International Consultation on Incontinence Modular Questionnaires (ICIQ)

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Objective
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International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI ShortForm)[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.[1]

Intended Population[edit | edit source]

Adult females and males[1]

Method of Use[edit | edit source]

Time to complete: a few minutes[2][edit | edit source]

Reference[edit | edit source]

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

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

International Consultation on Incontinence Questionnaire Anal Incontinence Symptoms and Quality of Life Module (ICIQ-B)[edit | edit source]

Objective[edit | edit source]

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[edit | edit source]

Adult females and males

Method of Use[edit | edit source]

Time to complete: a few minutes

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

International Consultation on Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS)[edit | edit source]

Objective[edit | edit source]

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[edit | edit source]

Adult females

Method of Use[edit | edit source]

Time to complete: 4-5 minutes

Reference[edit | edit source]

You can read more about the ICIQ-VS here.

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 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.
  2. Bristol Urological Institute. ICIQ Structure Short Form. http://www.iciq.net/ICIQ-UIshortform.html (accessed 15 June 2018).

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