A single-page International Consultation on Incontinence Questionnaire for Lower Urinary Tract Symptoms: A Patient Preference Study

Mas'Oud M1, Jones K1, Cotterill N2, Hashim H1

Research Type

Clinical

Abstract Category

Quality of Life / Patient and Caregiver Experiences

Abstract 63
Conservative 2 - Patient and Clinician's Experience of Education and Intervention
Scientific Podium Short Oral Session 6
Thursday 18th September 2025
11:15 - 11:22
Parallel Hall 4
Quality of Life (QoL) Questionnaire Incontinence
1. Bristol Urological Institute, Southmead Hospital, 2. University of the West of England
Presenter
Links

Abstract

Hypothesis / aims of study
To evaluate a newly developed single-page format of the International Consultation on Incontinence Questionnaire - Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and Male Lower Urinary Tract Symptoms (ICIQ-MLUTS). The redesigned form aims to enhance patient experience in completing patient-reported outcome measures (PROMs) and improve clinicians' ability to interpret results.
Study design, materials and methods
The multi-page ICIQ-FLUTS (4 pages) and ICIQ-MLUTS (5 pages) were consolidated into a single-page format by reorganizing questions into categories: storage, voiding, and post-micturition symptoms. Patients who previously completed the ICIQ-FLUTS or ICIQ-MLUTS PROMs were invited to complete the new single-page version. Feedback was collected through a question at the end of the form, asking for comparisons between the new and original formats. Clinicians were also surveyed to assess their experience interpreting results using the redesigned format compared to the original.
Results
Seventeen patients completed the redesigned PROMs, with all (100%) expressing a preference for the single-page format. Patients highlighted its ease of use, efficiency, clarity, and environmental benefits due to reduced paper usage. The new form was reported as less time-consuming and less confusing, significantly enhancing the patient experience. Three clinicians noted that the single-page format improved interpretation efficiency, particularly with clear categorization of storage, voiding, and post-micturition scores. However, a limitation identified was the "bother scale" in the final column, which was completed by only 11% of patients due to requiring manual insertion of a score from 0 to 10.
Interpretation of results
The results indicate that the single-page format of the ICIQ-FLUTS and ICIQ-MLUTS has succeeded in addressing key issues associated with the original multi-page versions. All patients preferred the single-page design. This suggests improvement in patient satisfaction and engagement with the PROMs. For clinicians, the clear categorization of symptoms into storage, voiding, and post-micturition scores enhanced the interpretability of results, facilitating more efficient clinical evaluations. However, the low completion rate for the "bother scale" underscores the need for further refinement, such as adding pre-filled numeric options to improve usability.
Concluding message
The newly developed single-page format for ICIQ-FLUTS and ICIQ-MLUTS demonstrates marked improvements in patient and clinician satisfaction, ease of use, and environmental benefits, while maintaining scoring comparability with the original forms. Future versions will include pre-filled numeric options for the "bother scale" to address patient completion issues. Subsequent studies will compare patient responses across the original and updated PROMs.
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Disclosures
Funding none Clinical Trial No Subjects Human Ethics Committee Not required Helsinki Yes Informed Consent Yes
08/07/2025 10:01:08