Pencil and Paper Test: A New Tool to Predict the Ability of Neurological Patients to Practice Clean Intermittent Self-Catheterization

Abstract

The pencil and paper test is a valid way to predict the ability to practice clean intermittent self-catheterization in patients with a neurological disorder.

Intermittent catheterization difficulty questionnaire (ICDQ): A new tool for the evaluation of patient difficulties with clean intermittent self‐catheterization

“…All of the patients had sufficient physical and cognitive abilities to perform CISC, with a Pencil and Paper Test (PP‐Test) score greater than 10/15 …”

“…Since 2011, manual dexterity and mobility to perform CISC have been evaluated using the Pencil and Paper Test (PP‐Test) . The intermittent catheterization satisfaction questionnaire (InCaSaQ) can be integrated into daily clinical practice, following CISC training, in order to adapt the choice of catheter and provide the best satisfaction for each patient …”

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

“…Along with improving health-related quality of life, it reduces the frequency of urinary tract infections and preserves renal function [6,7]. Thus, there has been growing interest in promoting timely intermittent self-catheterization (ISC) among patients with neurogenic bladder and on methods to predict patients' ability to practice and master required skills [8,9]. From improving self-care and independence to subsequent intimacy, this interest in ISC is not unwarranted, as there is a growing body of evidence that ISC has the potential to promote a healthy sense of autonomy and wellbeing [10][11][12].…”

Ensuring patient adherence to clean intermittent self-catheterization

“…Manual dexterity should be considered when assessing a patient for CISC. Recently, a tool has been validated for use in patients with neurological disease secondary to SCI and MS, called the Pencil and Paper test,19 which employs a series of simple tasks using a pencil and paper. This test mimics the ability to open the packaging and handle a catheter, as well as cognitive strategies required to accomplish this 19…”