Intermittent Catheterization Adherence Scale (ICAS): Italian translation, cultural adaptation and validation
1Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy
2IRCSS Neuromed, 86077 Pozzilli (IS), Italy
3Universidad Fernando Pessoa-Canarias, 35016 Las Palmas, Spain
4Health Sciences, University of Burgos, 09006 Burgos, Spain
5Sapienza University of Rome, 00185 Rome, Italy
6Neurorehabilitation Unit, Department of Intensive Neurorehabilitation and Robotics, Bambino Gesù Children's Hospital, 00165 Rome, Italy
DOI: 10.22514/sv.2021.145 Vol.18,Issue 2,March 2022 pp.56-62
Submitted: 09 June 2021 Accepted: 20 July 2021
Published: 08 March 2022
The study aimed to translate, culturally adapt, and validate the Intermittent Catheteri-zation Adherence Scale (ICAS) in Italian for people with Spina bifida and spinal cord injury. The population consisted of adults who practice self-catheterization, recruited through online questionnaire google docs. The ICAS was translated and culturally adapted following international guidelines. The test was administered together with the Italian version of Qualiveen-30 for quality of life related to practice self-catheterization, Spinal Cord Independence Measure self-report (SCIM-SR) for independence in activities of daily living, Moorong self-efficacy scale (MSES) for self-efficacy. The ICAS was administered two times within a week, in order to assess test-retest reliability. Its psychometric properties were evaluated according to international guidelines. After the translation and cultural adaptation processes, all items were either identical or similar to the 34 study participants. For internal consistency, Cronbach’ alpha showed values of 0.845; has been obtained from the analysis of individual’s answers for each item; interclass correlation coefficient showed values of 0.995; has been obtained from analysis of the answers individuals gave each subscale after a week. Pearson’s correlation coefficient and Spearman’s Correlation Coefficient showed statistically significant correlations; has been obtained for the comparation of ICAS with Qualiveen-30 and SCIM-SR. The validation of ICAS in Italian allows professionals to work with self-catheterization for people with neurological bladder to face psychological barriers before learning about the Clean Intermittent Self Catheterization (CISC), improving patients’ adherence to it. Adherence is the basis of CISC since, if this is not carried out according to the prescription, various types of bladder problems may arise. At the same time, the ICAS can be used for the medical follow-up of people using intermittent self-catheterization techniques and finally for medical research.
Tools; Psychometrics properties; Validity and reliability; Catheterizations techniques; Rehabilitation; Neurological bladder
Giovanni Galeoto,Maria Auxiliadora Marquez,Lorenza Ottone,Giovanni Sellitto,Francescaroberta Panuccio,Jeronimo Gonzàlez-Bernal,Marco Tofani,Anna Berardi. Intermittent Catheterization Adherence Scale (ICAS): Italian translation, cultural adaptation and validation. Signa Vitae. 2022. 18(2);56-62.
 Donelli G, Di V, Guaglianone E, Francolini I. Protocollo per la prevenzione, la diagnosi e la terapia delle infezioni delle vie urinarie associate ai cateteri vescicali. 2003. Available at: https://www.researchgate.net/publication/242312003_ Protocollo_per_la_prevenzione_la_diagnosi_e_la_ terapia_delle_infezioni_delle_vie_urinarie_associate_ ai_cateteri_vescicali (Accessed: 11 March 2021).
 Guinet-Lacoste A, Charlanes A, Chesnel C, Blouet E, Tan E, Le Breton F, et al. Intermittent Catheterization Adherence Scale (ICAS): a new tool for the evaluation of patient adherence with clean intermittent self-catheterization. Neurourology and Urodynamics. 2018; 37: 2753–2757.
 Caracciolo A, Redaelli T, Valsecchi L. Terapia Occupazionale - Ausili e Metodologie per l’ Autonomia. (Editor RC, ed.1). Italy, 2008.
 Seth JH, Haslam C, Panicker JN. Ensuring patient adherence to clean intermittent self-catheterization. Patient Preference and Adherence. 2014; 8: 191–198.
