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A bowel symptom questionnaire for the elderly.

E A O'Keefe¹, N J Talley, E G Tangalos

¹Division of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Journal of Gerontology

|July 1, 1992

Summary

A new Elderly Bowel Symptom Questionnaire (EBSQ) effectively assesses gastrointestinal issues in older adults. This reliable and valid tool aids in clinical and research applications for elderly bowel symptoms.

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Area of Science:

Gerontology
Gastroenterology
Medical instrument development

Background:

Functional gastrointestinal complaints are prevalent in the elderly population.
Existing assessment tools for these symptoms in older adults are often inadequate.
There is a need for validated instruments to accurately measure gastrointestinal symptoms in the elderly.

Purpose of the Study:

To develop and validate the Elderly Bowel Symptom Questionnaire (EBSQ).
To assess the feasibility, reliability, and validity of the EBSQ in elderly medical outpatients and community-dwelling individuals.
To establish the EBSQ as a dependable tool for evaluating gastrointestinal symptoms in older persons.

Main Methods:

The Elderly Bowel Symptom Questionnaire (EBSQ) was developed.
Feasibility, reliability (test-retest), and concurrent validity (physician interview, self-report) were assessed.
The study involved medical outpatients and a community sample of 424 independently living individuals aged 65-93.

Main Results:

The EBSQ demonstrated very acceptable reliability (median kappa 0.65) and validity (median kappa 0.68).
The questionnaire was easy to understand, well-accepted, and showed high response rates (77%) in a mail survey.
Medical record review confirmed the EBSQ did not miss current irritable bowel syndrome diagnoses.

Conclusions:

The EBSQ is a feasible, reliable, and valid instrument for assessing gastrointestinal symptoms in older adults.
The EBSQ is suitable for both clinical practice and research involving the elderly population.
This validated questionnaire addresses a critical need for assessing bowel symptoms in the elderly.

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