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Urinary incontinence handicap inventory.

G S Rai1, M Kiniors, H Wientjes

  • 1Health Care of Older People, Whittington Hospital, Highgate Hill, London N19 5NF, UK.

Archives of Gerontology and Geriatrics
|July 1, 1994
PubMed
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A new 17-question tool, the Urinary Incontinence Handicap Inventory (UIHI), effectively measures handicaps in elderly women with urinary incontinence. It demonstrates high reliability and significant correlation with distress and symptom severity.

Area of Science:

  • Gerontology
  • Urology
  • Psychometrics

Background:

  • Urinary incontinence is a prevalent issue among the elderly population.
  • Quantifying the impact of urinary incontinence on daily life is crucial for effective management.
  • Detrusor instability is a common cause of urinary incontinence in older adults.

Purpose of the Study:

  • To develop and validate a reliable instrument for measuring handicaps associated with urinary incontinence.
  • To assess the specific handicaps experienced by elderly women due to detrusor instability.

Main Methods:

  • Development of a 17-question instrument: the Urinary Incontinence Handicap Inventory (UIHI).
  • Validation study conducted on a cohort of thirty elderly women.
  • Assessment of internal consistency (Cronbach's alpha) and test-retest reliability.

Related Experiment Videos

  • Correlation analysis with visual analogue scales for distress and symptom severity.

    • Main Results:

    • The UIHI demonstrated high internal consistency with a Cronbach's alpha of 0.87.
    • Excellent test-retest reliability was observed (r = 0.99, P < 0.0001).
    • Significant correlations were found between UIHI total scores and perceived distress (r = 0.91, P < 0.0001) and symptom severity (r = 0.78, P < 0.0001).

    Conclusions:

    • The Urinary Incontinence Handicap Inventory (UIHI) is a valid and reliable tool for assessing handicaps in elderly women with urinary incontinence.
    • The UIHI effectively captures the subjective experience of distress and symptom severity related to incontinence.
    • This instrument can aid clinicians in understanding and managing the impact of urinary incontinence in older adults.