Developing a validated urinary diary: Phase 1

Bright, Elizabeth; Cotterill, Nikki; Drake, Marcus; Abrams, Paul

Abstract

Aims: To develop and validate a urinary diary, using the psychometric validation protocol applied to all International Consultation on Incontinence Questionnaire (ICIQ) modules. Methods: Patient and clinician opinion was sought on diary content, format, and duration using interviews and questionnaires. Content deemed essential for inclusion were incorporated into four draft diary formats (Phase 1a). Four rounds of content validation using patient-completed diaries or patient interviews and one round of clinician opinion were undertaken, before a consensus was achieved (Phase 1b). Results: Phase 1a: 27 patients were interviewed and 30 clinicians returned a questionnaire regarding diary content, format and duration. Content deemed essential for inclusion was identified. Patients reported no format preference but preferred a diary of ≤7 days. Clinicians preferred a 3-day diary in single sheet format. Phase 1b: 75 of 200 (37.5%) patients returned completed draft diaries. Equal preference for the two portrait format diaries was expressed. Twenty-six clinicians returned a questionnaire regarding their preference for either of these two options, with 69% (18/26) selecting the one with a printed 24-hr clock. Optimal diary duration was 4 days. Frequency, voided volume, fluid intake (amount, time and type), time of incontinence episode, and bladder sensation were supported for inclusion in the final diary. Conclusions: Diary content, format, and duration deemed essential by both patients and clinicians have been identified in this preliminary phase, allowing the formation of a draft urinary diary. Further tests of diary validity, reliability and responsiveness will be evaluated in Phase 2 of the study. © 2012 Wiley Periodicals, Inc.

Citation

Bright, E., Cotterill, N., Drake, M., & Abrams, P. (2012). Developing a validated urinary diary: Phase 1. Neurourology and Urodynamics, 31(5), 625-633. https://doi.org/10.1002/nau.21254

• Journal Article Type: Article
• Acceptance Date: Nov 21, 2011
• Online Publication Date: Jan 24, 2012
• Publication Date: Jun 1, 2012
• Journal: Neurourology and Urodynamics
• Print ISSN: 0733-2467
• Electronic ISSN: 1520-6777
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 31
• Issue: 5
• Pages: 625-633
• DOI: https://doi.org/10.1002/nau.21254
• Keywords: urinary diary, frequency-volume chart, bladder diary, content validity, questionnaire, patient-centred assessment, interviews
• Public URL: https://uwe-repository.worktribe.com/output/946677
• Publisher URL: https://doi.org/10.1002/nau.21254
• Additional Information: Additional Information : This is the peer reviewed version of the following article: Bright, E., Cotterill, N., Drake, M. and Abrams, P. (2012) Developing a validated urinary diary – phase 1. Neurourology and Urodynamics, 31 (5). pp. 625-633. ISSN 0733-2467, which has been published in final form at https://doi.org/10.1002/nau.21254. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.