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  4. Reliability of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters

Reliability of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters

Spinal Cord, 2021 · DOI: 10.1038/s41393-021-00665-x · Published: September 1, 2021

UrologyPatient Experience

Simple Explanation

This study focuses on the reliability of questionnaires designed to assess urinary symptoms in people with neurogenic bladder (NLUTD). These questionnaires are tailored for individuals who use indwelling catheters or void to manage their bladder. The researchers evaluated whether the questionnaires consistently capture the experiences of individuals with NLUTD, ensuring that the tools are dependable for both research and clinical purposes. The findings support the use of these questionnaires, indicating they are reliable for measuring urinary symptoms in people with NLUTD who manage their bladders with indwelling catheters or by voiding.

Study Duration
6 Months
Participants
SCI with IDC, n=306; MS with IDC, n=8; SCI Voiders, n=103; MS Voiders, n=383
Evidence Level
Descriptive Psychometrics Study

Key Findings

  • 1
    All items on the questionnaires were endorsed by more than 10% of the participants, suggesting that the items represent recognizable urinary symptoms.
  • 2
    The questionnaires demonstrated acceptable levels of internal consistency, with Cronbach’s alpha values greater than .78, indicating that the items are related to each other.
  • 3
    Bayesian network analysis showed interpretable associations among the urinary symptoms, supporting the structural validity of the questionnaires.

Research Summary

This study evaluated the reliability of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) designed for those using indwelling catheters (IDC) or voiding (V). The results indicated that the USQNB-IDC and USQNB-V instruments show sufficient, multi-dimensional reliability for implementation and further study. The study supports the use of these patient-centered questionnaires in clinical practice and research to better understand and manage urinary symptoms in individuals with NLUTD.

Practical Implications

Improved Assessment of NLUTD Symptoms

The reliable questionnaires can help clinicians accurately assess urinary symptoms in patients with NLUTD, leading to better diagnosis and management.

Enhanced Patient Self-Management

The questionnaires can empower patients to monitor and communicate their symptoms effectively, facilitating better self-management of their condition.

Support for Research on Interventions

The validated questionnaires can be used in clinical trials to evaluate the effectiveness of interventions aimed at improving urinary symptoms in NLUTD patients.

Study Limitations

  • 1
    The timeframe of the questions (one year) may have affected the structural coherence in the models.
  • 2
    The study did not estimate fit, factors, or strengths of associations between any of the items on either instrument.
  • 3
    The limited sample size of MS patients using IDC may affect the generalizability of the findings for this subgroup.

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