 Crescenze IM, Myers JB, Lenherr SM, Elliott SP, Welk B, MPH DO, et al. Predictors of low urinary quality of life in spinal cord injury patients on clean intermittent catheterization. Neurourology and Urodynamics. 2019; 38: 1332–1338.
 Romo PGB, Smith CP, Cox A, Averbeck MA, Dowling C, Beckford C, et al. Non-surgical urologic management of neurogenic bladder after spinal cord injury. World Journal of Urology. 2018; 36: 1555–1568.
 Tofani M, Candeloro C, Sabbadini M, Field D, Frascarelli F, Lucibello L, et al. A study validating the Italian version of the Level of Sitting Scale in children with cerebral palsy. Clinical Rehabilitation. 2019; 33: 1810–1818.
 Panuccio F, Galeoto G, Marquez MA, Tofani M, Nobilia M, Culicchia G, et al. Internal consistency and validity of the Italian version of the Jebsen–Taylor hand function test (JTHFT-it) in people with tetraplegia. Spinal Cord. 2021; 59: 266–273.
 Berardi A, Galeoto G, Lucibello L, Panuccio F, Valente D, Tofani M. Athletes with disability’ satisfaction with sport wheelchairs: an Italian cross sectional study. Disability and Rehabilitation: Assistive Technology. 2020; 16: 420–424.
 Panuccio F, Galeoto G, Marquez MA, Grassi ML, Scialpi A, Tofani M, et al. General Sleep Disturbance Scale (GSDS-it) in people with spinal cord injury: a psychometric study. Spinal Cord. 2020; 58: 1183–1188.
 Ioncoli M, Berardi A, Tofani M, Panuccio F, Servadio A, Valente D, et al. Crosscultural Validation of the Community Integration Questionnaire–Revised in an Italian Population. Occupational Therapy International. 2020; 2020: 1–7.
 Panuccio F, Berardi A, Marquez MA, Messina MP, Valente D, Tofani M, et al. Development of the Pregnancy and Motherhood Evaluation Questionnaire (PMEQ) for evaluating and measuring the impact of physical disability on pregnancy and the management of motherhood: a pilot study. Disability and Rehabilitation. 2020; 1–7.
 Berardi A, Regoli E, Tofani M, Valente D, Fabbrini G, Fabbrini A, et al. Tools to assess the quality of life in patients with Parkinson’s disease: a systematic review. Expert Review of Pharmacoeconomics & Outcomes Research. 2020; 21: 55–68.
 Miniera F, Berardi A, Panuccio F, Valente D, Tofani M, Galeoto G. Measuring Environmental Barriers: Validation and Cultural Adaptation of the Italian Version of the Craig Hospital Inventory of Environmental Factors (CHIEF) Scale. Occupational Therapy in Health Care. 2020; 34: 373–385.
 Berardi A, Panuccio F, Pilli L, Tofani M, Valente D, Galeoto G. Evalu-ation instruments for executive functions in children and adolescents: a systematic review. Expert Review of Pharmacoeconomics & Outcomes Research. 2021; 1–12.
 D’Alvia L, Pittella E, Fioriello F, Maugeri A, Rizzuto E, Piuzzi E, et al. Heart rate monitoring under stress condition during behavioral analysis in children with neurodevelopmental disorders. 2020 IEEE International Symposium on Medical Measurements and Applications (MeMeA). Bari, Italy: IEEE. 2020.
 Catino E, Di Trani M, Giovannone F, Manti F, Nunziata L, Piccari F, et al. Screening for Developmental Disorders in 3- and 4-Year-Old Italian Children: a Preliminary Study. Frontiers in Pediatrics. 2017; 5: 181.
 Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health. 2005; 8: 94–104.
 Girotti ME, MacCornick S, Perissé H, Batezini NS, Almeida FG. Deter-mining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study. International Brazilian Journal of Urology. 2011; 37: 766–772.
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