Frequency volume chart for the illiterate population: A simple solution

Abstract

Introduction:We aimed to assess the feasibility of a novel method of recording frequency volume chart (FVC) in adult patients who are either illiterate or are unable to make the required written record.Materials and Methods:This prospective study included adult patients, in whom FVC was required as part of their urological evaluation, who were either illiterate or were not sufficiently literate to make the required written record. Three groups of people were involved in the study: (i) patient, (ii) nursing staff, and (iii) the investigator/coinvestigator. The investigator/coinvestigator briefed the patient and the nursing staff, separately, regarding their roles in detail. The patient-reported (investigator/coinvestigator interpreted) data were compared with the data recorded by the nursing staff to assess the feasibility of this novel method.Results:A total of 30 patients were included in the study, with a mean age of 45.1 years and male: female ratio of 2:1. The patient-reported (investigator/coinvestigator interpreted) data including 24-h urine production, daytime urine volume, nocturnal urine volume, daytime urinary frequency, nocturia, average voided volume, and maximum voided volume were similar to the data reported by the nursing staff, with no significant differences. All patients completed the FVC satisfactorily, except one patient who failed to report the night time voids.Conclusions:Our novel method of recording FVC is feasible, reliable, and clinically as informative/applicable as the written FVC in patients who are illiterate/insufficiently literate to make a written record of FVC.

Bladder diary for illiterates: A novel method

“…5 It might become difficult for health professionals to carry out investigations requiring documentation from patients such as bladder diary in areas where illiterate patients are encountered frequently. 3 Little efforts have been made to date to solve this issue. 3 Bladder diary is used for charting timings of micturition and voided volumes, as well as additional information, such as urgency, incontinence episodes, pad usage and timing and quantity of fluid intake.…”

“…3 Little efforts have been made to date to solve this issue. 3 Bladder diary is used for charting timings of micturition and voided volumes, as well as additional information, such as urgency, incontinence episodes, pad usage and timing and quantity of fluid intake. 3 There are other methods too for voiding chartings, such as frequency volume chart, which records the volumes voided as well as the time of each micturition, day and night.…”

“…3 Bladder diary is used for charting timings of micturition and voided volumes, as well as additional information, such as urgency, incontinence episodes, pad usage and timing and quantity of fluid intake. 3 There are other methods too for voiding chartings, such as frequency volume chart, which records the volumes voided as well as the time of each micturition, day and night. 2 Assessment of lower urinary tract symptoms solely on basis of history provided by the patient may lead to bias, as the patients might misjudge their symptoms.…”

“…A major chunk of the population in developing nations is illiterate. 3 In India, the situation continues to be grim. As per the last national census of 2011, 26% of the people above 7 years of age are illiterate.…”

“…2 While use of bladder diaries has been successfully implemented after extensive research in literate populations globally, efforts for recording it in those who are either illiterate or insufficiently educated are lacking. 3 In this study we want to assess the feasibility of a novel method to record bladder diary in illiterate patients.…”