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Rehab Measures: International Consultation on Incontinence Questionnaire - Short Form

Link to instrument

Availabe on the ICIQ's website 

Title of Assessment

International Consultation on Incontinence Questionnaire - Short Form  

Acronym

ICIQ-SF

Instrument Reviewer(s)

Initially reviewed by Krista Ferguson, PT, OCS in 9/2010

 

Summary Date

7/25/2012 

Purpose

The ICIQ-SF is a subjective measure of severity of urinary loss and quality of life for those with urinary incontinence.

Description

Self-reported survey, screening tool for incontinence

4 main items (of 6 total) that ask for rating of symptoms in the past 4-weeks

  • Take sum score of items 3, 4, 5 (items 1 and 2 are demographic) for the actual score
  • The final item is a self diagnostic item that is un-scored

Area of Assessment

Incontinence 

Body Part

Not Applicable 

ICF Domain

Body Function 

Domain

 

Assessment Type

Patient Reported Outcomes 

Length of Test

05 Minutes or Less 

Time to Administer

Less than 5 minutes

Number of Items

Equipment Required

Survey form

Training Required

No training

Type of training required

no training 

Cost

Free 

Actual Cost

Can be used for clinical care and research for free. If used in research, permission required.

Age Range

Adult: 18-64 years; Elderly adult: 65+ 

Administration Mode

Paper/Pencil 

Diagnosis

Geriatrics 

Populations Tested

  • Adult males and females
  • Primary stress urinary incontinence in women (primary SUI describes someone who has not had a surgical procedure for their incontinence)
  • Men undergoing a perineal sling procedure for stress urinary incontinence after treatment for prostate cancer (Radical retropubic prostatectomy (77%), radical retropubic prostatectomy and radiation (15%), TURP/brachytherapy (4%) brachytherapy alone (4%))

Standard Error of Measurement (SEM)

Not Established

Minimal Detectable Change (MDC)

Not Established

Minimally Clinically Important Difference (MCID)

Not Established

Cut-Off Scores

Females:(Klovning et al, 2009; n = 1812 women responding to a general health questionnaire; mean age = 36.5(11) years)

  • Cut-Off Scores:
    • Slight = 1 - 5
    • Moderate = 6 - 12
    • Severe = 13 - 18
    • Very severe = 19 - 21

Normative Data

Females with Urinary Incontinence: (da Silva, 2009; n = 35 women who reported involuntary loss of urine; mean age = 44.3 (21-76) years)

 

·         Distribution of the women who received care in a basic health care unit according to types of urinary incontinence treatment that they knew:

o    None (n = 16)

o    Surgery (n = 13)

o    Medication (n = 2)

o    Others (tea) (n = 1)

o    Exercise (n = 1)

o    Exercise/Medication (n = 1)

o    Surgery/Exercise/PT (n = 1)

 

·         Distribution of women who received care in a basic health care unit according to the types of urinary incontinence treatment that they sought:

o    None (n = 23)

o    Surgery (n = 6)

o    Medication (n = 2)

o    Others (tea) (n = 1)

o    Exercise (n = 1)

o    Exercise/Medication (n = 1)

o    Surgery/Exercise/PT (n = 1)

Test-retest Reliability

Urinary Incontinence: (Hajebrahimi et al, 2004; n = 64 women consulting for UI; mean age = 59 (3.8) years)

  • Significant correlation at a 90% confidence interval (p = 0) between completion of the survey by:
    • The patient in the office
    • The physician in the office
    • The patient at home
  • Adequate test retest reliability for frequency of leakage (kappa = 0.73)
  • Adequate test retest reliability for amount of leakage (kappa = 0.67)
  • Adequate test retest reliability for interference with everyday life (kappa = 0.74)

Interrater/Intrarater Reliability

Not Established

Internal Consistency

Not Established

Criterion Validity (Predictive/Concurrent)

Urinary Incontinence: (Karantanis et al, 2004; n = 95 women with primary or recurrent (secondary) USI; mean age = 54 (12) years)

  • Adequate correlation with 24 hour pad test in women (r  = 0.458)

Urinary Incontinence: (Twiss et al, 2007; n = 26 men with urodynamically confirmed stress incontinence; mean age = 67.5 (1.6) years)

  • Excellent correlation between Patient Global Impression of Improvement in men after perineal sling (r  = -0.81)

Urinary Incontinence: (Klovning et al, 2009)

  • Excellent correlation between ICIQ- SF and the Incontinence Severity Index (r = 0.62)

Construct Validity (Convergent/Discriminant)

Urinary Incontinence: (Avery et al, 2004; n = 634 patients with UI; mean age = 57.2 (23.4 - 101.3) years)

Bristol Female Lower Urinary Tract Symptoms (BFLUTS):

  • Excellent correlation with frequency of leakage (r = 0.86 (p < 0.001)
  • Adequate correlation with usual Amount of leakage (r = 0.53 (p < 0.001))

BFLUTS/ ICSmale Short Form for perceived cause of leakage:

  • Adequate correlation with ‘before reaching the toilet’ (r = 0.35, (p = 0.0001 / r = 0.24, (p = 0.23))
  • Adequate correlation with ‘when coughing or sneezing’ (r = 0.44 (p < 0.001) / r =0.58 (p = 0.00))
  • Adequate correlation with ‘when asleep’ (r = 0.47 (p < 0.001) / r = 0.50 (p = 0.008))
  • Poor correlation with ‘when active or exercising’ (r = 0.29 (p = 0.002) / NA)
  • Adequate correlation with ‘after urinating and dressing’ (NA / r = 0.45 (p = 0.023))
  • Adequate correlation with ‘no obvious reason’ (r =0.55 (< 0.001) / r = 0.24 (0.23))

Content Validity

Not Established

Face Validity

Not Established

Floor/Ceiling Effects

Not Established

Responsiveness

Not Established

Professional Association Recommendations

Not Established

Considerations

Urinary Incontinence: (Avery et al, 2004)

  • Score is 0 - 21 with a higher score indicating greater severity
  • Ability to detect change in males and females
  • With conservative management- significant change in all symptom related questions (items 3 and 4) but not in “overall quality of life”
  • With surgical management - significant change in all questions (items 3,4 and 5)

Bibliography

Avery, K., Donovan, J., et al. (2004). "ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence." Neurourol Urodyn 23(4): 322-330. Find it on PubMed

Hajebrahimi, S., Corcos, J., et al. (2004). "International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration." Urology 63(6): 1076-1078. Find it on PubMed

Karantanis, E., Fynes, M., et al. (2004). "Comparison of the ICIQ-SF and 24-hour pad test with other measures for evaluating the severity of urodynamic stress incontinence." Int Urogynecol J Pelvic Floor Dysfunct 15(2): 111-116; discussion 116. Find it on PubMed

Klovning, A., Avery, K., et al. (2009). "Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index." Neurourol Urodyn 28(5): 411-415. Find it on PubMed

Twiss, C. O., Fischer, M. C., et al. (2007). "Comparison between reduction in 24-hour pad weight, International Consultation on Incontinence-Short Form (ICIQ-SF) score, International Prostate Symptom Score (IPSS), and Post-Operative Patient Global Impression of Improvement (PGI-I) score in patient evaluation after male perineal sling." Neurourol Urodyn 26(1): 8-13

Year published

 

Instrument in PDF Format

Yes 
Approval Status Approved 
 
Attachments
Created at 8/2/2012 3:53 PM  by Jason Raad 
Last modified at 12/4/2013 5:23 PM  by Jason Raad