Objective To develop a questionnaire that is sensitive to changes in the symptomatology of the female lower urinary tract, particularly urinary incontinence, providing an instrument that can characterize symptom severity, impact on quality of life and evaluate treatment outcome.
Patients, subjects and methods Items covering as wide a range of urinary symptoms as possible were devised after consultation with clinicians and a health scientist, a literature review and discussion with patients.
Additional items assessed the degree of'bother'that symptoms were causing.
Eighty-five women with clinical symptoms attending for urodynamic assessment and 20 women with none were asked to self-complete the questionnaire.
The instrument's validity was assessed by interviewing patients and measuring levels of missing data, comparing symptom scores between clinical and non-clinical populations and comparison with frequency/volume charts and data from pad tests.
The instrument's reliability was assessed by measuring both internal consistency and stability, using a 2-week test-retest analysis.
Results The questionnaire was completed by the patients with a mean of only 2% of items missing ; most questions were easily understood.
Construct validity was good, with the instrument easily differentiating clinical and non-clinical populations.
Criterion validity, as tested against frequency/volume charts and pad-test data, was acceptable, with Kappa coefficients of 0.29-0.79 for f...
Mots-clés Pascal : Incontinence urinaire, Echelle évaluation, Questionnaire, Symptomatologie, Qualité vie, Psychométrie, Demande thérapeutique, Résultat, Femme, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction
Mots-clés Pascal anglais : Urinary incontinence, Evaluation scale, Questionnaire, Symptomatology, Quality of life, Psychometrics, Therapeutical request, Result, Woman, Human, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0289968
Code Inist : 002B14E02. Création : 199608.