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

doi:10.1002/nau.20758

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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 language	English
Pages (from-to)	370-377
Number of pages	8
Journal	Neurourology and Urodynamics
Volume	29
Issue number	3
DOIs	https://doi.org/10.1002/nau.20758
Publication status	Published - 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

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10.1002/nau.20758

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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.",

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

author = "E.M.J. Bols and E.J.M. Hendriks and M. Deutekom and B.C. Berghmans and C.G. Baeten and {de Bie}, R.A.",

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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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