Urinary Incontinence
Conditions
Keywords
minimal clinically important difference, urinary incontinence, quality of life, ROC curve
Brief summary
The goal of this study was to determine the Minimal Clinically Important Difference (MCID) for the Dysfunctional Voiding and Incontinence Symptom Score (DVISS) and the Pediatric Incontinence Questionnaire (PIN-Q) in children with urinary incontinence (UI).
Detailed description
100 children with UI will receive standard urotherapy (SU) for 8 weeks. UI-related symptoms and quality of life (QoL) will be assessed with the DVISS and PIN-Q baseline and after treatment. The receiver operating characteristic (ROC) analysis and the Gamma coefficient will be employed to assess responsiveness.
Interventions
SU will be included appropriate provision of information and demystification, lifestyle advice, instructions, behavioral modifications to achieve optimal bladder and bowel habits, registration of symptoms and voiding habits, support, and encouragement
Sponsors
Artvin Coruh University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
In this prospective study, one treatment group was formed to receive SU.
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* diagnosis of UI according to the International Children's Continence Society (ICCS) Guideline, * children aged 5-13 years (when UI becomes more prevalent in children).
Exclusion criteria
* congenital anomalies of the uro-genital system, * only neurogenic bladder dysfunction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dysfunctional Voiding and Incontinence Symptom Score (DVISS) | Baseline | DVISS includes 14 items: 13 assess lower urinary tract symptoms (LUTS), voiding and defecation habits day and night, and one evaluates impact on severity and daily life activities (DLA). A score of 8.5+ indicates abnormal voiding; higher scores mean more severe disease. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Urinary Incontinence Quality of Life Questionnaire (PIN-Q) | Baseline | This 4-point Likert scale assesses the emotional impact of UI on a child, with 20 questions and a maximum score of 80. Higher scores mean a greater impact on QoL: 0-20 is mild, 21-50 moderate, and 51+ severe. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Global Rating Change (GRC) | At Week 8, immediately after completion of the 8-week intervention | The GRC comprised seven responses, ranging from 1 to 5, indicating very much better, slightly better, no change, slightly worse, and very much worse, respectively. |
Contacts
Primary ContactZeynep Yıldız Kızkın
Outcome results
None listed