Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence: Validation of three global patient ratings

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...

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Bibliographic Details
Published in:Neurourology and urodynamics 2006, Vol.25 (5), p.411-417
Main Authors: Burgio, Kathryn L., Goode, Patricia S., Richter, Holly E., Locher, Julie L., Roth, David L.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Behavior Therapy
Female
Humans
Medical Records
Middle Aged
outcomes assessment
Patient Satisfaction
Perception
Psychometrics
Randomized Controlled Trials as Topic
Reproducibility of Results
Surveys and Questionnaires - standards
Treatment Outcome
urinary incontinence
Urinary Incontinence - psychology
Urinary Incontinence - therapy
validation study
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Summary: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 
ISSN:0733-2467
1520-6777
DOI:10.1002/nau.20243