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Psychometric validation of the Confidence in Performing Sexual Intercourse Questionnaire and Difficulty in Performing Sexual Intercourse Questionnaire

Abstract

The objective of this study was to perform psychometric testing of two new patient-reported outcome instruments (PROs), the Confidence in Performing Sexual Intercourse Questionnaire (CPSIQ) and the Difficulty in Performing Sexual Intercourse Questionnaire (DPSIQ). The new PROs were administered at non-drug, run-in, baseline and end point in men with erectile dysfunction (ED) participating in a randomized clinical trial of ED treatment (Study 1, n=291) and two times within 2 weeks to men with ED participating in a web-based survey (Study 2, n=71). Psychometric tests included factor analysis, internal consistency and test–retest reliability, construct validity and responsiveness. Analysis of data from Study 1 participants (74% ≤65 years, 83% Caucasian and 75% with moderate ED) suggested one-factor solutions for both PROs with Cronbach’s α >0.88. CPSIQ and DPSIQ total scores discriminated between ED severity groups showed worsening after a 4-week non-drug, run-in period, and showed improvement after 12 weeks of ED treatment (all, P<0.05). Intraclass correlation coefficients calculated for the CPSIQ and DPSIQ, using data from Study 2 participants (82% ≤65 years, 90% Caucasian and 66% with mild ED), were 0.56 and 0.83, respectively. The CPSIQ and DPSIQ show potential for augmenting existing treatment outcome measures used in the evaluation of ED treatment.

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Acknowledgements

We would like to acknowledge Molly Tomlin for her assistance in preparation of this manuscript. The randomized, clinical trial is registered at ClinicalTrials.gov, number NCT130532. This study was funded by Eli Lilly and Company.

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Correspondence to R P Hayes.

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The authors declare the following potential conflicts of interest. RPH, WS and AS: Eli Lilly and Company—full-time employees and shareholders; AS: Abbot, Actient Auxilium Pharmaceuticals, Eli Lilly and Company—consultant and Auxilium—research support; RR: Auxilium Bayer Healthcare, Eli Lilly and Company and Palatin Pharmaceuticals—consultant; SA: Abbott, Bayer Healthcare, Eli Lilly and Company, Palitan Pharmaceuticals, Promenesent, Sprout Pharmaceuticals; TS: Eli Lilly and Company—statistical subcontractor.

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Hayes, R., Seftel, A., Rosen, R. et al. Psychometric validation of the Confidence in Performing Sexual Intercourse Questionnaire and Difficulty in Performing Sexual Intercourse Questionnaire. Int J Impot Res 26, 105–111 (2014). https://doi.org/10.1038/ijir.2013.45

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