International Consultation on Incontinence Modular Questionnaires (ICIQ): Difference between revisions

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== About the ICIQ  ==
== About the ICIQ  ==
The International Consultation of Incontinence (ICIQ) has developed a series of international questionnaires and is striving to fully validate these questionnaires for the investigation lower urinary tract dysfunction, vaginal symptoms and lower bowel dysfunction in research and clinical settings.<ref>Bristol Urological Institute.The International Consultation of Incontinence Modular Questionnaire.  http://www.iciq.net/<nowiki/>(accessed 15 June 2018).</ref>
The International Consultation of Incontinence (ICIQ) has developed a series of international questionnaires and is striving to validate these questionnaires for the investigation lower urinary tract dysfunction, vaginal symptoms and lower bowel dysfunction in research and clinical settings.<ref name=":2">Bristol Urological Institute.The International Consultation of Incontinence Modular Questionnaire.  http://www.iciq.net/<nowiki/>(accessed 15 June 2018).</ref> Requests to use any of the developed ICIQs in research or clinical practice can be made by visiting [http://www.iciq.net/contact.html ICIQ Contact Us]. The following page presents information on the International Consultation on Incontinence Questionnaire for [[Urinary Incontinence|Urinary Incontinence]]. 


== International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI Short Form) ==
== International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI Short Form) ==


=== Objective ===
=== Objective ===
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* Self-diagnostic item
* Self-diagnostic item


=== Reference  ===
===== Scoring System  =====
You can read more about the [http://www.iciq.net/ICIQ-UIshortform.html ICIQ-UI Short form here.]
The ICIQ-UI Short form provides a score ranging from 0-21. With a higher score indicating greater severity of symptoms.<ref name=":2" /> The "self-diagnostic" portion of the questionnaire is not given a score.<ref name=":2" />


=== Evidence  ===
=== Evidence  ===


==== Reliability  ====
==== Reliability  ====
The ICIQ-UI Short Form scoring system has been shown to exhibit high levels of validity, reliability and responsiveness.
'''Stability:''' Test-retest reliability range from good to very good (Kappa value = 0.67-0.90) for all items except “overall quality of life which was found to be moderate (Kappa value = 0.58).<ref name=":0" />
 
==== Validity  ====
==== Responsiveness to change  ====
== <span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span>International Consultation on Incontinence Questionnaire Anal Incontinence Symptoms and Quality of Life Module (ICIQ-B)  ==
=== Objective ===
This questionnaire is used to evaluate symptoms of anal incontinence (including flatus incontinence) and impact on quality of life. The ICIQ-B provides scores for bowel pattern and control and for the impact on quality of life associated with anal incontinence symptoms.
 
=== Intended Population  ===
Adult females and males


=== Method of Use  ===
'''Internal consistency''' has been found to be excellent (Cronbach’s alpha coefficient = 0.95).<ref name=":0" /> 
A patient-reported questionnaire that can be done by the patient independently or during an assessment with a practitioner.
 
Time to complete: a few minutes
 
Question Items<ref>Cotterill N, Norton C, Avery KN, Abrams P, Donovan JL. Psychometric evaluation of a new patient-completed questionnaire for evaluating anal incontinence symptoms and impact on quality of life: the ICIQ-B. Diseases of the Colon & Rectum. 2011 Oct 1;54(10):1235-50.</ref>
* Bowel pattern
* Bowel ocntrol
* Other bowel symptoms
* Sexual impact
* Quality of life
 
=== Evidence  ===
 
==== Reliability  ====
The ICIQ-B demonstrates acceptable validity, “good” to “very good” reliability, and reasonable response to changes in symptom and quality of life status following intervention. 


==== Validity  ====
==== Validity  ====
'''Content validity:''' Items in the ICIQ-UI Short form have been found to be easily interpreted by patients and appear to cover all important domains of incontinence with good response rates from community volunteers.<ref name=":0" />


==== Sensitivity to change  ====
'''Construct validity:''' The ICIQ-UI has been found to differentiated between males and females, with females reporting more incontinence than males (58.9% and 25.2% respectively, p < 0.001).<ref name=":0" />
 
== International Consultation on Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS) ==
 
=== Objective ===
This questionnaire can be used to assess the impact of vaginal symptoms. it provides scores for vaginal symptoms, sexual matters associated with vaginal symptoms and for impact on quality of life associated with vaginal symptoms.
 
=== Intended Population  ===
Adult females
 
=== Method of Use  ===
A patient-reported questionnaire<ref name=":3">Price N, Jackson SR, Avery K, Brookes ST, Abrams P. [https://obgyn-onlinelibrary-wiley-com.proxy.queensu.ca/doi/full/10.1111/j.1471-0528.2006.00938.x Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ‐VS.] BJOG: An International Journal of Obstetrics & Gynaecology. 2006 Jun 1;113(6):700-12.</ref> that can be done by the patient independently during an assessment with a practitioner.


