Validity and reliability of the Greek version of the neurogenic bladder symptom score (NBSS) questionnaire in a sample of Greek patients with multiple sclerosis

Background and objectives There is no data regarding validity and reliability of the Greek version of Neurogenic Bladder Symptom Score (NBSS) questionnaire. In this study we investigated these parameters using a sample of Greek patients with multiple sclerosis (MS). Materials and methods Patients wi...

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Veröffentlicht in:World journal of urology 2021-07, Vol.39 (7), p.2697-2702
Hauptverfasser: Tzelves, Lazaros, Glykas, Ioannis, Fragkoulis, Charalampos, Mitsikostas, Dimos-Dimitrios, Skolarikos, Andreas, Welk, Blayne, Dellis, Athanasios
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container_issue 7
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container_title World journal of urology
container_volume 39
creator Tzelves, Lazaros
Glykas, Ioannis
Fragkoulis, Charalampos
Mitsikostas, Dimos-Dimitrios
Skolarikos, Andreas
Welk, Blayne
Dellis, Athanasios
description Background and objectives There is no data regarding validity and reliability of the Greek version of Neurogenic Bladder Symptom Score (NBSS) questionnaire. In this study we investigated these parameters using a sample of Greek patients with multiple sclerosis (MS). Materials and methods Patients with different types and severity of multiple sclerosis were recruited from a single center in Greece prospectively. All patients completed the MusiQoL and NBSS questionnaires at baseline and 20 days later, without receiving any new treatment. Construct validity, internal consistency and test–retest reliability were tested. Internal consistency was investigated using Cronbach’s alpha coefficient, while test–retest reliability using Intraclass Correlation Coefficient (ICC). Construct validity was assessed by comparing NBSS quality of life question 24 with MusiQoL questionnaire. Results A total of 91 patients were evaluated. The dimensions of NBSS exhibited high internal consistency, both for overall questionnaire score (Cronbach’s alpha coefficient of 0.91) and for every subdomain separately (Cronbach’s alpha coefficient of 0.95 for incontinence, 0.88 for storage symptoms and 0.74 for consequences). Test–retest reliability was satisfactory both for overall score [ICC of 0.85, (0.35–0.94), p  
doi_str_mv 10.1007/s00345-020-03465-9
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In this study we investigated these parameters using a sample of Greek patients with multiple sclerosis (MS). Materials and methods Patients with different types and severity of multiple sclerosis were recruited from a single center in Greece prospectively. All patients completed the MusiQoL and NBSS questionnaires at baseline and 20 days later, without receiving any new treatment. Construct validity, internal consistency and test–retest reliability were tested. Internal consistency was investigated using Cronbach’s alpha coefficient, while test–retest reliability using Intraclass Correlation Coefficient (ICC). Construct validity was assessed by comparing NBSS quality of life question 24 with MusiQoL questionnaire. Results A total of 91 patients were evaluated. The dimensions of NBSS exhibited high internal consistency, both for overall questionnaire score (Cronbach’s alpha coefficient of 0.91) and for every subdomain separately (Cronbach’s alpha coefficient of 0.95 for incontinence, 0.88 for storage symptoms and 0.74 for consequences). Test–retest reliability was satisfactory both for overall score [ICC of 0.85, (0.35–0.94), p  &lt; 0.001] and for every subdomain separately (ICC of 0.90 for incontinence, 0.83 for storage symptoms and 0.90 for consequences). Pearson’s correlation coefficient of question number 24 of the NBSS questionnaire regarding quality of life with the MusiQoL questionnaire revealed a moderate correlation [ r  = 0.64, (0.48–0.80), p  &lt; 0.0001]. Conclusions The Greek version of NBSS appears to be a valid and reliable instrument for assessing neurogenic bladder symptoms in Greek population suffering from multiple sclerosis.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-020-03465-9</identifier><identifier>PMID: 32986135</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bladder ; Diagnostic Self Evaluation ; Female ; Greece ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - complications ; Nephrology ; Oncology ; Original Article ; Patients ; Prospective Studies ; Quality of life ; Questionnaires ; Reproducibility of Results ; Symptom Assessment ; Urinary Bladder, Neurogenic - diagnosis ; Urinary Bladder, Neurogenic - etiology ; Urology ; Validation studies ; Validity ; Young Adult</subject><ispartof>World journal of urology, 2021-07, Vol.39 (7), p.2697-2702</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>2020. 