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URPS Questionnaires

URPS Questionnaires

Below is a table of validated URPS questionnaires. Click on the hyperlinks in the table to access the related resources.

Instructions

Below is a table of validated FPMRS questionnaires. Click on the hyperlinks in the table to access the related resources.

Questionnaire Full Name Use/Population Number of Questions Domains/Categories Question Scale Score Range Significant Cutoff Thresholds MCID Comments Citation Link to PDF
PGI-I Patient Global Impression of Improvement Single question to describe the current status of a condition compared to before the intervention was done 1 NaN 1=very much better, 4=no change, 7=very much worse 2021-01-07 00:00:00 NaN NaN NaN http://scale-library.com/pdf/PGI-I.pdf http://scale-library.com/pdf/PGI-I.pdf
FSFI Female Sexual Function Index Any age Female 19 6 domains: desire, arousal, lubrication, orgasm, satisfaction, and pain \nScoring has multiplication factor for each of the 6 domains 2-36 26.55 and higher indicates sexual dysfunction 2.1 points NaN https://pubmed.ncbi.nlm.nih.gov/10782451/ https://cdn-links.lww.com/permalink/aog/a/aog_124_2_2014_06_02_reed_14-218_sdc1.pdf
PISQ-IR Prolapse and Incontinence Sexual Function Questionnaire-IUGA Revised For women who are and are NOT sexually active with POP, UI, and the additional of FI 20 Instructions: https://www.iuga.org/images/content/pisq-ir-scoring-instructions.pdf Several, 1-4 or 1-5 See scoring instructions NaN NaN NaN https://doi.org/10.1007/s00192-012-1952-3 https://www.iuga.org/images/content/PISQ-IR_Instrument_English.pdf
FISI Fecal Incontinence Severity Index NaN 4 4 categories, gas, mucus, liquid, and solid stool. Answer choices range from never, 1-3 times/mo, 1/wk, 2 or more/wk, daily, 2 or more/day. NaN 0-61 NaN NaN NaN https://pubmed.ncbi.nlm.nih.gov/10613469/ https://www.thecalculator.co/health/Fecal-Incontinence-Severity-Index-(FISI)-Calculator-964.html
PFDI-20 Pelvic Floor Distress Inventory-20 NaN 20 3 domains: Prolapse, Urinary, Colorectal NaN 0-300 NaN 45 points (15%)\nhttp://patientreportedoutcomes.ca/files/2014/04/PFDI-20-PFIQ-7-Barber-20041.pdf NaN https://pubmed.ncbi.nlm.nih.gov/16021067/ https://cdn-links.lww.com/permalink/sap/a/sap_00_00_2019_05_06_manrique_spa51154_sdc2.pdf
POPDI-6 Pelvic Organ Prolapse Distress Inventory POP Questions PFDI-20 6 NaN 1-4 (Not at all-quite a bit) 0-100 NaN NaN NaN NaN https://cdn-links.lww.com/permalink/sap/a/sap_00_00_2019_05_06_manrique_spa51154_sdc2.pdf
UDI-6 Urogenital Distress Inventory-6 Urinary Questions PFDI-20 6 NaN 1-4 (Not at all-quite a bit) 0-100 NaN NaN NaN NaN https://cdn-links.lww.com/permalink/sap/a/sap_00_00_2019_05_06_manrique_spa51154_sdc2.pdf
CRAD-8 Colorectal Anal Distress Inventory Colorectal Questions PFDI-20 8 NaN 1-4 (Not at all-quite a bit) 0-100 NaN NaN NaN NaN https://cdn-links.lww.com/permalink/sap/a/sap_00_00_2019_05_06_manrique_spa51154_sdc2.pdf
PFIQ-7 Pelvic Floor Impact Questionnaire Comprised of POP-IQ7, UIQ-7, CRAIQ-7 7 3 Domains, POP, UI, CR, mean to compliment PFDI-20 domains 0-3 (Not at all-quite a bit) 0-300 NaN 36 points (12%)\nhttp://patientreportedoutcomes.ca/files/2014/04/PFDI-20-PFIQ-7-Barber-20041.pdf NaN https://pubmed.ncbi.nlm.nih.gov/16021067/ https://cdn-links.lww.com/permalink/sap/a/sap_00_00_2019_05_06_manrique_spa51154_sdc2.pdf\n\nhttp://www.palmerphysicaltherapy.com/sites/default/files/Pelvic%20Floor%20Impact%20Questionnaire%20%28PFIQ-7%29.pdf
