Abstract
Introduction and hypothesis
As shorter recall periods are sometimes preferable to longer recall periods, the objective of this study was to evaluate the psychometric characteristics and measurement properties of the 1-week recall version of the Overactive Bladder Questionnaire (OAB-q).
Methods
Secondary analyses were performed on data for three 12-week clinical trials of fesoterodine. Patients completed the Patient Perception of Bladder Condition (PPBC), the Patient Perception of Urgency Scale (PPUS), and 3-day bladder diaries in addition to the OAB-q at baseline, 4 and 12 weeks. Analyses were conducted to evaluate the reliability, concurrent and discriminant validity and responsiveness of the OAB-q 1-week recall version.
Results
The patients in the three studies (Study 1: N = 516, Study 2: N = 441; Study 3: N = 882) had a mean age of 59.6, 59.4, and 59.9 years, respectively; and most of the patients were female (77.1%, 88.9%, and 82.9%) and White (76.6%, 90.0%, and 88.0%). Patients had been diagnosed with OAB for a mean of 5.2, 8.3, and 9.1 years, respectively. Cronbach’s alpha values were greater than 0.85 across all samples and subscales. Correlations between the 1-week recall version of the OAB-q and the PPBC, PPUS, and most of the bladder diary variables were moderate to strong. Discriminant validity of the OAB-q was good, with significant differences in mean OAB-q scores across all response categories of the PPUS. The OAB-q was highly responsive to changes in patients’ conditions as indicated by moderate to large effect sizes. The OAB-q 1-week recall version has a similar factor structure to the 4-week recall version with each subscale model demonstrating acceptable fit.
Conclusion
The 1-week recall version of the OAB-q appears to be reliable, valid, and responsive and is psychometrically equivalent to the 4-week recall version. The validation of the 1-week recall version offers researchers and clinicians an additional option for using the OAB-q.
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Conflicts of interest
Karin Coyne, Heather Gelhorn, and Christine Thompson are employees of United BioSource Corporation, who are scientific consultants to Pfizer. Zoe Kopp and Zhonghong Guan are employees of Pfizer.
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Coyne, K.S., Gelhorn, H., Thompson, C. et al. The psychometric validation of a 1-week recall period for the OAB-q. Int Urogynecol J 22, 1555–1563 (2011). https://doi.org/10.1007/s00192-011-1486-0
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DOI: https://doi.org/10.1007/s00192-011-1486-0