Italian translation, cultural adaptation, and validation of the Intermittent Catheterization Acceptance Test (I-CAT)
V. 174 N. 1 (2023), Observational Study
V. 174 N. 1 (2023)

Italian translation, cultural adaptation, and validation of the Intermittent Catheterization Acceptance Test (I-CAT): doi: 10.7417/CT.2023.2490

Observational Study
Pubblicato 2023-01-18
A. Berardi
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
M. A. Marquez
Universidad Fernando Pessoa-Canarias, Las Palmas, Spain - Health Sciences, University of Burgos, Burgos, Spain
L. Ottone
Sapienza University of Rome, Rome, Italy
I. Ruotolo
Sapienza University of Rome, Rome, Italy
F. Panuccio
Sapienza University of Rome, Rome, Italy
M. Tofani
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
J. J. González-Bernal
Sapienza University of Rome, Rome, Italy
G. Galeoto
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy - IRCSS Neuromed, Pozzilli, (IS), Italy
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Parole chiave

Assessment
catheterizations
neurological bladder
psychometric
rehabilitation

Abstract

ABSTRACT: Aims: The purpose of the present study was to translate and culturally adapt the Intermittent Catheterization Acceptance Test (I-CAT) for Italian individuals with spinal cord injury and spina bifida and to measure its psychometric properties. Methods: Consent from the authors of I-CAT was received, and then, following international guidelines, it was culturally adapted to Italian. The included participants adults who practice self-catheterization. In order to evaluate criterion validity, the Qualiveen-30, Spinal Cord Independence Measure (SCIM-self reported), and the Moorong self-efficacy scale (MSES) were administered together. Test-retest reliability was assessed administering the I-CAT a second time within a week. Following the COSMIN checklist, psychometric properties were evaluated. Results: All translated items resulted identical or similar to the original versions. Internal consistency, evaluated on 34 individuals, showed values of Cronbach’s alpha of 0.889, test-retest reliability was evaluated through the intraclass correlation coefficient with values of 0.96. Statistically significant correlation between the I-ICAT and Qualiveen were found through Pearson’s correlation coefficient and Spearman’s Correlation Coefficient for criterion validity. Conclusions: The Italian validation of I-CAT allows Italian professionals to investigate psychological barriers linked with self-catheterization in people with urinary tract dysfunction before learning about aseptic Intermittent Self Catheterization (IC) and improving patients’ acceptance of it. This tool can also be used as follow-up after the training of intermittent self-catheterization techniques. Finally, it is an important tool for medical research.

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