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Protocol - Overactive Bladder Symptoms and Quality of Life

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Description

The Overactive Bladder Short Form Questionnaire (OAB-q SF) is a self-administered questionnaire containing 19 items that assess a participant’s experience with overactive bladder over the past four weeks. Each item is rated on a Likert-style scale from 1 (Not at all) to 6 (A very great deal). Scores from individual items are added together to get a final score ranging from 19 to 114. This protocol was validated in patients aged 18 and over and used in patients with sickle cell disease.

Specific Instructions

The Sickle Cell Disease Genitourinary Working Group notes some questions in this assessment are sensitive. Investigators should provide a private space for completing assessments and to be prepared to offer appropriate support.

Availability

Available

Protocol

Overactive Bladder Short Form Questionnaire (OAB-q SF)

Part A. Symptom Bother
This questionnaire asks about how much you have been bothered by selected bladder symptoms during the past 4 weeks. Please place a ✓ or x in the box that best describes the extent to which you were bothered by each symptom during the past four weeks. There are no right or wrong answers. Please be sure to answer every question.

During the past 4 weeks, how bothered were you by . . .

Not at all A little bit Some- what Quite a bit A great deal A very great deal
1. An uncomfortable urge to urinate? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
2. A sudden urge to urinate with little or no warning? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
3. Accidental loss of small amounts of urine? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
4. Nighttime urination? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
5. Waking up at night because you had to urinate? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
6. Urine loss associated with a strong desire to urinate? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6

Part B. Health Related Quality of Life
The previous questions asked about your feelings about individual bladder symptoms. For the following questions, please think about your overall bladder symptoms in the past four weeks and how these symptoms have affected your life. Please answer each question about how often you have felt this way to the best of your ability. Please place a ✓ or x in the box that best answers each question.

During the past week, how often have your bladder symptoms . . . None of the time A little of the time Some of the time A good bit of the time Most of the time All of the time
1. Caused you to plan “escape routes” to restrooms in public places? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
2. Made you feel like there is something wrong with you? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
3. Interfered with your ability to get a good night’s rest? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
4. Made you frustrated or annoyed about the amount of time you spend in the restroom? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
5. Made you avoid activities away from restrooms (i.e., walks, running, hiking)? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
6. Awakened you during sleep? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
7. Caused you to decrease your physical activities (exercising, sports, etc.)? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
8. Caused you to have problems with your partner or spouse? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
9. Made you uncomfortable while traveling with others because of needing to stop for a restroom? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
10. Affected your relationships with family and friends? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
11. Interfered with getting the amount of sleep you needed? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
12. Caused you embarrassment? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6
13. Caused you to locate the closest restroom as soon as you arrive at a place you have never been? [ ]
1
[ ]
2
[ ]
3
[ ]
4
[ ]
5
[ ]
6

Scoring

Symptom Bother Scale:

To score the Symptom Bother scale, sum items 1–6 from part A.

Lowest possible raw score: 6
Highest possible raw score: 36
Possible raw score range: 30

A transformed symptom severity score can be obtained according to the following formula:

Transformed Symptom Severity Score: Actual raw score - lowest possible raw score
Possible raw score range
X 100

Health Related Quality of Life (HRQL) Scale:

To score the HRQL scale, sum items 1–13 from part B. 

Lowest possible raw score: 13
Highest possible raw score: 78
Possible raw score range: 65

A transformed HRQL score can be obtained according to the following formula:

Transformed HRQL Score: Highest possible score - Actual raw score
Possible raw score range
X 100

Missing Items. For the subscale analyses, if <50% of the scale items are missing, the scale should be retained with the mean scale score of the items present used to impute a score for the missing items. If ≥50% of the items are missing, no scale score should be calculated, the subscale score should be considered missing.

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adult, Senior

Participants

Adult

Selection Rationale

The Overactive Bladder Short Form Questionnaire (OAB-q SF) is a well-established self-administered questionnaire that is easy to administer, score and interpret. It has been validated in the general population and in adults and used in patients with sickle cell disease.