EPIQ Epidemiology of Prolapse and Incontinence Questionnaire General female population, Identifies POP, SUI, OAB, AI 46 7 yes, no, I don't know 0=best NaN NaN NaN https://pubmed.ncbi.nlm.nih.gov/15856132/ https://www.researchgate.net/publication/7882186_Epidemiology_of_prolapse_and_incontinence_questionnaire_Validation_of_a_new_epidemiologic_survey
APFQ Australian Pelvic Floor Questionnaire female population combines bowel, bladder, sexual dysfunction 42 4 0-10 0-10 1.0 for POP domain 1 NaN https://pubmed.ncbi.nlm.nih.gov/18958382/ https://urogynaecology.com.au/wp-content/uploads/2018/08/australian-pelvic-floor-questionnaire-V2018.pdf
ABI Adaptive Behaviors Index gen pop, self administered 24 2 0(never) to 5 (always) 0-100 scale higher domain= greater. use of adaptive behaviors NaN NaN https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519303/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519303/#SD2 table 2
BiPOP Body Image in POP female pop with POP 10 2 2023-01-05 00:00:00 1-5 range (averaged) higher score= worse POP related body image NaN NaN https://pubmed.ncbi.nlm.nih.gov/24631437/ https://pubmed.ncbi.nlm.nih.gov/24727105/
BSS Bristol Stool Scale general population 1 1 2023-01-07 00:00:00 NaN pictogram NaN NaN https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760857/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760857/
ePAQ-PF electronic Personal Assessment Questionnaire- Pelvic Floor any age female 35 urinary, 33 bowel, 22 vaginal, 28 sexual= 118 19 0-5 0-100 100 NaN NaN https://pubmed.ncbi.nlm.nih.gov/18553041/ http://epaq.co.uk/Home/GandO
EQ-5D EuroQol- 5 Dimension general population 25 5 0.59-1.00 0-100 100 NaN NaN https://pubmed.ncbi.nlm.nih.gov/23614330/ https://www.unmc.edu/centric/_documents/EQ-5D-5L.pdf
FASS FIGO Prolapse Assesment Scoring System women w/ and w/o prolapse 5 3 0(absence) to presence (3) or to severity of bother (0-4) 0-4 4 NaN NaN https://www.researchgate.net/publication/270826652_The_FIGO_assessment_scoring_system_FASS_a_new_holistic_classification_tool_to_assess_women_with_pelvic_floor_dysfunction_validity_and_reliability https://www.researchgate.net/publication/270826652_The_FIGO_assessment_scoring_system_FASS_a_new_holistic_classification_tool_to_assess_women_with_pelvic_floor_dysfunction_validity_and_reliability
ICIQ-VS International Consultation on Incontinence Questionnaire- Vaginal Symptoms Module women with incontience: evaluates vaginal symptoms, sexual matters, QoL 14 2 0-3 or 0-4 0-58 58 NaN NaN https://iciq.net/iciq-vs https://iciq.net/iciq-vs
P-QOL Prolapse- Quality of Life women with prolapse 20 9 0-5 or 0-3 0-100 100 NaN NaN https://www.researchgate.net/publication/7865767_P-QOL_A_validated_questionnaire_to_assess_the_symptoms_and_quality_of_life_of_women_with_urogenital_prolapse https://kathewallace.com/wp-content/uploads/2020/05/P-QOL.pdf?x86747
PFBQ Pelvic Floor Bother Questionnaire women with pelvic problems including prolapse, incontinence urinary and fecal, dyspareunia 9 5 0-5 (severe bother) 0-45 0 NaN NaN https://pubmed.ncbi.nlm.nih.gov/20458467/ https://www.wmhp.com.au/sites/default/files/pelvic-floor-bother-questionnaire.pdf
