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BMC Urology
Published in: BMC Urology 1/2018

Open Access 01-12-2018 | Research article

Knowledge and attitude for overactive bladder care among women: development and measurement

Authors: Sumedha Chhatre, Diane K. Newman, Alan J. Wein, Ashlie E. Jefferson, J. Sanford Schwartz, Ravishankar Jayadevappa

Published in: BMC Urology | Issue 1/2018

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Abstract

Background

Overactive bladder (OAB) affects millions of women. It is important to assess knowledge and attitude in affected patients. The study objective was to develop surveys to assess OAB knowledge and OAB related attitude, and its association with OAB treatment status.

Methods

Systematic literature review and qualitative analysis of patient and provider focus groups helped identify OAB knowledge and attitude survey items. We determined psychometric properties of the two surveys in a cross-sectional sample of 104 women, 27% of whom had received OAB treatment.

Results

The OAB-knowledge survey consisted of 16 items and 3 condition-related concepts: perception of OAB; cause and information; and signs of OAB. The OAB-attitude survey consisted of 16 items and its concepts were treatment seeking; decision-making and effects. Both surveys demonstrated good construct validity and test-retest reliability ((≥ 0.60). In the cross-sectional validation sample, OAB-knowledge and attitude discriminated between those with different levels of ICIQ-UI scores. We observed some difference in the OAB knowledge, OAB attitude, and severity of symptoms between those treated for OAB vs. treatment naive.

Conclusions

OAB knowledge and attitude surveys provide a novel tool to assess OAB domains in women. Though we did not find statistical significance in OAB knowledge and attitude scores across treatment status, they may be potentially modifiable factors that affect OAB treatment uptake and treatment compliance. Refinement of these surveys in diverse sub-populations is necessary. Our study provides effect sizes for OAB knowledge and attitude. These effect sizes can help development of fully powered trials to study the association between OAB knowledge and attitude, type and length of treatment, treatment compliance, and quality of life, leading to interventions for enhancing OAB care.
Appendix
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Literature
1.
Abrams P, et al. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the international continence society. Neurourol Urodyn. 2002;21:167–78.CrossRefPubMed
2.
Stewart WF, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327–36.PubMed
3.
Diokno AC, et al. Perceptions and behaviours of women with bladder control problems. Fam Pract. 2006;23(5):568–77.CrossRefPubMed
4.
Irwin DE, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50:1306–15.CrossRefPubMed
5.
Milsom I, et al. Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol. 2014;65:79–95.CrossRefPubMed
6.
Anger JT, et al. Health literacy and disease understanding among aging women with pelvic floor disorders. Female Pelvic Med Reconstr Surg. 2012;18(6):340–3.CrossRefPubMedPubMedCentral
7.
Anger JT, et al. Women's experience with severe overactive bladder symptoms and treatment: insight revealed from patient focus groups. Neurourol Urodyn. 2011;30:1295–9.PubMedPubMedCentral
8.
Burgio KL, et al. Impact of behavior and lifestyle on bladder health. Int J Clin Pract. 2013;67(6):495–504.CrossRefPubMed
9.
Coyne KS, et al. The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: results from OAB-POLL. Neurourol Urodyn. 2013;32(3):230–7.CrossRefPubMed
10.
Ajen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
11.
12.
Borenstein M, Hedges L.V, Higgins J.P.T, Rothstein H.R. Introduction to meta analysis. Chichester, UK: Wiley; 2009.
13.
14.
Morgan DL. Focus groups as qualitative research. California: Sage University Press; 2009.
15.
Reeve BB, et al. Psychometric evaluation and calibration of health-related quality of life item banks: plans for the patient-reported outcomes measurement information system (PROMIS). Med Care. 2007;45:S22–31.CrossRefPubMed
16.
Kraemer H, Thiemann S. How Many Subjects? Statistical Power Analysis in Research. California: Sage; 1987.
17.
18.
Bradway CW, Barg F. Developing a cultural model for a long-term female urinary incontinence. Soc Sci Med. 2006;63:3150–61.CrossRefPubMed
19.
Hägglund D, et al. Reasons why women with long-term urinary incontinence do not seek professional help: a cross-sectional population-based cohort study. Int Urogynecol J. 2003;14:296–304.CrossRef
20.
Shaw C, et al. Barriers to help seeking in people with urinary symptoms. Fam Pract. 2001;18:48–52.CrossRefPubMed
21.
Wein AJ, Rovner ES. Definition and epidemiology of overactive bladder. Urology. 2002;60(suppl 5A):7–12.CrossRefPubMed
22.
Taylor DW, et al. The self-reported prevalence and knowledge of urinary incontinence and barriers to health care-seeking in a community sample of Canadian women. Am J Med Sci. 2013;3(5):97–102.
23.
24.
Coyne KS, et al. An overactive bladder symptom and health-related quality of life short form: validation of the OAB-q SF. Neurourol Urodyn. 2015;34:255–63.CrossRefPubMed
25.
Hashim H, Brams P. How should patients with an overactive bladder manipulate their fluid intake? BJU International. 2008;102(1):62–6.CrossRefPubMed
26.
Kim TH, et al. Drug persistence and compliance affect patient-reported outcomes in overactive bladder syndrome. Qual Life Res. 2016;25:2021–9.CrossRefPubMed
27.
Wennberg AL, et al. A longitudinal population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in women. Eur Urol. 2009;55:783–91.CrossRefPubMed
28.
Willis-Gray MG, Dieter AA, Geller EJ. Evaluation and management of overactive bladder: strategies for optimizing care. Research and Reports in Urology. 2016;8:113–22.CrossRefPubMedPubMedCentral
Metadata
Title
Knowledge and attitude for overactive bladder care among women: development and measurement
Authors
Sumedha Chhatre
Diane K. Newman
Alan J. Wein
Ashlie E. Jefferson
J. Sanford Schwartz
Ravishankar Jayadevappa
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2018
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-018-0371-2

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