 22 | Component 3 | Retained | r < 0.6 for all items | Retained |
+ Are you bothered by a feeling of heaviness in the genital area while at rest? | 23 | Component 3 | Dismissed | |||||
+ Are you bothered by a feeling of heaviness in the genital area during exertion? | 24 | Component 3 | Dismissed | |||||
+ Are you bothered by a feeling of heaviness in the genital area during sex? | 25 | Component 3 | Dismissed | |||||
Are you bothered by a chafing sensation in the genital area? | -0.2 | Dismissed due to CVR < 0 | ||||||
Are you bothered by pain in the genital area? | 0.6 | No changes | No changes | 26 | Component 2 | Dismissed | ||
+ Are you bothered by pain in the genital area while at rest? | 27 | Component 2 | Dismissed | |||||
+ Are you bothered by pain in the genital area during exertion? | 28 | Component 2 | Dismissed | |||||
+ Are you bothered by pain in the genital area during sex? | 29 | Component 2 | Retained | r < 0.6 for all items | Retained | |||
Are you bothered by pain in the vaginal opening when something enters the vagina? | 0.6 | No changes | No changes | 30 | Component 2 | Dismissed | ||
+ Have you ever experienced a vaginal orgasm? | 31 | Not included in PCA due to binary response | ||||||
Are you having difficulties experiencing a vaginal orgasm? | 1 | No changes | No changes | 32 | Not included in PCA due to missing data (> 50%) | |||
Are you experiencing genital discomfort that limits your sexual activity? | 1 | No changes | No changes | 33 | Component 5 | Retained | r < 0.6 for all items | Retained |
+ Has your libido/sexual desire decreased due to changes in your genital area after delivery? | *Are you experiencing genital problems that limit your libido (sexual desire)? | 34 | Component 5 | Dismissed | ||||
+ Do you have penetrative sex? | 35 | Not included in PCA due to binary response | ||||||
+ Are your genital problems the reason you avoid penetrative sex? | 36 | Not included in PCA due to binary response | ||||||
Are you bothered by pain in the genital area when you have sex? | 0.6 | No changes | *Are you bothered by pain in the genital area when you have penetrative sex? | 37 | Component 2 | Dismissed | ||
Are you bothered by pain in the genital area after you have sex? | 0.2 | No changes | * Are you bothered by pain in the genital area after penetrative sex? | 38 | Component 9 | Dismissed | ||
Do you have decreased sensation in the genitals during sex? | 1 | No changes | *Do you have decreased sensation in the genitals during penetrative sex? | 39 | Component 5 | Dismissed | ||
+ Do you have increased sensation in the genitals during penetrative sex? | 40 | Component 7 | Dismissed | |||||
Are you experiencing genital discomfort that affects your quality of life? | 1 | No changes | No changes | 41 | Component 3 | Retained based on clinical relevance | r < 0.6 for all items | Retained |