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In this study we investigated these parameters using a sample of Greek patients with multiple sclerosis (MS). Materials and methods Patients with different types and severity of multiple sclerosis were recruited from a single center in Greece prospectively. All patients completed the MusiQoL and NBSS questionnaires at baseline and 20 days later, without receiving any new treatment. Construct validity, internal consistency and test–retest reliability were tested. Internal consistency was investigated using Cronbach’s alpha coefficient, while test–retest reliability using Intraclass Correlation Coefficient (ICC). Construct validity was assessed by comparing NBSS quality of life question 24 with MusiQoL questionnaire. Results A total of 91 patients were evaluated. The dimensions of NBSS exhibited high internal consistency, both for overall questionnaire score (Cronbach’s alpha coefficient of 0.91) and for every subdomain separately (Cronbach’s alpha coefficient of 0.95 for incontinence, 0.88 for storage symptoms and 0.74 for consequences). Test–retest reliability was satisfactory both for overall score [ICC of 0.85, (0.35–0.94), p  &lt; 0.001] and for every subdomain separately (ICC of 0.90 for incontinence, 0.83 for storage symptoms and 0.90 for consequences). Pearson’s correlation coefficient of question number 24 of the NBSS questionnaire regarding quality of life with the MusiQoL questionnaire revealed a moderate correlation [ r  = 0.64, (0.48–0.80), p  &lt; 0.0001]. Conclusions The Greek version of NBSS appears to be a valid and reliable instrument for assessing neurogenic bladder symptoms in Greek population suffering from multiple sclerosis.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bladder</subject><subject>Diagnostic Self Evaluation</subject><subject>Female</subject><subject>Greece</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - complications</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Reproducibility of Results</subject><subject>Symptom Assessment</subject><subject>Urinary Bladder, Neurogenic - diagnosis</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urology</subject><subject>Validation studies</subject><subject>Validity</subject><subject>Young Adult</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc1u1TAQhS0EopfCC7BAltjQRcA_ie0soaIFqYJFga01cSatS-IE2wHdt-FR8W1a2LHyeOacb0Y6hDzn7DVnTL9JjMm6qZhgVSlUU7UPyI7XUlZGC_WQ7JgWdVW3Rh6RJyndMMa1Ys1jciRFaxSXzY78_gaj733eUwg9jTh66Px4-M8DzddIzyPid_oTY_JzuG8GXON8hcE72o3Q9xhp2k9Lniea3ByRvvr07vLyhP5YMeXiC-BL0wcKNMG0jHgAbeQFsseQE_3l8zWd1jH7wzy5EeOcfHpKHg0wJnx29x6Tr2fvv5x-qC4-n388fXtROVmLXGlnoFdcC2h5N9RMoHKt6Z3sOsM6YLrB2hgFTisDDeNcAhd9bZhWA4Bj8pi83LhLnG_PtjfzGkNZaUXTaKVFkRaV2FSuHJciDnaJfoK4t5zZQyh2C8WWUOxtKLYtphd36LWbsP9ruU-hCOQmSGUUrjD-2_0f7B8dg5ns</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Tzelves, Lazaros</creator><creator>Glykas, Ioannis</creator><creator>Fragkoulis, Charalampos</creator><creator>Mitsikostas, Dimos-Dimitrios</creator><creator>Skolarikos, Andreas</creator><creator>Welk, Blayne</creator><creator>Dellis, Athanasios</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-0681-8685</orcidid></search><sort><creationdate>20210701</creationdate><title>Validity and reliability of the Greek version of the neurogenic bladder symptom score (NBSS) questionnaire in a sample of Greek patients with multiple sclerosis</title><author>Tzelves, Lazaros ; 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In this study we investigated these parameters using a sample of Greek patients with multiple sclerosis (MS). Materials and methods Patients with different types and severity of multiple sclerosis were recruited from a single center in Greece prospectively. All patients completed the MusiQoL and NBSS questionnaires at baseline and 20 days later, without receiving any new treatment. Construct validity, internal consistency and test–retest reliability were tested. Internal consistency was investigated using Cronbach’s alpha coefficient, while test–retest reliability using Intraclass Correlation Coefficient (ICC). Construct validity was assessed by comparing NBSS quality of life question 24 with MusiQoL questionnaire. Results A total of 91 patients were evaluated. The dimensions of NBSS exhibited high internal consistency, both for overall questionnaire score (Cronbach’s alpha coefficient of 0.91) and for every subdomain separately (Cronbach’s alpha coefficient of 0.95 for incontinence, 0.88 for storage symptoms and 0.74 for consequences). Test–retest reliability was satisfactory both for overall score [ICC of 0.85, (0.35–0.94), p  &lt; 0.001] and for every subdomain separately (ICC of 0.90 for incontinence, 0.83 for storage symptoms and 0.90 for consequences). Pearson’s correlation coefficient of question number 24 of the NBSS questionnaire regarding quality of life with the MusiQoL questionnaire revealed a moderate correlation [ r  = 0.64, (0.48–0.80), p  &lt; 0.0001]. Conclusions The Greek version of NBSS appears to be a valid and reliable instrument for assessing neurogenic bladder symptoms in Greek population suffering from multiple sclerosis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32986135</pmid><doi>10.1007/s00345-020-03465-9</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0681-8685</orcidid></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Bladder
Diagnostic Self Evaluation
Female
Greece
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Multiple sclerosis
Multiple Sclerosis - complications
Nephrology
Oncology
Original Article
Patients
Prospective Studies
Quality of life
Questionnaires
Reproducibility of Results
Symptom Assessment
Urinary Bladder, Neurogenic - diagnosis
Urinary Bladder, Neurogenic - etiology
Urology
Validation studies
Validity
Young Adult
title Validity and reliability of the Greek version of the neurogenic bladder symptom score (NBSS) questionnaire in a sample of Greek patients with multiple sclerosis
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