Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder

<p>Abstract</p> <p>Background</p> <p>The Patient Perception of Intensity of Urgency Scale (PPIUS) is a patient-reported outcome instrument intended to measure the intensity of urgency associated with each urinary or incontinence episode. The objectives of this study wer...

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Main Authors: Notte Sherilyn M, Marshall Thomas S, Lee Misun, Hakimi Zalmai, Odeyemi Isaac, Chen Wen-Hung, Revicki Dennis A
Format: Article
Language:English
Published: BMC 2012-09-01
Series:BMC Urology
Subjects:
Online Access:http://www.biomedcentral.com/1471-2490/12/26
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author Notte Sherilyn M
Marshall Thomas S
Lee Misun
Hakimi Zalmai
Odeyemi Isaac
Chen Wen-Hung
Revicki Dennis A
author_facet Notte Sherilyn M
Marshall Thomas S
Lee Misun
Hakimi Zalmai
Odeyemi Isaac
Chen Wen-Hung
Revicki Dennis A
author_sort Notte Sherilyn M
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The Patient Perception of Intensity of Urgency Scale (PPIUS) is a patient-reported outcome instrument intended to measure the intensity of urgency associated with each urinary or incontinence episode. The objectives of this study were to assess the content validity, test-retest reliability, and acclimation effect of the PPIUS in overactive bladder (OAB) patients.</p> <p>Methods</p> <p>Patients undergoing treatment for OAB were recruited to participate in a non-interventional study by completing a three-day micturition diary including the PPIUS for three consecutive weeks. Following completion of the three-week study, participants from two select sites also completed a cognitive interview to assess their comprehension of the PPIUS.</p> <p>Results</p> <p>Thirty-nine participants successfully completed the three-week test-retest study; twelve of these participants completed the cognitive interview. Test-retest reliability was high based on intra-class correlation coefficient of 0.95. Among stable patients, the difference between the mean ratings of any two weeks was non-significant. Among the twelve interview participants, nine found it simple to choose a PPIUS rating for each of their micturition episodes and most found the urgency rating definitions consistent with their urgency experiences.</p> <p>Conclusions</p> <p>The results demonstrated content validity based on qualitative interviews, and excellent test-retest reliability among stable patients. In addition, no acclimation effect was observed among stable patients. These findings support the use of the PPIUS as a reliable measure of urgency in both clinical trial and real life settings. The validity of PPIUS could be further established with future studies investigating the relationship between discretely graded urgency and incontinence continuum.</p>
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spelling doaj.art-fdc8cab9aef8437e93bd6f3fb6846ac72022-12-22T01:52:15ZengBMCBMC Urology1471-24902012-09-011212610.1186/1471-2490-12-26Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladderNotte Sherilyn MMarshall Thomas SLee MisunHakimi ZalmaiOdeyemi IsaacChen Wen-HungRevicki Dennis A<p>Abstract</p> <p>Background</p> <p>The Patient Perception of Intensity of Urgency Scale (PPIUS) is a patient-reported outcome instrument intended to measure the intensity of urgency associated with each urinary or incontinence episode. The objectives of this study were to assess the content validity, test-retest reliability, and acclimation effect of the PPIUS in overactive bladder (OAB) patients.</p> <p>Methods</p> <p>Patients undergoing treatment for OAB were recruited to participate in a non-interventional study by completing a three-day micturition diary including the PPIUS for three consecutive weeks. Following completion of the three-week study, participants from two select sites also completed a cognitive interview to assess their comprehension of the PPIUS.</p> <p>Results</p> <p>Thirty-nine participants successfully completed the three-week test-retest study; twelve of these participants completed the cognitive interview. Test-retest reliability was high based on intra-class correlation coefficient of 0.95. Among stable patients, the difference between the mean ratings of any two weeks was non-significant. Among the twelve interview participants, nine found it simple to choose a PPIUS rating for each of their micturition episodes and most found the urgency rating definitions consistent with their urgency experiences.</p> <p>Conclusions</p> <p>The results demonstrated content validity based on qualitative interviews, and excellent test-retest reliability among stable patients. In addition, no acclimation effect was observed among stable patients. These findings support the use of the PPIUS as a reliable measure of urgency in both clinical trial and real life settings. The validity of PPIUS could be further established with future studies investigating the relationship between discretely graded urgency and incontinence continuum.</p>http://www.biomedcentral.com/1471-2490/12/26Over active bladderOABUrinary urgencyUrge incontinencePatient perception of intensity of urgency scalePPIUS
spellingShingle Notte Sherilyn M
Marshall Thomas S
Lee Misun
Hakimi Zalmai
Odeyemi Isaac
Chen Wen-Hung
Revicki Dennis A
Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
BMC Urology
Over active bladder
OAB
Urinary urgency
Urge incontinence
Patient perception of intensity of urgency scale
PPIUS
title Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
title_full Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
title_fullStr Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
title_full_unstemmed Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
title_short Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder
title_sort content validity and test retest reliability of patient perception of intensity of urgency scale ppius for overactive bladder
topic Over active bladder
OAB
Urinary urgency
Urge incontinence
Patient perception of intensity of urgency scale
PPIUS
url http://www.biomedcentral.com/1471-2490/12/26
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