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News from the Australian Health Outcomes Collaboration

Janet Sansoni
Australian Health Outcomes Collaboration, Centre for Health Service Development,
Australian Health Services Research Institute, University of Wollongong, Australia



During 2011 the Australian Health Outcomes Collaboration completed a major project on the clinical validation of the revised incontinence and patient satisfaction tools for the Department of Health and Ageing.

These tools include the Revised Urinary Incontinence Scale (RUIS) and the Revised Faecal Incontinence Scale (RFIS), which are short, five-item measures suitable for both epidemiological and clinical applications.

Data analyses indicated that the RUIS and the RFIS have excellent psychometric properties. The RUIS and the RFIS performed well in clinical settings demonstrating:
• Adequate to good internal consistency reliability and test-retest reliability in both clinical and population samples (>0.70)
• High and significant correlations with other measures of incontinence
• Good evidence that these instruments were sensitive to changes in continence status as a result of treatment, making them suitable for outcome evaluation.

The RUIS and RFIS items and the scale total scores also discriminated well in relation to other clinical indications of severity and between people with differing levels of incontinence severity. The measures both had superior psychometric properties when compared with other commonly used measures for incontinence assessment.1

The Short Assessment of Patient Satisfaction (SAPS) is a short, reliable, and valid seven-item scale that can be used to assess patient satisfaction with their treatment.


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