Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.
Simmons Comprehensive Cancer Center Biostatistics, University of Texas Southwestern Medical Center, Dallas, Texas.
J Urol. 2022 Dec;208(6):1288-1294. doi: 10.1097/JU.0000000000002891. Epub 2022 Aug 29.
With increasing telehealth technology, confirming the validity of non-office administration of questionnaires intended for office use only is important. We studied 3 validated questionnaires: the Urinary Distress Inventory 6-Short Form, the International Incontinence 7-Short Form, and a quality of life survey using a deception model.
Following Institutional Review Board approval and power calculations, these 3 questionnaires were prospectively administered in women with and without incontinence by phone and then again in person about 2 weeks later. To avoid recall bias, participants were not informed of the study over the phone. After completing their office visit questionnaire scores, they were told about the study and invited to consent for comparison of their phone and in-person questionnaire scores. Non-English speakers and those with an active urinary tract infection, with impaired mental competency, or on a fluid diet were excluded.
From June to September 2021, 86 women, including 40 incontinent (30-85 years old) and 46 control (30-85 years old), with similar demographic parameters met all study criteria. Of the 14 questions studied, only 2, ie, Question 1 on the Urinary Distress Inventory 6-Short Form ( = .033) and Question 7 on the International Incontinence 7-Short Form ( = .036), showed rather minimal but statistically significant differences in scores. For incontinent women, only Question 7 on the International Incontinence 7-Short Form ( = .012) showed a significant score difference.
The 3 questionnaire scores were overall comparable when obtained over the phone or during office visits. Women with incontinence, who may otherwise be lost to follow-up or only reachable by telehealth calls, can benefit from the remote administration of these 3 questionnaires.
随着远程医疗技术的不断发展，确认仅用于办公室管理的问卷进行非办公室管理的有效性非常重要。我们研究了 3 种经过验证的问卷：尿失禁困扰量表 6 项简短版、国际尿失禁问卷 7 项简短版和使用欺骗模型的生活质量调查。
在获得机构审查委员会批准和进行功效计算后，我们通过电话前瞻性地向有或无尿失禁的女性患者发放了这 3 种问卷，大约 2 周后再让她们亲自来进行问卷填写。为了避免回忆偏倚，电话中没有告知参与者研究的相关信息。在完成办公室访问问卷评分后，告知她们研究情况，并邀请她们同意比较电话和面对面的问卷评分。排除非英语母语者、有活动性尿路感染、有认知障碍或正在进行液体饮食的患者。
2021 年 6 月至 9 月，共有 86 名女性患者符合所有研究标准，包括 40 名尿失禁患者（30-85 岁）和 46 名对照患者（30-85 岁），她们具有相似的人口统计学参数。在研究的 14 个问题中，只有 2 个问题（尿失禁困扰量表 6 项简短版的第 1 个问题和国际尿失禁问卷 7 项简短版的第 7 个问题）的得分存在较小但具有统计学意义的差异（分别为 P =.033 和 P =.036）。对于尿失禁女性患者，只有国际尿失禁问卷 7 项简短版的第 7 个问题（P =.012）的得分差异有统计学意义。
在通过电话或办公室访问获得时，这 3 种问卷的评分总体上是可比的。对于可能无法进行随访或只能通过远程医疗电话联系的尿失禁女性患者，这些问卷可以通过远程方式进行管理。
