Inconclusive psychometric properties of the Vaizey score in fecally incontinent patients: a prospective cohort study.

E.M.J. Bols, E.J.M. Hendriks, M. Deutekom, B.C. Berghmans, C.G. Baeten, R.A. de Bie

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)

Abstract

AIM: To determine the psychometric properties of the total Vaizey score and its individual items. METHODS: The study was conducted as part of a prospective cohort study assessing the outcome of pelvic floor rehabilitation in patients with fecal incontinence. RESULTS: One hundred ninety-four patients were analyzed, 53 of whom provided data on the global perceived effect (GPE) score. Pelvic floor rehabilitation resulted in a significant reduction of the total Vaizey score and most individual items. The total Vaizey scores changed in agreement with the GPE scores. The total Vaizey score was responsive, but some individual items yielded inconsistent results for three different measures. The test-retest reliability was adequate or excellent for six individual items and the total Vaizey score. The internal consistency was low for the total Vaizey score at baseline, in contrast to the follow-up and change scores. The estimates for the minimally important change (MIC) and smallest detectable change yielded moderately consistent results. An MIC of -5 points seemed preferable and yielded the lowest misclassification rate. CONCLUSIONS: More research is required to confirm conclusions on the psychometric properties of the total Vaizey score and its individual items, and to justify its use in research and routine clinical practice. Neurourol. Urodynam. (c) 2009 Wiley-Liss, Inc.
Original languageEnglish
Pages (from-to)370-377
Number of pages8
JournalNeurourology and Urodynamics
Volume29
Issue number3
DOIs
Publication statusPublished - 1 Jan 2010

Keywords

  • fecal incontinence
  • minimally important change (MIC)
  • pelvic floor rehabilitation
  • psychometric properties
  • responsiveness
  • Vaizey score
  • HEALTH-STATUS QUESTIONNAIRES
  • MINIMALLY IMPORTANT CHANGE
  • URINARY

Cite this

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title = "Inconclusive psychometric properties of the Vaizey score in fecally incontinent patients: a prospective cohort study.",
abstract = "AIM: To determine the psychometric properties of the total Vaizey score and its individual items. METHODS: The study was conducted as part of a prospective cohort study assessing the outcome of pelvic floor rehabilitation in patients with fecal incontinence. RESULTS: One hundred ninety-four patients were analyzed, 53 of whom provided data on the global perceived effect (GPE) score. Pelvic floor rehabilitation resulted in a significant reduction of the total Vaizey score and most individual items. The total Vaizey scores changed in agreement with the GPE scores. The total Vaizey score was responsive, but some individual items yielded inconsistent results for three different measures. The test-retest reliability was adequate or excellent for six individual items and the total Vaizey score. The internal consistency was low for the total Vaizey score at baseline, in contrast to the follow-up and change scores. The estimates for the minimally important change (MIC) and smallest detectable change yielded moderately consistent results. An MIC of -5 points seemed preferable and yielded the lowest misclassification rate. CONCLUSIONS: More research is required to confirm conclusions on the psychometric properties of the total Vaizey score and its individual items, and to justify its use in research and routine clinical practice. Neurourol. Urodynam. (c) 2009 Wiley-Liss, Inc.",
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Inconclusive psychometric properties of the Vaizey score in fecally incontinent patients: a prospective cohort study. / Bols, E.M.J.; Hendriks, E.J.M.; Deutekom, M.; Berghmans, B.C.; Baeten, C.G.; de Bie, R.A.

In: Neurourology and Urodynamics, Vol. 29, No. 3, 01.01.2010, p. 370-377.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Inconclusive psychometric properties of the Vaizey score in fecally incontinent patients: a prospective cohort study.

AU - Bols, E.M.J.

AU - Hendriks, E.J.M.

AU - Deutekom, M.

AU - Berghmans, B.C.

AU - Baeten, C.G.

AU - de Bie, R.A.

PY - 2010/1/1

Y1 - 2010/1/1

N2 - AIM: To determine the psychometric properties of the total Vaizey score and its individual items. METHODS: The study was conducted as part of a prospective cohort study assessing the outcome of pelvic floor rehabilitation in patients with fecal incontinence. RESULTS: One hundred ninety-four patients were analyzed, 53 of whom provided data on the global perceived effect (GPE) score. Pelvic floor rehabilitation resulted in a significant reduction of the total Vaizey score and most individual items. The total Vaizey scores changed in agreement with the GPE scores. The total Vaizey score was responsive, but some individual items yielded inconsistent results for three different measures. The test-retest reliability was adequate or excellent for six individual items and the total Vaizey score. The internal consistency was low for the total Vaizey score at baseline, in contrast to the follow-up and change scores. The estimates for the minimally important change (MIC) and smallest detectable change yielded moderately consistent results. An MIC of -5 points seemed preferable and yielded the lowest misclassification rate. CONCLUSIONS: More research is required to confirm conclusions on the psychometric properties of the total Vaizey score and its individual items, and to justify its use in research and routine clinical practice. Neurourol. Urodynam. (c) 2009 Wiley-Liss, Inc.

AB - AIM: To determine the psychometric properties of the total Vaizey score and its individual items. METHODS: The study was conducted as part of a prospective cohort study assessing the outcome of pelvic floor rehabilitation in patients with fecal incontinence. RESULTS: One hundred ninety-four patients were analyzed, 53 of whom provided data on the global perceived effect (GPE) score. Pelvic floor rehabilitation resulted in a significant reduction of the total Vaizey score and most individual items. The total Vaizey scores changed in agreement with the GPE scores. The total Vaizey score was responsive, but some individual items yielded inconsistent results for three different measures. The test-retest reliability was adequate or excellent for six individual items and the total Vaizey score. The internal consistency was low for the total Vaizey score at baseline, in contrast to the follow-up and change scores. The estimates for the minimally important change (MIC) and smallest detectable change yielded moderately consistent results. An MIC of -5 points seemed preferable and yielded the lowest misclassification rate. CONCLUSIONS: More research is required to confirm conclusions on the psychometric properties of the total Vaizey score and its individual items, and to justify its use in research and routine clinical practice. Neurourol. Urodynam. (c) 2009 Wiley-Liss, Inc.

KW - fecal incontinence

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KW - HEALTH-STATUS QUESTIONNAIRES

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