Development & Psychometric Evaluation of the ICIQ-B

发展

• 批准号: 8181325
• 负责人: Alayne Denise Markland
• 金额: --
• 依托单位: BIRMINGHAM VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8181325
• 关键词: Acute; Adult; Affect; Aftercare; Age-Years; American; Applications Grants; Behavior Therapy; Behavioral; British; Client satisfaction; Clinic; Clinical; Clinical Research; Clinical Trials; Companions; Computers; Consultations; Data; Development; Diabetes Mellitus; Diagnosis; Disease; Education; Elderly; England; Evaluation; Fecal Incontinence; Feces; Focus Groups; Foundations; Functional Gastrointestinal Disorders; Funding; Future; Guidelines; Incontinence; International; Intervention; Intervention Trial; Intestines; K-Series Research Career Programs; Language; Link; Liquid substance; Literature; Mails; Measurement; Measures; National Health and Nutrition Examination Survey; Obesity; Online Systems; Operative Surgical Procedures; Outcome; Outcome Measure; Outcomes Research; Paper; Patient-Focused Outcomes; Patients; Pelvic Floor Disorders; Pelvic floor structure; Population; Prevalence; Primary Health Care; Property; Protocols documentation; Psychometrics; Publishing; Quality of life; Questionnaires; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Recruitment Activity; Rehabilitation Research; Rehabilitation therapy; Reproducibility; Research; Rome; SF-12; Severities; Solid; Structure; Symptoms; TBI Patients; Telephone; Testing; Treatment Protocols; Treatment outcome; United Kingdom; Validation; Veterans; Visit; Woman; Writing; base; clinical care; clinical practice; clinically significant; evidence base; health related quality of life; improved; inclusion criteria; men; novel; patient oriented; programs; research and development; research clinical testing; sound; tool; tool development; treatment as usual; trial comparing; urinary

DESCRIPTION (provided by applicant): Fecal incontinence (FI) occurs in 8-15% of older adults and has an extremely negative impact on quality of life (QOL). The International Consultation on Incontinence (ICI) has developed comprehensive and universally-applicable modular questionnaires for men and women for the diagnosis and measurement of a variety of urinary, bowel, and pelvic floor disorders in research and clinical practice. An ICI-Questionnaire (ICIQ) module has been developed and validated for FI and related bowel symptoms. The patient-centered, ICIQ - bowel symptoms module (ICIQ-B) was developed for use in UK-English with sound psychometric data (validity, internal consistency, and sensitivity to change) in comparison to other existing measures. A US-English version would improve measurements of patient-centered outcomes and comparability between clinical trials and provide an invaluable tool for research and clinical evaluation for FI in the US. In this 2-year developmental study, our specific aim is to evaluate the psychometric properties (internal consistency, short-term reproducibility, construct validity, and sensitivity to change) of a written and web-based version of the linguistically validated US-English ICIQ-B questionnaire in 60 veterans presenting for FI treatment. Inclusion criteria for the 60 veterans with FI are: 1) FI occurring at least weekly and 2) actively seeking treatment for FI. Veterans will be recruited primarily from the Birmingham Geriatric Research, Education, and Clinical Center's (GRECC) Continence Clinic and the Birmingham VAMC Primary Care Clinics. Veterans will be stratified by FI severity and then randomized to either web-based ICIQ-B or paper-based ICIQ-B. Data including the ICIQ-B will be collected over 2 pre-treatment visits separated by 2 weeks (short term reproducibility) and 1 additional mailing/telephone contact 3 months after treatment per the GRECC Continence Clinic protocol (sensitivity to change). Construct validity of the ICIQ-B will be measured with comparison to the Vaizey FI severity score, patient's global assessment of improvement, and the SF-12 validated for use in veterans for impact on symptoms and quality of life. The psychometric validation of the ICIQ-B in a US-English speaking veteran population will improve outcome measurement in clinical care and research for FI.

描述（由申请人提供）： 粪便尿失禁（FI）发生在8-15％的老年人中，对生活质量（QOL）产生了极大的负面影响。国际失禁（ICI）咨询（ICI）已针对男性和女性进行了全面且可普遍的模块化问卷，以诊断和测量研究和临床实践中各种尿，肠和骨盆地板障碍。已开发并验证了针对FI和相关肠症状的ICI问题（ICIQ）模块。与其他现有措施相比，以患者为中心的ICIQ-肠症状模块（ICIQ-B）用于英国英语中，并与声音心理测量数据（有效性，内部一致性和对变化的敏感性）一起使用。美国英语版本将改善以患者为中心的结果和临床试验之间的可比性的测量，并为美国FI的研究和临床评估提供了宝贵的工具。在这项为期两年的发展研究中，我们的具体目的是评估心理测量特性（内部一致性，短期可重复性，构造有效性和对变化的敏感性）的基于语言验证的美国英语ICIQ-B问卷的书面版本和基于Web的版本，该版本是60名退伍军人，用于FI治疗。 FI的60名退伍军人的纳入标准为：1）FI至少每周出现和2）积极寻求FI治疗。退伍军人将主要从伯明翰老年研究，教育和临床中心（GRECC）的诊所和伯明翰VAMC初级保健诊所招募。退伍军人将按FI严重性进行分层，然后随机分配给基于Web的ICIQ-B或基于纸张的ICIQ-B。包括ICIQ-B在包括2周分开的2个预处理访问（短期可重复性）和1个额外的邮件/电话联系后3个月后，根据GRECC连续性诊所协议（更改敏感），将收集包括ICIQ-B的数据。与Vaizey FI严重程度评分，患者的全球改进评估以及SF-12相比，ICIQ-B的构造有效性将进行衡量，并验证了用于退伍军人使用的SF-12，以影响症状和生活质量。 ICIQ-B在美国英语退伍军人人口中的心理测量验证将改善FI的临床护理和研究结果。