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Identifying the most reliable and valid bladder health screening tool: a systematic review
Lorna Booth1, Dawn A Skelton1, Suzanne Hagen2
1School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Disability and Rehabilitation
|January 31, 2019
Summary
Older adults experiencing lower urinary tract symptoms can benefit from validated screening tools. The International Prostate Symptom Score and the Incontinence Questionnaire Urinary Incontinence Short-Form are recommended for health promotion programs.
Area of Science:
- Gerontology and Public Health
- Urology
- Health Promotion
Background:
- Lower urinary tract symptoms (LUTS) are prevalent in aging populations, significantly impacting quality of life and social engagement.
- LUTS can lead to disability through avoidance of activities, highlighting the need for effective management strategies.
- Current help-seeking behaviors for LUTS are suboptimal, necessitating proactive interventions.
Purpose of the Study:
- To systematically review and identify the most valid and reliable brief screening tools for LUTS in older adults.
- To inform the development of a health promotion program aimed at facilitating self-management discussions.
- To improve bladder health awareness and reduce associated disability.
Main Methods:
- A systematic review of studies published between 1990 and November 2018.
- Inclusion criteria focused on the validity, reliability, and acceptability of bladder health screening tools.
- Six electronic databases were searched to identify relevant literature.
Main Results:
- Twenty-two studies were included in the review.
- Three screening tools met the criteria: International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form, and Bladder Control Self-Assessment Questionnaire (B-SAQ).
- IPSS and the Incontinence Questionnaire Urinary Incontinence Short-Form demonstrated acceptable test-retest reliability, internal consistency, and convergent validity.
Conclusions:
- The IPSS and International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form are recommended due to favorable psychometric properties and ease of use.
- These validated screening tools can be incorporated into continence promotion interventions to raise awareness.
- Implementing these tools can prompt discussions, improve symptom management, and reduce disability associated with LUTS in older adults.
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