Frequently Asked Questions About the Overactive Bladder Questionnaires
There are three questionnaires in the OAB Questionnaire Family. The choice of the most appropriate instrument will depend upon the intended use of the questionnaire and the specific research objectives.
- OAB-q: The original version of the OAB-q was developed to assess
symptom bother and health-related quality of life (HRQL) among
patients with either continent or incontinent overactive
bladder. The
original OAB-q has an 8-item symptom bother scale and four HRQL
subscales (coping, concern, sleep, social interaction), which are
derived from 25 items. The original OAB-q should be used when the research
objectives
relate to assessing symptom bother as a study endpoint or when
assessing specific aspects of OAB's impact on HRQL are
desired, such as effects on sleep, social interaction, and so on.
- OAB-q SF: A short form of the original OAB-q was derived to provide a
"quick" assessment of symptom bother and global HRQL. This "short form,"
called the OAB-q SF, consists of a 6-item symptom bother scale
and a 13-item HRQL scale. The OAB-q SF should be used when the assessment of
symptom bother is desired, but may not be a primary or secondary
endpoint or when a global assessment of HRQL, rather than
specific domains of HRQL, is
desired.
- OAB Awareness Tool: The 8-item Symptom Bother scale of the original OAB-q was
validated for use as an awareness
tool to identify patients who may have bothersome OAB
symptoms. The
format and instructions of the OAB Awareness Tool were designed for
screener use.
When selecting the questionnaire for your study, it is important to remember that with an
increased number of questions, increased sensitivity is gained in
the questionnaire. Additionally, should labeling claims be desired,
questionnaire selection must match the desired
outcome.
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Permission to use any questionnaire from this website is obtained by completing the form on the
order page, providing all
necessary information including intended use of the
questionnaire.
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A range of well-validated condition-specific questionnaires are available for use among patients with symptoms of OAB. Questionnaires vary in terms of the domains assessed and the number of items assessing a specific domain. Depending upon the goals of the research or clinical question, one questionnaire may be preferable over another particularly if it assesses a desired domain that other questionnaires may or may not address adequately.
Another distinguishing feature of each questionnaire involves the specific patient population for which
it was designed and validated. Instruments should have
demonstrated evidence of reliability and validity in the patient
population under investigation (Leidy et al. 1999). A questionnaire shown to
be valid in one population is not necessarily valid for use in a
population with different demographic or clinical
characteristics. Therefore, when choosing an instrument, it is critical to
match the questionnaire with the intended study sample. Please see the table below summarizing
Condition-Specific Health-Related Quality of Life Instruments
for further information on relevant
questionnaires.
|
Name of Instrument
|
Target Condition/
Population
|
Number of Items
|
Recall Period
|
Subscales
|
Key Development/ Validation Citations
|
|
CONTILIFE: A Quality of Life Questionnaire for Urinary Incontinence
|
Women, SUI
|
28
|
Past 4 weeks (27 items), Current
(1 item)
|
Daily activities, Effort activities, Self-image, Emotional Consequences, Sexuality, Well-being, Global score
|
Amarenco et al. 2003
|
|
Incontinence Impact Questionnaire (IIQ)
|
Women, UI
|
30
|
Current
|
Physical Activity, Travel, Social, Emotional
|
Shumaker et al. 1994
|
|
Incontinence Impact Questionnaire - Revised (IIQ-R)
|
Women, UI
|
30
|
Current
|
Physical Activity, Travel, Social, Emotional, Embarrassment
|
Vaart et al. 2003
|
|
Incontinence Impact Questionnaire - Short Form (IIQ-7)
|
Women, UI
|
7
|
Current
|
N/A
|
Uebersax et al. 1995
|
|
Incontinence Quality of Life Questionnaire (I-QOL)
|
UI
|
22
|
Today
|
Avoidance and limiting behaviors, psychosocial, Social embarrassment
|
Wagner et al. 1996
|
|
Incontinence Stress Questionnaire for Patients (ISQ-P)
|
UI
|
20
|
Past 7 days
|
Depressive, Aesthetic/Somatic, Social
|
Yu et al. 1989
|
|
Kings Health Questionnaire (KHQ)
|
UI
|
21
|
Current
|
Role Limitations, Physical Limitations, Social Limitations, Personal Limitations, Emotional Problems, Sleep/Energy Disturbance, Severity (Coping) Measures, Symptom Severity, Incontinence Impact (Single-item), General Health Perception (Single-item)
|
Kelleher et al. 1997
|
|
Male Urinary Symptom Impact Questionnaire (MUSIQ)
|
Men, UI
|
32
|
No recall period specified
|
Activity, Social Contact, Emotional Health, Self-Confidence, Stability of Support, Sleep
|
Robinson & Shea 2002
|
|
Overactive Bladder Questionnaire (OAB-q)
|
Continent and incontinent OAB
|
33
|
Past 4 weeks
|
Symptom Bother, Coping, Concern, Social Interaction, Sleep
|
Coyne et al. 2002
|
|
Quality of Life Questionnaire for Urinary Urge Incontinence
|
Women, UUI
|
24
|
No information available
|
Activities, Emotional Impact, Self-Image, Sleep, Well-Being
|
Marquis et al. 1995
|
|
Symptom Impact Index For Stress Incontinence in Women (SSI-SI)
|
Women, SUI
|
3
|
Past year (3 items), ever (9 items), past week (1 item),
currently (7 items)
|
N/A
|
Black et al. 1996
|
|
Urge Impact Scale (URIS)
|
Older persons, UI
|
24
|
Past month
|
Psychological Burden, Perception of Personal Control, Self-Concept
|
DuBeau et al. 1999
|
|
Urge-Incontinence Impact Questionnaire (U-IIQ)
|
MUI, UUI
|
32
|
Past 4 weeks
|
Travel, Activities, Physical Activities, Feelings, Relationships, Sexual Function, Nighttime Bladder Control
|
Lubeck et al. 1999
|
|
Urinary Incontinence Handicap Inventory (UIHI)
|
Elderly women, UI due to detrusor instability
|
17
|
Past 4 weeks
|
N/A
|
Rai et al. 1994
|
|
Urinary Incontinence Severity Score (UISS)
|
Women, UI
|
10
|
Current
|
N/A
|
Stach-Lempinen et al. 2001
|
|
York Incontinence Perceptions Scale (YIPS)
|
Women, UI
|
8
|
Current
|
N/A
|
Lee et al. 1995
|
SUI: Stress Urinary Incontinence
UUI: Urge Urinary Incontinence
MUI: Mixed Urinary Incontinence (i.e., both stress and urge)
UI: Urinary Incontinence (stress/urge not specified)
OAB: Overactive Bladder
This table is from the published article:
Matza LS, Zyczynski TM, & Bavendam T. A review of quality of life questionnaires for urinary incontinence and overactive bladder: Which ones to use and why. Current Urology Reports (5):336-42, Oct 5, 2004.
|
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