Abstract
Aims: To test the validity of three patient global ratings, satisfaction, perception of improvement, and estimated percent improvement, for measuring outcomes of behavioral treatment for urinary incontinence. Methods: This report is a secondary analysis of data from three randomized controlled trials testing behavioral interventions for incontinence. Participants were 359 community-dwelling women, aged 40-92 years, with stress, urge, or mixed urinary incontinence. All participants received an 8-week program of clinic-based or self-administered behavioral training. Subjective outcomes included a patient satisfaction question (PSQ), global perception of improvement (GPI), and estimated percent improvement (EPI). Convergent validity was tested by examining the relationship between each measure and reduction of incontinence (bladder diary), change on the incontinence impact questionnaire (IIQ), and desire for another treatment. Discriminant validity was explored by examining the relationship of the global ratings to five measures not expected to be related to outcome (age, race, BMI, education level, and change in perceived pain). Results: All three patient global ratings were significantly associated with each other (P <0.0001), with diary measures of reduction of incontinence episodes (P <0.0001), and change in the IIQ (P <0.005), and inversely associated with desire for another treatment (P <0.0001). All three patient ratings were not significantly associated with age, race, BMI, education level, or change in perceived pain. Conclusion: Patient global ratings of satisfaction, perception of improvement, and estimated percent improvement have acceptable convergent and discriminant validity for measuring outcomes in studies of behavioral treatment for urinary incontinence.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 411-417 |
| Number of pages | 7 |
| Journal | Neurourology and Urodynamics |
| Volume | 25 |
| Issue number | 5 |
| DOIs | |
| State | Published - 2006 |
| Externally published | Yes |
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Keywords
- Behavior therapy
- Outcomes assessment
- Patient satisfaction
- Urinary incontinence
- Validation study
ASJC Scopus subject areas
- Clinical Neurology
- Nephrology
- Urology
Cite this
Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence : Validation of three global patient ratings. / Burgio, Kathryn L.; Goode, Patricia S.; Richter, Holly E.; Locher, Julie L.; Roth, David L.
In: Neurourology and Urodynamics, Vol. 25, No. 5, 2006, p. 411-417.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence
T2 - Validation of three global patient ratings
AU - Burgio, Kathryn L.
AU - Goode, Patricia S.
AU - Richter, Holly E.
AU - Locher, Julie L.
AU - Roth, David L
PY - 2006
Y1 - 2006
N2 - Aims: To test the validity of three patient global ratings, satisfaction, perception of improvement, and estimated percent improvement, for measuring outcomes of behavioral treatment for urinary incontinence. Methods: This report is a secondary analysis of data from three randomized controlled trials testing behavioral interventions for incontinence. Participants were 359 community-dwelling women, aged 40-92 years, with stress, urge, or mixed urinary incontinence. All participants received an 8-week program of clinic-based or self-administered behavioral training. Subjective outcomes included a patient satisfaction question (PSQ), global perception of improvement (GPI), and estimated percent improvement (EPI). Convergent validity was tested by examining the relationship between each measure and reduction of incontinence (bladder diary), change on the incontinence impact questionnaire (IIQ), and desire for another treatment. Discriminant validity was explored by examining the relationship of the global ratings to five measures not expected to be related to outcome (age, race, BMI, education level, and change in perceived pain). Results: All three patient global ratings were significantly associated with each other (P <0.0001), with diary measures of reduction of incontinence episodes (P <0.0001), and change in the IIQ (P <0.005), and inversely associated with desire for another treatment (P <0.0001). All three patient ratings were not significantly associated with age, race, BMI, education level, or change in perceived pain. Conclusion: Patient global ratings of satisfaction, perception of improvement, and estimated percent improvement have acceptable convergent and discriminant validity for measuring outcomes in studies of behavioral treatment for urinary incontinence.
AB - Aims: To test the validity of three patient global ratings, satisfaction, perception of improvement, and estimated percent improvement, for measuring outcomes of behavioral treatment for urinary incontinence. Methods: This report is a secondary analysis of data from three randomized controlled trials testing behavioral interventions for incontinence. Participants were 359 community-dwelling women, aged 40-92 years, with stress, urge, or mixed urinary incontinence. All participants received an 8-week program of clinic-based or self-administered behavioral training. Subjective outcomes included a patient satisfaction question (PSQ), global perception of improvement (GPI), and estimated percent improvement (EPI). Convergent validity was tested by examining the relationship between each measure and reduction of incontinence (bladder diary), change on the incontinence impact questionnaire (IIQ), and desire for another treatment. Discriminant validity was explored by examining the relationship of the global ratings to five measures not expected to be related to outcome (age, race, BMI, education level, and change in perceived pain). Results: All three patient global ratings were significantly associated with each other (P <0.0001), with diary measures of reduction of incontinence episodes (P <0.0001), and change in the IIQ (P <0.005), and inversely associated with desire for another treatment (P <0.0001). All three patient ratings were not significantly associated with age, race, BMI, education level, or change in perceived pain. Conclusion: Patient global ratings of satisfaction, perception of improvement, and estimated percent improvement have acceptable convergent and discriminant validity for measuring outcomes in studies of behavioral treatment for urinary incontinence.
KW - Behavior therapy
KW - Outcomes assessment
KW - Patient satisfaction
KW - Urinary incontinence
KW - Validation study
UR - http://www.scopus.com/inward/record.url?scp=33747332534&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33747332534&partnerID=8YFLogxK
U2 - 10.1002/nau.20243
DO - 10.1002/nau.20243
M3 - Article
C2 - 16652380
AN - SCOPUS:33747332534
VL - 25
SP - 411
EP - 417
JO - Neurourology and Urodynamics
JF - Neurourology and Urodynamics
SN - 0733-2467
IS - 5
ER -