Validity and reliability of a questionnaire to measure the impact of lower urinary tract symptoms on quality of life: The Leicester impact scale

Shaw, Christine; Matthews, Ruth; Perry, Sarah; Williams, Kristi Skeel; Spiers, Nicola; Assassa, R.P.; McGrother, Catherine W.; Dallosso, Helen; Jagger, Carol; Mayne, Christopher; Clarke, M.; Team, Leicestershire Mrc Incontinence Study

doi:10.1002/nau.20017

Cited by 29 publications

(23 citation statements)

References 25 publications

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“…with regard to symptom sub groups. Original secondary outcome measures included:, a) Leicester impact scale, a validated instrument measuring impact on quality of life[8] (a scale developed for the study - with a range of 0 to 42 (there were 21 items with a maximum score of 2 on each item); b) patient perception of problem (Question: How much of a problem would you say you have with your urinary symptoms?) and satisfaction with current symptoms (Question: If you had to spend the rest of your life with urinary symptoms as they are now, how would you feel?…”

Section: Methodsmentioning

confidence: 99%

Long term follow-up of a randomised controlled trial of services for urinary symptoms

Williams

Coleby

Abrams

et al. 2011

BMC Health Serv Res

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BackgroundGiven the extent and priority of urinary symptoms there is little evidence available to inform service provision in relation to the long term effects of interventions. This study aims to determine the long term (6 year) clinical effectiveness and costs of a new continence nurse led service compared to standard care for urinary symptoms.MethodsA long term follow-up study of a 2-arm, non-blinded randomised controlled trial that recruited from a community based population between 1998-2000 in Leicestershire and Rutland UK was undertaken. 3746 men and women aged 40 years and over were followed up from the original trial. The continence nurse practitioner (CNP) intervention comprised a continence service provided by specially trained nurses delivering evidence-based interventions using pre-determined care pathways. The standard care (SC) arm comprised access to existing primary care including General Practitioner and continence advisory services in the area. Primary outcome: Improvement in one or more symptom. Secondary outcomes included: a) Leicester Impact scale; b) patient perception of problem; c) number of symptoms alleviated and cost-effectiveness; all were recorded at long term follow-up (average 6 years) post-randomisation.ResultsOverall at long-term follow-up (average 6 years) significantly more individuals in the CNP group (72%) had improved (i.e had fewer symptoms) compared to those in the SC group (67%) (difference of 5% 95% (CI = 0.6 to 9;p = 0.02)).ConclusionThe differences in outcome between the two randomised groups shown immediately post treatment had decreased by half in terms of symptom improvement at long term follow-up. Although the difference was statistically significant, the clinical significance may not be, although the direction of the difference favoured the new CNP service.

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Section: Methodsmentioning

confidence: 99%

Long term follow-up of a randomised controlled trial of services for urinary symptoms

Williams

Coleby

Abrams

et al. 2011

BMC Health Serv Res

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“…The resulting 21-item, interviewer-administered scale is used to measure the impact of these symptoms on the quality of life in both men and women. The initial validation study of the Leicester Impact Scale found that the measure demonstrated good internal consistency reliability, test-retest reliability, inter-rater reliability, construct validity, and responsiveness [71]. No other published studies were identified that evaluated or used the Leicester Impact Scale.…”

Section: Leicester Impact Scalementioning

confidence: 99%

“…The original items of the Leicester Impact Scale were created from a literature review as well as discussions with clinicians and people who experienced UI, frequency, nocturia, and/or urgency [71]. The resulting 21-item, interviewer-administered scale is used to measure the impact of these symptoms on the quality of life in both men and women.…”

Section: Leicester Impact Scalementioning

confidence: 99%

An updated review of quality-of-life questionnaires for urinary incontinence and overactive bladder: Which ones to use and why

