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An instrument for assessing quality of life in persons with neurogenic lower urinary tract dysfunction: validation of the German short-form Qualiveen questionnaire

Abstract

Study design

Prospective validation study.

Objectives

To validate and evaluate the measurement properties of the German Qualiveen short-form (SF) questionnaire in individuals with chronic neurogenic lower urinary tract dysfunction (NLUTD) resulting from spinal cord injury (SCI).

Setting

Tertiary neuro-urologic referral center in Switzerland.

Methods

Fifty individuals with chronic (>12 months) NLUTD resulting from SCI presenting for a urodynamic follow-up examination were enrolled to complete both the full version Qualiveen and the SF-Qualiveen questionnaires twice within three weeks. The criterion validity and test-retest reliability were evaluated by calculating the interclass correlation coefficients. Internal consistency was evaluated by calculating Cronbach’s alpha. Finally, the cross-sectional construct validity was evaluated using Spearman’s rank correlations between the scores of the two questionnaires for bladder evacuation, urinary continence, and urinary tract infection sub-groups.

Results

The mean age of the evaluated individuals was 53 years. The median duration of NLUTD was 14.9 years. The SF-Qualiveen showed good to excellent criterion validity with correlation coefficients greater than 0.8. Internal consistency was good overall and in the domains “bother with limitations” as well as “feelings” (>0.75). However, internal consistency in the domains “frequency of limitations” and “fears” was moderate-poor (0.68–0.37). The test-retest reliability was excellent with correlation coefficients greater than 0.9. Finally, the cross-sectional construct validity ranged from moderate to excellent (0.60–0.97).

Conclusions

The German SF-Qualiveen has shown excellent reliability and validity and variable internal consistency. Its brevity will increase compliance, and we therefore recommend to include the SF-Qualiveen in urologic assessments.

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Data availability

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We thank the Mapi Research Trust for the permission to use the German versions of the SF-QUALIVEEN® and QUALIVEEN-30®. We also thank Sjef Meeuwsen for his assistance with data entry. We have received no external funding.

Author information

Authors and Affiliations

Authors

Contributions

JK: project development, regulatory affairs, data management, analysis and interpretation of data, writing of manuscript, approval of final version. JW: project development, interpretation of data, editing of manuscript, approval of final version. AW: screening and recruitment of study participants, data collection, editing of manuscript, approval of final version. JP: project idea and development, interpretation of data, editing of manuscript, approval of final version.

Corresponding author

Correspondence to Jörg Krebs.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethics statement

This study had been approved by the Ethics Committee of Northwestern and Central Switzerland (2019-00652). We certify that all applicable institutional and governmental regulations concerning the ethical use of human volunteers were followed during the course of this research. All data were encrypted and kept confidential.

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Krebs, J., Wöllner, J., Widmer, A. et al. An instrument for assessing quality of life in persons with neurogenic lower urinary tract dysfunction: validation of the German short-form Qualiveen questionnaire. Spinal Cord 60, 306–311 (2022). https://doi.org/10.1038/s41393-021-00710-9

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