POP-SS Pelvic Organ Prolapse- Symptom Scale Women with POP 7 1 0(never) to 4 (all of the time) 0-28 28 NaN NaN https://www.ics.org/Abstracts/Publish/46/000565.pdf https://static1.squarespace.com/static/5f583cbf51cac847006748e8/t/5fb419ba3577815cfe4c42b6/1605638587073/Prolapse+questionnaire.pdf
PIKQ Prolapse and Incontinence Knowledge Questionnaire all patients 16 2 0 (strongly disagree)-5 (strongly agree) 0-80 80 NaN NaN https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065889/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065889/
SPS-Q Sheffield POP QOL Women with POP 25 1 0-4 4 4 NaN NaN https://pubmed.ncbi.nlm.nih.gov/16698633/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056425/
VSBE Vaginal Changes Sexual and Body Esteem Women pre and post intervention such as child birth, POP surgery 10 0 0-5 0-50 5 NaN NaN https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866192/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866192/
fGUPI Female Genitourinary pain index all women 9 1 1-3 or 1-6 0-45 NaN NaN NaN NaN https://www.cottagehealth.org/app/files/public/74fd5919-18e5-4043-8d62-85bd990c65cb/CRH_Female_Genitourinary_Pain_Index.pdf
PFIQ-7 Pelvic Floor Impact Questionnaire NaN 7 Urinary Impact Questionnaire (UIQ-7): "Bladder or urine.”\nColorectal-Anal Impact Questionnaire (CRAIQ-7): "Bowel or rectum." \nPelvic Organ Prolapse Impact Questionnaire (POPIQ-7): "Pelvis or vagina." 0, Not at all; 1, somewhat; 2, moderately; 3, quite a bit 0-100 for scaled score and 0-300 for summary score NaN NaN 7 questions (for each of the 3 categories = 21 questions)\n1. Ability to do household chores (cooking, housecleaning, laundry)?\n2. Ability to do physical activities such as walking, swimming, or other exercise?\n3. Entertainment activities such as going to a movie or concert?\n4. Ability to travel by car or bus for a distance greater than 30 minutes away from home?\n5. Participating in social activities outside your home?\n6. Emotional health (nervousness, depression, etc)?\n7. Feeling frustrated?\n\nCalculating:\nScale scores: Obtain the mean value for all of the answered items within the corresponding scale (possible value 0 to 3) and then multiply by (100/3) to obtain the scale score (range 0 to 100). Missing items are dealt with by using the mean from answered items only.\nPFIO-7 Summary Score: Add the scores from the 3 scales together to obtain the summary score (range 0 to 300)\n\nPer Walters & Karram Urogynecology and Reconstructive Pelvic Surgery (5th ed): “The Pelvic Floor Impact Questionnaire (PFIQ) and the Prolapse Quality of Life Questionnaire (P-QOL) are currently the only condition-specific questionnaires with demonstrated reliability, validity, and responsiveness that assess the impact of POP on QOL. The PFIQ is a companion questionnaire to the PFDI and can be used by clinicians and researchers to measure the extent to which lower urinary tract, lower gastrointestinal tract, and POP symptoms affect the QOL of women who suffer from the full spectrum of pelvic floor disorders.” https://pubmed.ncbi.nlm.nih.gov/16021067/ https://www.sralab.org/sites/default/files/2017-06/Pelvic%20Floor%20Impact%20Questionnaire%20%28PFIQ-7%29.pdf
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