Matza¹,

Brewster‐Jordan²,

Zyczynski³

et al. 2006

Curr Bladder Dysfunct Rep

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“…Leicester Impact Scale [63] : ce questionnaire, de langue anglaise, récemment validé, fut développé pour mesurer l'impact sur la QdV des symptômes irritatifs (impériosité, pollakiurie et incontinence) chez l'homme et chez la femme. Sa fiabilité était bonne (test-retest) ainsi que sa validité de construction, reposant sur des corrélations significatives, avec deux échelles évaluant l'humeur (Hospital Anxiety and Depression Scale et le Bradburn Negative Affect Scale) et les symptômes urinaires.…”

Section: Grade B Revisitéunclassified

“…Sa fiabilité était bonne (test-retest) ainsi que sa validité de construction, reposant sur des corrélations significatives, avec deux échelles évaluant l'humeur (Hospital Anxiety and Depression Scale et le Bradburn Negative Affect Scale) et les symptômes urinaires. Sa sensibilité aux changements est faible [63].…”

Section: Grade B Revisitéunclassified

Quels questionnaires de symptômes et de qualité de vie liés aux troubles urinaires utilisés pour mesurer l’efficacité d’un traitement ?

et al. 2008

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Ré sumé : Objectifs : Identifier les questionnaires de symptômes et de qualité de vie (QdV) spécifiques des troubles urinaires ayant bénéficié d'une validation psychométrique rigoureuse permettant leur utilisation pour mesurer l'efficacité d'un traitement.Matériels et méthode : Une revue de la littérature a été effectuée sur PubMed en utilisant les mots clés : urinary disorders, urinary incontinence, bladder, score, quality of life, questionnaire, psychométric validation. La sélection des questionnaires a été réalisée selon les grades de recommandation de l'International Continence Society.Résultats : Les articles concernant des essais théra-peutiques ont été exclus. Seuls les articles concernant la validation psychométrique des questionnaires ont été retenus. Les questionnaires sélectionnés mesuraient soit les symptômes urinaires et/ou la gêne associée, soit la QdV spécifique liée aux troubles urinaires. Ces questionnaires étaient pour la plupart spécifiques des troubles urinaires de l'homme ou de la femme. Leurs qualités psychométriques n'étaient pas uniformes et, pour une majorité d'entre eux, la sensibilité aux changements n'avait pas été analysée.Conclusion : Peu de questionnaires de QdV sont à un stade de validation permettant leur usage en pratique clinique. Une forme courte, sensible aux changements, est nécessaire ainsi que l'extension de leur validité à d'autres populations pour les rendre plus faciles à utiliser en pratique clinique. Mots clés : Troubles urinaires -Vessie -Qualité de vieQuestionnaires -Validation psychométriqueWhich symptom and quality of life urinary disorder specific questionnaires should be used to assess therapeutic effectiveness? Abstract: Objectives: To review all available symptom and quality of life urinary disorder specific questionnaires, that have been assessed with respect to their psychometric properties related to evaluating therapeutic effectiveness. Methods:We systematically reviewed PubMed literature using the following key words: urinary disorders, urinary incontinence, bladder, score, quality of life, questionnaire, psychometric validation. Questionnaires were selected according to International Continence Society recommendation grades.Results: Any articles mentioning quality of life but not in fact measuring the psychometric properties of questionnaires were not investigated. Questionnaires selected either assess how much a person is bothered by urinary symptoms or measure urinary disorder specific quality of life. They are usually gender specific. Their psychometric value is far from uniform and for most of them responsiveness was not reported.Conclusion: Few quality of life questionnaires are at a sufficiently advanced stage of validation for use in clinical practice. They need to be shorter and more responsive, as well as being validated in different populations, so that they can be used more easily.

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Validity and reliability of a questionnaire to measure the impact of lower urinary tract symptoms on quality of life: The Leicester impact scale

Abstract: The questionnaire proved to be a valid and reliable interviewer administered instrument for measuring impact of urinary symptoms.

Cited by 29 publications

References 25 publications

Long term follow-up of a randomised controlled trial of services for urinary symptoms

Long term follow-up of a randomised controlled trial of services for urinary symptoms

An updated review of quality-of-life questionnaires for urinary incontinence and overactive bladder: Which ones to use and why

Quels questionnaires de symptômes et de qualité de vie liés aux troubles urinaires utilisés pour mesurer l’efficacité d’un traitement ?

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