Validation of the German Day-to-Day Impact of Vaginal Aging (DIVA) Questionnaire in Peri- and Postmenopausal Women

Abstract Background The Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire is a validated patient-reported outcome measure (PROM) capturing the impacts vaginal symptoms in postmenopausal women. Aim We aimed to psychometrically validate German version DIVA questionnaire. Methods Data was collected online and by paper-pencil. ran confirmatory factor analyses confirm priori four-factor structure DIVA. Internal consistency calculated using Cronbach's alpha. Correlations with other measures such as Patient Health Questionnaire-4 (PHQ-4), SF-12 SOEP (socio-economic panel) self-created anchor questions were regarding convergent validity. Known groups age, home country disease severity analyzed. Test-retest reliability after 1 week responsiveness 4 weeks only descriptively assessed due low sample sizes. Main Outcome Measures questionnaire, Menopause Rating Scale (MRS II), PHQ-4 main measures. Results 185 women reporting complaints participated survey. mode administration did not influence symptoms. could be confirmed model fit indicated sufficient structural Furthermore, strong internal all domains found. Regarding validity, no hypothesis has failed completely. results known-groups validity mostly line our hypotheses. Descriptive evidence for test-retest given, however, size assessment those two measurement properties low. Conclusion This study supports excellent construct It can recommended future clinical GSM trials. Gabes M, Stute P, Apfelbacher C. Validation Questionnaire Peri- Postmenopausal Women. Sex Med 2021;9:100382