Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Reliability and validity of the Female Sexual Function Index administered via telephone in Brazilian women

Raquel Eleine Wolpe, Priscilla Geraldine Wittkopf, Matheus Pereira Peres Martins, Géssica Maria Moreira, Suellen Bitencourt Rosa, Fabiana Flores Sperandio

Downloads: 0
Views: 39


Background: Women’s sexuality is influenced by anatomical, physiological, psychological and cultural factors. It is likely that questionnaires comprehensively evaluate women´s sexual aspects. The Female Sexual Function Index (FSFI) is considered a gold standard instrument to assess female sexual function. The validation of the administration of this questionnaire via telephone has a high research and clinical importance. Objectives: The aim of this study was to evaluate the validity and reliability of the FSFI administered via telephone in Brazilian women. Methods: 51 women answered the FSFI by telephone and paper with an interval of one week between both administrations. After two weeks of the application via telephone (test), the questionnaire was administered again, also via telephone (retest), to verify the reliability. the Spearman’s rank correlation index was used to estimate the relationship between FSFI-phone and FSFI-paper. Intraclass correlation coefficient (ICC) was used to assess the FSFI-phone reliability (test-retest). Results: The Spearman’s rank test showed a high correlation between the total scores of the FSFI-phone and FSFI-paper with value of 0.96. Correlations between the questions and domains were conducted in pairs, which reached levels higher than 0.70. The ICC values were even higher (ICC> 0.90). Conclusions: These preliminary results, showed that the FSFI questionnaire administered via telephone is a valid, reliable and responsive method that facilitates quality assurance and can potentially reduce human resource costs in data acquisition. The use of FSFI administered via telephone addresses a logistic need for patient and physician, by providing fast and safe information convenient to both patient and practitioner.


Sexual Dysfunction; Surveys and Questionnaires; Validation Studies; Reproducibility of Results; Telephone.


[1] Masters WH and Johnson VE. Human sexual response. Great Britain: Little Brown, 1966.

[2] Rosen RC. Assessment of female sexual dysfunction: review of validated methods. Fertil Steril. 2002; 77(Suppl 4):S89-93.

[3] Crisp CC, Fellner AN, Pauls RN. Validation of the Female Sexual Function Index (FSFI) for web-based administration. Int Urogynecol J. 2014; 26(Suppl 2):219-22.

[4] Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26(Suppl 2):191-208.

[5] Blumel J, Binfa LE, Cataldo PA, Carrasco AV, Izaguirre HL, Sarrá SC. Indice de Función Sexual Femenina: un test para evaluar la sexualidad de la mujer. Rev Chil Obstet Ginecol. 2004; 69(Suppl 2):118–25.

[6] Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol. 2006; 175(Suppl 2):654–58.

[7] Sidi H, Abdullah N, Puteh SE, Midin M. The Female Sexual Function Index (FSFI): validation of the Malay version. J Sex Med. 2007; 4(Suppl 6):1642–54.

[8] Witting K, Santtila P, Jern P, Varjonen M, Wager I, Höglund M, et al. Evaluation of the female sexual function index in a population based sample from Finland. Arch Sex Behav. 2008; 37(Suppl 6):912–24.

[9] Kriston L, Günzler C, Rohde A, Berner MM. Is one question enough to detect female sexual dysfunctions? A diagnostic accuracy study in 6,194 women. J Sex Med. 2010; 7(Suppl 5):1831–41.

[10] Sun X, Li C, Jin L, Fan Y, Wang D. Development and validation of Chinese version of female sexual function index in a Chinese population-a pilot study. J Sex Med. 2011; 8(Suppl 4):1101–11.

[11]Anis TH, Gheit SA, Saied HS, Al kherbash AS. Arabic translation of Female Sexual Function Index and validation in an Egyptian population. J Sex Med. 2011; 8(Suppl 12):3370–8.

[12] Takahashi M, Inokuchi T, Watanabe C, Saito T, Kai I. The Female Sexual Function Index (FSFI): development of a Japanese version. J Sex Med. 2011; 8(Suppl 8):2246–54.