Language

English

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

Not applicable

Protocol Name from Source

Overactive Bladder Short Form Questionnaire (OAB-q SF)

Source

Coyne, K. S., Thompson, C. L., Lai, J.-S., & Sexton, C. C. (2015). An overactive bladder symptom and health-related quality of life short-form: Validation of the OAB-q SF. Neurology and Urodynamics, 34(3), 255–263. https://doi.org/10.1002/nau.22559

General References

Anele, U. A., Morrison, B. F., Reid, M. E., Madden, W., Foster, S., & Burnett, A. L. (2016). Overactive bladder in adults with sickle cell disease. Neurology and Urodynamics, 35(5), 642–646. https://doi.org/10.1002/nau.22777

Protocol ID

880101

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX880101_Overactive_Bladder_4_Weeks_Bothered_Accidental_Loss_Small_Urine
PX880101030000 During the past 4 weeks, how bothered were more
you by... Accidental loss of small amounts of urine? show less
N/A
PX880101_Overactive_Bladder_4_Weeks_Bothered_Nighttime_Urination
PX880101040000 During the past 4 weeks, how bothered were more
you by... Nighttime urination? show less
N/A
PX880101_Overactive_Bladder_4_Weeks_Bothered_Sudden_Urge_Urinate
PX880101020000 During the past 4 weeks, how bothered were more
you by... A sudden urge to urinate with little or no warning? show less
N/A
PX880101_Overactive_Bladder_4_Weeks_Bothered_Uncomfortable_Urge_Urinate
PX880101010000 During the past 4 weeks, how bothered were more
you by... An uncomfortable urge to urinate? show less
N/A
PX880101_Overactive_Bladder_4_Weeks_Bothered_Urine_Loss_Desire_Urinate
PX880101060000 During the past 4 weeks, how bothered were more
you by... Urine loss associated with a strong desire to urinate? show less
N/A
PX880101_Overactive_Bladder_4_Weeks_Bothered_Wake_Up_Night_Urinate
PX880101050000 During the past 4 weeks, how bothered were more
you by... Waking up at night because you had to urinate? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Affect_Relationships_Friends_Family
PX880101160000 During the past week, how often have your more
bladder symptoms... Affected your relationships with family and friends? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Avoid_Activities_Away_From_Restroom
PX880101110000 During the past week, how often have your more
bladder symptoms... Made you avoid activities away from restrooms (i.e., walks, running, hiking)? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Awakened_During_Sleep
PX880101120000 During the past week, how often have your more
bladder symptoms... Awakened you during sleep? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Caused_Embarrassment
PX880101180000 During the past week, how often have your more
bladder symptoms... Caused you embarrassment? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Caused_Locate_Closest_Restroom
PX880101190000 During the past week, how often have your more
bladder symptoms... Caused you to locate the closest restroom as soon as you arrive at a place you have never been? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Caused_Problems_Partner_Spouse
PX880101140000 During the past week, how often have your more
bladder symptoms... Caused you to have problems with your partner or spouse? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Decrease_Physical_Activities
PX880101130000 During the past week, how often have your more
bladder symptoms... Caused you to decrease your physical activities (exercising, sports, etc.)? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Feel_Like_Something_Wrong
PX880101080000 During the past week, how often have your more
bladder symptoms... Made you feel like there is something wrong with you? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Frustrated_Annoyed_Amount_Time_In_Restroom
PX880101100000 During the past week, how often have your more
bladder symptoms... Made you frustrated or annoyed about the amount of time you spend in the restroom? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Interfere_Ability_Good_Night_Rest
PX880101090000 During the past week, how often have your more
bladder symptoms... Interfered with your ability to get a good night's rest? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Interfere_Getting_Amount_Sleep_Needed
PX880101170000 During the past week, how often have your more
bladder symptoms... Interfered with getting the amount of sleep you needed? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Plan_Escape_Routes
PX880101070000 During the past week, how often have your more
bladder symptoms... Caused you to plan escape routes to restrooms in public places? show less
N/A
PX880101_Overactive_Bladder_Past_Week_Symptoms_Uncomfortable_Traveling_Need_Stop_Restroom
PX880101150000 During the past week, how often have your more
bladder symptoms... Made you uncomfortable while traveling with others because of needing to stop for a restroom? show less
N/A
Genitourinary
Measure Name

Overactive Bladder

Release Date

August 15, 2023

Definition

Overactive bladder is a group of symptoms defined by frequent and sudden urges to urinate during the day and night and may include urinary incontinence.

Purpose

Overactive Bladder (OAB) symptoms can impact sleep quality, lead to depression, and negatively impact quality of life, especially in social situations. OAB is associated with neurological conditions, hormone changes, weak pelvic muscles, medications, and certain diseases, such as sickle cell disease and multiple sclerosis.

Keywords

sickle cell disease, quality of life, physical wellness, leak, leakage, urge, bladder, urinary, urology, urogenital

Measure Protocols
Protocol ID Protocol Name
880101 Overactive Bladder Symptoms and Quality of Life
Publications

There are no publications listed for this protocol.