Inconclusive Psychometric Properties of the Vaizey Score in Fecally Incontinent Patients: A Prospective Cohort Study

被引：27
作者：
Bols, Esther M. J. [1 ,2 ,3 ]
Hendriks, Erik J. M. [1 ,2 ,3 ]
Deutekom, Marije [4 ]
Berghmans, Bary C. M. [5 ]
Baeten, Cor G. M. I. [6 ]
de Bie, Rob A. [1 ,2 ,3 ]
机构：
[1] MUMC, Dept Epidemiol, NL-6200 MD Maastricht, Netherlands
[2] MUMC, Sch Publ Hlth & Primary Care CAPHRI, NL-6200 MD Maastricht, Netherlands
[3] MUMC, Ctr Evidence Based Physiotherapy, NL-6200 MD Maastricht, Netherlands
[4] Univ Amsterdam, Acad Med Ctr, Dept Social Med, NL-1105 AZ Amsterdam, Netherlands
[5] MUMC, Pelv Care Ctr Maastricht, NL-6200 MD Maastricht, Netherlands
[6] MUMC, Dept Surg, NL-6200 MD Maastricht, Netherlands
来源：
NEUROUROLOGY AND URODYNAMICS | 2010年 / 29卷 / 03期
关键词：
fecal incontinence; minimally important change (MIC); pelvic floor rehabilitation; psychometric properties; responsiveness; Vaizey score; HEALTH-STATUS QUESTIONNAIRES; MINIMALLY IMPORTANT CHANGE; URINARY;
D O I：
10.1002/nau.20758
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Aim: To determine the psychometric properties of the total Vaizey score and its individual items. Methods: The study was conducted as part of a prospective cohort study assessing the outcome of pelvic floor rehabilitation in patients with fecal incontinence. Results: One hundred ninety-four patients were analyzed, 53 of whom provided data on the global perceived effect (GPE) score. Pelvic floor rehabilitation resulted in a significant reduction of the total Vaizey score and most individual items. The total Vaizey scores changed in agreement with the GPE scores. The total Vaizey score was responsive, but some individual items yielded inconsistent results for three different measures. The test-retest reliability was adequate or excellent for six individual items and the total Vaizey score. The internal consistency was low for the total Vaizey score at baseline, in contrast to the follow-up and change scores. The estimates for the minimally important change (MIC) and smallest detectable change yielded moderately consistent results. An MIC of 5 points seemed preferable and yielded the lowest misclassification rate. Conclusions: More research is required to confirm conclusions on the psychometric properties of the total Vaizey score and its individual items, and to justify its use in research and routine clinical practice. Neurourol. Urodynam. 29:370-377, 2010. (C) 2009 Wiley-Liss, Inc.
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收藏
页码：370 / 377
页数：8
相关论文
共 17 条
  • [1] Questionnaires to assess urinary and anal incontinence: Review and recommendations
    Avery, K. N. L.
    Bosch, J. L. H. R.
    Gotoh, M.
    Naughton, M.
    Jackson, S.
    Radley, S. C.
    Valiquette, L.
    Batista, J.
    Donovan, J. L.
    [J]. JOURNAL OF UROLOGY, 2007, 177 (01) : 39 - 49
  • [2] A randomized physiotherapy trial in patients with fecal incontinence: design of the PhysioFIT-study
    Bols, Esther M. J.
    Berghmans, Bary C. M.
    Hendriks, Erik J. M.
    de Bie, Rob A.
    Melenhorst, Jarno
    van Gemert, Wim G.
    Baeten, Cor G. M. I.
    [J]. BMC PUBLIC HEALTH, 2007, 7 (1)
  • [3] Bugg GJ, 2001, BRIT J OBSTET GYNAEC, V108, P1057, DOI 10.1016/S0306-5456(01)00245-5
  • [4] Minimal changes in health status questionnaires: distinction between minimally detectable change and minimally important change
    de Vet, Henrica C.
    Terwee, Caroline B.
    Ostelo, Raymond W.
    Beckerman, Heleen
    Knol, Dirk L.
    Bouter, Lex M.
    [J]. HEALTH AND QUALITY OF LIFE OUTCOMES, 2006, 4 (1)
  • [5] Minimally important change determined by a visual method integrating an anchor-based and a distribution-based approach
    de Vet, Henrica C. W.
    Ostelo, Raymond W. J. G.
    Terwee, Caroline B.
    van der Roer, Nicole
    Knol, Dirk L.
    Beckerman, Heleen
    Boers, Maarten
    Bouter, Lex M.
    [J]. QUALITY OF LIFE RESEARCH, 2007, 16 (01) : 131 - 142
  • [6] Selecting an outcome measure for evaluating treatment in fecal incontinence
    Deutekom, M
    Terra, MP
    Dobben, AC
    Dijkgraaf, MGW
    Felt-Bersma, RJF
    Stoker, J
    Bossuyt, PMM
    [J]. DISEASES OF THE COLON & RECTUM, 2005, 48 (12) : 2294 - 2301
  • [7] Impact of faecal incontinence severity on health domains
    Deutekom, M
    Terra, MP
    Dobben, AC
    Dijkgraaf, MGW
    Baeten, CGMI
    Stoker, J
    Bossuyt, PMM
    [J]. COLORECTAL DISEASE, 2005, 7 (03) : 263 - 269
  • [8] Hiller L, 2002, BJOG-INT J OBSTET GY, V109, P413, DOI 10.1016/S1470-0328(02)01147-3
  • [9] MEASUREMENT OF HEALTH-STATUS - ASCERTAINING THE MINIMAL CLINICALLY IMPORTANT DIFFERENCE
    JAESCHKE, R
    SINGER, J
    GUYATT, GH
    [J]. CONTROLLED CLINICAL TRIALS, 1989, 10 (04): : 407 - 415
  • [10] Laycock J., 1994, PELVIC FLOOR RE ED, P42
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