International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration

doi:10.1016/j.urology.2004.01.005

Urology

Volume 63, Issue 6, June 2004, Pages 1076-1078

https://doi.org/10.1016/j.urology.2004.01.005 Get rights and content

Abstract

Objectives

To compare the results of International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) with physician completion versus patient self-administration. The ICIQ-SF is a new self-administered questionnaire that qualifies the symptoms and quality of life in both male and female adult patients with symptoms of urine loss.

Methods

Sixty-four women consulting for urinary incontinence completed the ICIQ-SF three times: twice during the same visit, by self-administration and physician interview, and once at home, approximately 1 week later.

Results

All 64 patients completed the questionnaire the first two times, but only 59 of them sent back the questionnaire after 1 week. The mean patient age was 59 ± 3.8 years. The distribution of the differences was similar among the three kinds of administration. The mean total symptom score for the self-administered, physician completed, and self-administered 1 week later ICIQ-SF was 11.31 ± 4.6, 11.98 ± 4.4, and 11.4 ± 4.7, respectively. The corresponding quality-of-life assessments were 5.2 ± 2.9, 5.5 ± 3, and 5.18 ± 2.9. No statistically significant differences were observed.

Conclusions

The results of this study demonstrated that the information obtained by self-administration of the ICIQ-SF at the office or at home or when completed by the physician during an interview is not different. These findings, showing the intraobserver and interobserver reliability of this new questionnaire, are extremely important for clinical use and research.

Section snippets

Material and methods

Sixty-four women of multiethnic and middle-class backgrounds completed the ICIQ-SF three times: twice during the same visit (once by self-administration in the clinic waiting room and once by the physician during the interview) and once at home approximately 1 week later and mailed back to us in a prestamped envelope provided during the clinic visit. Only two experienced physicians participated in the interviews, which were conducted at the beginning of the consultation before any discussion

Results

The mean patient age was 59 ± 13.8 years (range 31 to 86). Of the 64 patients, 19 patients consulted for pure urge incontinence symptoms, 33 for pure stress urinary incontinence, and 22 for mixed urinary incontinence. Of the 64 patients who completed the questionnaire twice in the office, only 59 sent back their home questionnaire after 1 week despite a telephone call to those who were late in doing so. The distribution of the difference was similar among the three kinds of administration. The

Comment

The ICIQ-SF is a new, short questionnaire recommended by the International Consultation on Incontinence at the ICS meeting in 2002.2 Very little work has been done on the evaluation of this questionnaire. To our knowledge, ours is the first study to evaluate the mode of administration. We demonstrated statistical similarity regardless of the mode of administration. Also, the type or severity of urinary incontinence had no impact on the results. One could argue that patients remembered their

Conclusions

In our experience, the ICIQ-SF is extremely helpful, considering its ease of administration, understanding by patients, and its good psychometric properties. More work is needed on this new questionnaire to assess its validity in different groups of patients with incontinence (eg, patients with overactive bladder, men with lower urinary tract symptoms, the elderly). However, its already-demonstrated validity and the results of this study have motivated us to apply it in our clinical practice.

References (6)

J. Corcos et al.
Symptom Quality of Life Assessment Committee of the First International Consultation on Incontinencequality of life assessment in men and women with urinary incontinence
J Urol
(2002)
P. Abrams et al.
The standardization of terminology of lower urinary tract function recommended by the ICS
Int J Urogynecol Pelvic Floor Dysfunct
(1990)
Donovan JL, Badia X, Corcos J, et al:Symptom and qual-ity of life assessment in incontinence, in Abrams, Cardozo,...

There are more references available in the full text version of this article.

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On top of that, participants were asked to respond to the Spanish validated version of the International Consultation on Incontinence Questionnaire –Short Form (ICIQ-SF) [12]. The ICIQ- SF provides valid information through self-administration [13]. It was included in the survey for evaluating frequency, leakage, and impact on the quality of life (QoL) of UI.
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The total score ranged between 10 and 50. The International Consultation of Incontinence Questionnaire – Short Form (ICIQ-SF), defined by Hajebrahimi et al. [12] as a reliable scale, and validated in Turkish by Demircan et al. [13], was used for the evaluation of UI. This scale includes questions about the frequency of UI, the conditions under which UI occurs, and how much it affects the patient’s social life.
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^☆: S. Hajebrahimi is currently at Tabriz University of Medical Science, Tabriz, Iran.

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Adult urologyInternational consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration☆

Abstract

Objectives

Methods

Results

Conclusions

Section snippets

Material and methods

Results

Comment

Conclusions

J Urol

The standardization of terminology of lower urinary tract function recommended by the ICS

Int J Urogynecol Pelvic Floor Dysfunct

Adult urology
International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration☆