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A reproducible pediatric daytime urinary incontinence questionnaire
P Sureshkumar1, J C Craig, L P Roy
1Centre for Kidney Research, Royal Alexandra Hospital for Children and Department of Public Health and Community Medicine, University of Sydney, Sydney, New South Wales, Australia.
The Journal of Urology
|February 15, 2001
Summary
A new parent-administered questionnaire reliably identifies daytime urinary incontinence in children. This tool helps assess prevalence and risk factors for better understanding and management of childhood incontinence.
Area of Science:
- Pediatric urology
- Public health research
- Child development
Background:
- Daytime urinary incontinence affects many children, impacting their quality of life.
- Accurate assessment of prevalence and risk factors is crucial for effective intervention.
- Existing tools may not adequately capture essential data from a parent's perspective.
Purpose of the Study:
- To develop and validate a structured, parent-completed questionnaire for assessing daytime urinary incontinence in children.
- To determine the reliability and reproducibility of the newly developed questionnaire.
- To identify prevalence and risk factors associated with childhood daytime urinary incontinence.
Main Methods:
- A novel questionnaire was developed and pilot-tested for usability and acceptability.
- Reproducibility was assessed in a sample of primary school entrants via a repeat questionnaire after 4 weeks.
- Data included demographics, incontinence prevalence, family history, voiding symptoms, and socioeconomic status, analyzed using kappa and Bland-Altman methods.
Main Results:
- The study included 166 children aged 3.5–7 years, with a 78.5% response rate for the repeat questionnaire.
- High mean agreement (91%) was observed between the initial and repeat assessments (mean kappa = 0.70).
- Narrow 95% confidence limits for continuous data (e.g., birth weight) indicated good reproducibility.
Conclusions:
- A new parent-reported questionnaire for daytime urinary incontinence in children has been successfully developed.
- The questionnaire demonstrated good reproducibility, making it a reliable instrument.
- This tool is valuable for gathering comprehensive information on urinary incontinence and voiding symptoms in pediatric populations.