Time to complete: 10-15 minutes<ref name=":3" />
'''Convergent validity''': There currently is no “gold standard” questionnaire for incontinence, but agreement between responses to ICIQ-UI and Bristol Female Lower Urinary Tract Symptoms (BFLUTS)<ref>Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. BJU International. 1996 Jun 1;77(6):805-12.</ref> as been investigated.<ref name=":0" /> Questions on the ‘frequency’ and ‘usual amount’ of leakage ranged from moderate to strong (r=0.53-0.86), questions assessing the perceived causes of incontinence ranged from weak to moderate (r=0.29-0.55).<ref name=":0" /> 


Question Items<ref name=":2">Bristol Urological Institute. ICIQ Structure Short Form. http://www.iciq.net/ICIQ-VS.html (accessed 15 June 2018).</ref>
==== Sensitivity to change ====
* Dragging abdominal pain
<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span>A statistically significant reduction in symptoms have been found between baseline scores and scores following conservative treatment in both males and females in all items (p<0.0001) except for "overall quality of life" (females,p=0.12; males, p=0.24).<ref name=":0" />  
* Vaginal soreness
* Reduced sensation around vagina
* Vagina too loose/lax
* Lump coming down in vagina
* Lump coming out of vagina
* Dry vagina
* Digitation for bowel opening
* Tight vagina
* Current sex life
* Worries about vagina affect sex life
* Relationship
* Sex life spoilt
* Overall impact on everyday life


=== Reference  ===
A statistically significant decrease in symptoms has also been found between baseline scores and scores after surgical intervention in both females and males (p<0.0001).<ref name=":0" />
You can read more about the [http://www.iciq.net/ICIQ-VS.html ICIQ-VS here.]
 
=== Evidence  ===
 
==== Reliability  ====
The ICIQ-VS has been shown to demonstrate good reliability.
 
==== Validity  ====
The ICIQ-VS has been shown to demonstrate good validity
 
==== Sensitivity to change  ====
ICIQ‐VS questionnaire has been found to be sensitive to the changes in a patient’s symptoms following surgical intervention for pelvic organ prolapse.<ref name=":3" />


=== Resource ===
You can read more about the [http://www.iciq.net/ICIQ-UIshortform.html ICIQ-UI Short form here.]
== References  ==
== References  ==


<references />
<references />
[[Category:Pelvic Health]] [[Category:Pelvis]] [[Category:Womens_Health]] [[Category:Mens_Health]] [[Category:Assessment]] [[Category:Pelvis - Assessment and Examination]]

Latest revision as of 15:07, 31 October 2022

Original Editor - Nicole Hills

Top Contributors - Nicole Hills, Kim Jackson and Oyemi Sillo  


About the ICIQ[edit | edit source]

The International Consultation of Incontinence (ICIQ) has developed a series of international questionnaires and is striving to validate these questionnaires for the investigation lower urinary tract dysfunction, vaginal symptoms and lower bowel dysfunction in research and clinical settings.[1] Requests to use any of the developed ICIQs in research or clinical practice can be made by visiting ICIQ Contact Us. The following page presents information on the International Consultation on Incontinence Questionnaire for Urinary Incontinence.

International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI Short Form)[edit | edit source]

Objective[edit | edit source]

This short questionnaire can be used by clinicians to screen for incontinence, to obtain a brief yet comprehensive summary of the level, impact and perceived cause of symptoms of incontinence and to facilitate patient-clinician discussions.[2]

Intended Population[edit | edit source]

Adult females and males[2]

Method of Use[edit | edit source]

A patient-reported questionnaire that can be done by the patient independently or during an assessment with a practitioner.

Time to complete: a few minutes[3]

Question Items[3][edit | edit source]
  • Frequency of urinary incontinence
  • Amount of leakage
  • Overall impact of urinary incontinence
  • Self-diagnostic item
Scoring System[edit | edit source]

The ICIQ-UI Short form provides a score ranging from 0-21. With a higher score indicating greater severity of symptoms.[1] The "self-diagnostic" portion of the questionnaire is not given a score.[1]

Evidence[edit | edit source]

Reliability[edit | edit source]

Stability: Test-retest reliability range from good to very good (Kappa value = 0.67-0.90) for all items except “overall quality of life which was found to be moderate (Kappa value = 0.58).[2]

Internal consistency has been found to be excellent (Cronbach’s alpha coefficient = 0.95).[2] 

Validity[edit | edit source]

Content validity: Items in the ICIQ-UI Short form have been found to be easily interpreted by patients and appear to cover all important domains of incontinence with good response rates from community volunteers.[2]

Construct validity: The ICIQ-UI has been found to differentiated between males and females, with females reporting more incontinence than males (58.9% and 25.2% respectively, p < 0.001).[2]

Convergent validity: There currently is no “gold standard” questionnaire for incontinence, but agreement between responses to ICIQ-UI and Bristol Female Lower Urinary Tract Symptoms (BFLUTS)[4] as been investigated.[2] Questions on the ‘frequency’ and ‘usual amount’ of leakage ranged from moderate to strong (r=0.53-0.86), questions assessing the perceived causes of incontinence ranged from weak to moderate (r=0.29-0.55).[2] 

Sensitivity to change[edit | edit source]

A statistically significant reduction in symptoms have been found between baseline scores and scores following conservative treatment in both males and females in all items (p<0.0001) except for "overall quality of life" (females,p=0.12; males, p=0.24).[2]

A statistically significant decrease in symptoms has also been found between baseline scores and scores after surgical intervention in both females and males (p<0.0001).[2]

Resource[edit | edit source]

You can read more about the ICIQ-UI Short form here.

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Bristol Urological Institute.The International Consultation of Incontinence Modular Questionnaire. http://www.iciq.net/(accessed 15 June 2018).
  2. ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourology and urodynamics. 2004 Jan 1;23(4):322-30.
  3. ↑ 3.0 3.1 Bristol Urological Institute. ICIQ Structure Short Form. http://www.iciq.net/ICIQ-UIshortform.html (accessed 15 June 2018).
  4. ↑ Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. BJU International. 1996 Jun 1;77(6):805-12.
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