The development of a patient-reported outcome measure for real-time symptom assessment in a population with functional urologic complaints: A focus group study

Alexandra Herrewegh*, Lisa Vork, Eline Eurelings, Carsten Leue, Joanna Kruimel, Gommert van Koeveringe, Desiree Vrijens

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)

Abstract

AimsMethodsIn the current diagnostic process for overactive bladder syndrome (OAB), biased retrospective questionnaires are often used. There is a need for a new assessment tool that embraces the heterogeneity of the OAB complex. A momentary assessment tool, the Experience Sampling Method (ESM) is promising, capturing random repetitive measurements during the day in the context of daily life and is capable to measure potential contextual triggers and psychological aspects. A focus group study was set up to evaluate which items should be implemented in a urological ESM. Focus group interviews were arranged, to assess the suitability and comprehensibility of a newly developed urological patient-reported outcome measurement (PROM), Uromate. Uromate was created based on ESM literature. A multidisciplinary expert meeting was conducted to gain consensus on item relevance. ResultsConclusionThe initial ESM questionnaire contained 58 items, but was eventually reduced to 39 items after focus group sessions and expert meeting. Thirty-seven items are repeated questions, including three gender-dependent items. Two items are one-time questions about the use of incontinence material. Additionally, a morning questionnaire was included. Depending on the symptom pattern, a minimum of 26 items and a maximum of 36 items will be repeatedly assessed with Uromate. There is a need for a modern assessment tool for OAB which overcomes the limitations of today's retrospective questionnaires. Therefore, a urological ESM tool, the Uromate, is being developed as a PROM, following the FDA PROM development guidelines, to measure real-time symptoms in the context of daily life.
Original languageEnglish
Pages (from-to)2893-2903
Number of pages11
JournalNeurourology and Urodynamics
Volume37
Issue number8
DOIs
Publication statusPublished - 1 Nov 2018

Keywords

  • ecological momentary assessment
  • experience sampling method
  • focus group
  • momentary symptom assessment
  • overactive bladder
  • patient-reported outcome measure
  • PROM
  • URINARY-TRACT SYMPTOMS
  • ECOLOGICAL MOMENTARY ASSESSMENT
  • OVERACTIVE BLADDER SYNDROME
  • EXPERIENCE SAMPLING METHOD
  • QUESTIONNAIRE
  • INCONTINENCE
  • VALIDITY
  • RELIABILITY
  • PREVALENCE
  • URGENCY

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