Responsiveness and clinical utility of the geriatric self-efficacy index for urinary incontinence.

Tannenbaum C, Brouillette J, Michaud J, Korner-Bitensky N, Dumoulin C, Corcos J, Tu le M, Lemieux MC, Ouellet S, Valiquette L

The objective of this study was to report on the responsiveness testing and clinical utility of the 12-item Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI). The abridged 12-item GSE-UI, measuring older adults' level of confidence for preventing urine loss, was administered to all new consecutive incontinent patients 1 week before their initial clinic visit, at baseline, and 3 months posttreatment. At follow-up, a positive rating of improvement in UI was ascertained from patients and their physicians using the Patient's and Clinician's Global Impression of Improvement scales, respectively. Responsiveness of the GSE-UI was calculated using Guyatt's change index. Its clinical utility was determined using receiver operating curves.

The findings of the study indicate that the GSE-UI is responsive and clinically useful.

J Am Geriatr Soc. 2009, 57(3), 470-5

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