Piault Elisabeth, Evans Christopher J, Espindle Derek, Kopp Zoe, Brubaker Linda, Abrams Paul
Mapi Values, Boston, Massachusetts 02108, USA.
Neurourol Urodyn. 2008;27(3):179-90. doi: 10.1002/nau.20455.
To develop and validate a measure of patient satisfaction with treatment in overactive bladder: the Overactive Bladder Satisfaction Questionnaire (OAB-S).
Development of the questionnaire included a comprehensive literature review, development of a conceptual model, item elicitation and cognitive debriefing interviews with US-English and US-Spanish patients, and assessment of the questionnaire's translatability in other languages. Psychometric validation of the questionnaire was run on a longitudinal, non-randomized study involving 201 OAB patients. Analyses included construct validity, concurrent validity, tests of reliability, known-group validity, and responsiveness (exploratory).
The OAB-S is a patient-completed questionnaire including five scales: OAB Control Expectations (ten items); Impact on Daily Living with OAB (ten items); OAB Control (ten items); OAB Medication Tolerability (six items); and Satisfaction with Control (ten items) and five single-item overall assessments of patient's fulfillment of OAB medication expectations, interruption of day-to-day life due to OAB, overall satisfaction with OAB medication; willingness to continue OAB medication and improvement in day-to-day life due to OAB medication. The hypothesized structure of the questionnaire was supported by statistical analyses. Internal consistency reliability coefficients (ranging from 0.76 to 0.94) and test-retest reliability coefficients (ranging from 0.72 to 0.87) were good for all dimensions. All dimensions except tolerability discriminated well according to self-reported OAB severity level and incontinence status.
The OAB-S is a valid, comprehensive instrument to assess satisfaction with treatment of OAB based on independent scales that have demonstrated satisfactory psychometric performance.
开发并验证一种用于评估膀胱过度活动症患者治疗满意度的量表：膀胱过度活动症满意度问卷（OAB-S）。
该问卷的开发包括全面的文献综述、概念模型的构建、条目征集以及对美国英语和美国西班牙语患者进行的认知反馈访谈，还评估了问卷在其他语言中的可翻译性。对该问卷的心理测量学验证是在一项涉及201名膀胱过度活动症患者的纵向、非随机研究中进行的。分析包括结构效度、同时效度、信度测试、已知组效度和反应性（探索性）。
OAB-S是一份由患者自行完成的问卷，包括五个量表：膀胱过度活动症控制期望（10个条目）；膀胱过度活动症对日常生活的影响（10个条目）；膀胱过度活动症控制（10个条目）；膀胱过度活动症药物耐受性（6个条目）；以及对控制的满意度（10个条目），还有对患者膀胱过度活动症药物期望的达成情况、因膀胱过度活动症导致的日常生活中断、对膀胱过度活动症药物的总体满意度、继续使用膀胱过度活动症药物的意愿以及因膀胱过度活动症药物导致的日常生活改善情况的五项单项总体评估。问卷的假设结构得到了统计分析的支持。所有维度的内部一致性信度系数（范围为0.76至0.94）和重测信度系数（范围为0.72至0.87）都很好。除耐受性外，所有维度根据自我报告的膀胱过度活动症严重程度和尿失禁状态都有良好的区分度。
OAB-S是一种有效的、综合性的工具，可基于已证明具有令人满意的心理测量学性能的独立量表来评估膀胱过度活动症治疗的满意度。