[13]Ghassamia M, Asghari A, Shaeiri MR, Safarinejad MR. Validation of psychometric properties of the Persian version of the Female Sexual Function Index. Urol J. 2013; 10(Suppl 2):878–85.

[14]Rillon-Tabil N, Malong CLP, Vicera JJB, Gomez HS. Translation and Validity of the Female Sexual Function Index Filipino Version (FSFI-Fil). Phil J Intern Med. 2013; 51(Suppl 4):1–11.

[15]Nowosielski K, Wróbel B, Sioma-Markowska U, Poręba R. Development and validation of the Polish version of the Female Sexual Function Index in the Polish population of females. J Sex Med. 2013; 10(Suppl 2):386–95.

[16] Filocamo MT, Serati M, Li Marzi V, Costantini E, Milanesi M, Pietropaolo A, et al. The Female Sexual Function Index (FSFI): linguistic validation of the Italian version. J Sex Med. 2014; 11(Suppl 2):447–53.

[17] Latorre GF, Bilck PA, Cardoso FL, Sperandio FF. Confiability and reliability of an on-line version of the Female Sexual Function Index by test-retest. Rev Bras Ginecol Obstet. 2013; 35(Suppl 10):469-74.

[18] Fine TH, Contractor AA, Tamburrino M, Elhai JD, Prescott MR, Cohen GH, et al. Validation of the telephone-administered PHQ-9 against the in-person administered SCID-I major depression module. J Affect Disord. 2013; 150(Suppl 3):1001-7.

[19] Tuzcu A, Bahar Z, Gozum S. Effects of interventions based on health behavior models on breast cancer screening behaviors of migrant women in Turkey. Cancer Nurs. 2016; 39(Suppl 2):E40-50.

[20]Bowling A. Mode of questionnaire administration can have serious effects on data quality. J Public Health (Oxf). 2005; 27(Suppl 3):281–91.

[21]Ashing K, Rosales M. A telephonic-based trial to reduce depressive symptoms among Latina breast cancer survivors. Psychooncology. 2014; 23(Suppl 5):507–15.

[22] Statista: The Statistics Portal. Number of mobile phone users worldwide from 2013 to 2019 (in billions). Retrieved October 20, 2017, from

[23]National Telecommunications Agency (ANATEL). (2017). Services Mobile Data and Satellite. Brasilia: ANATEL.

[24]Brazilian Institute of Geography and Statistics (IBGE). (2017). States: Santa Catarina, Profile 2013. Brasilia: IBGE.

[25]Bokshan SL, Godzik J, Dalton J, Jaffe J, Lenke LG, Kelly MP. Reliability of the revised Scoliosis Research Society-22 and Oswestry Disability Index (ODI) questionnaires in adult spinal deformity when administered by telephone. Spine J. 2016; 16(Suppl 9):1042-6.

[26]Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005; 31(Suppl 1):1-20.

[27] Thiel RR, Dambros M, Palma PC, Thiel M, Riccetto CLZ, Ramos MF. Translation into Portuguese, cross-national adaptation and validation of the Female Sexual Function Index. Rev Bras Ginecol Obstet. 2008; 30(Suppl 10):504-10.

[28] Fonseca AM, Meinberg MF, Lucas DV, Monteiro MV, Figueiredo EM, Fonseca L, et al. Cultural adaptation and validation of the Wexner scale in patients with anal incontinence in a Brazilian population. Int Urogynecol J. 2016; 27(Suppl 6):959–63.

[29]Geller EJ, Barbee ER, Wu JM, Loomis MJ, Visco AG. Validation of telephone administration of 2 condition-specific quality-of-life questionnaires. Am J Obstet Gynecol. 2007; 197(Suppl 6):632.e1-4.

[30]Gonzáles AI, Sties SW, Wittkopf PG, Mara LS, Ulbrich AZ, Cardoso FL, et al. Validation of the International Index of Erectile Function (IIFE) for Use in Brazil. Arq Bras Cardiol. 2013; 101(Suppl 2):176-82.

5bc639600e8825bd248efc3b mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections