Evidence map›Paper›PMID 28236039›Full record

ArticleInternational urogynecology journal2017

Validation of an instrument to assess barriers to care-seeking for accidental bowel leakage in women: the BCABL questionnaire.

Heidi Wendell Brown, Meg E Wise, Danielle Westenberg, Nicholas B Schmuhl, Kelly Lewis Brezoczky, Rebecca G Rogers, Melissa L Constantine

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Reasons Behind Preferences for Community-Based Continence Promotion.Female pelvic medicine & reconstructive surgery · 2020
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Heidi Wendell BrownDepartment of OB/GYN, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Avenue, Box 6188, Madison, WI, 53792, USA. Hwbrown2@wisc.edu.
Meg E WiseSonderegger Research Center, University of Wisconsin-Madison School of Pharmacy, Madison, WI, USA.
Danielle WestenbergDepartment of OB/GYN, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Avenue, Box 6188, Madison, WI, 53792, USA.
Nicholas B SchmuhlDepartment of OB/GYN, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Avenue, Box 6188, Madison, WI, 53792, USA.
Kelly Lewis BrezoczkyHealthy Mature Living Foundation, PO Box 1100, Los Gatos, CA, 95030, USA.
Rebecca G RogersDell Medical School at The University of Texas at Austin, Austin, TX, USA.
Melissa L ConstantineDivision of Health Policy & Management at UMN, Minneapolis, MN, USA.
University of Wisconsin–Madison · USGlobal Healthy Living Foundation · USThe University of Texas at Austin · US

Funding

Wisconsin Multidisciplinary K12 Urologic Research Career Development ProgramK12DK100022 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI CHAD M. VEZINA · 2013 to 2026
$8.6M
National Institute of Diabetes and Digestive and Kidney Diseases NIH K12DK100022 (PI Dale Bjorling)NIDDK NIH HHS K12 DK100022
6 · The paper itself

Abstract

introduction and hypothesisFewer than 30% of women with accidental bowel leakage (ABL) seek care, despite the existence of effective, minimally invasive therapies. We developed and validated a condition-specific instrument to assess barriers to care-seeking for ABL in women.

methodsAdult women with ABL completed an electronic survey about condition severity, patient activation, previous care-seeking, and demographics. The Barriers to Care-seeking for Accidental Bowel Leakage (BCABL) instrument contained 42 potential items completed at baseline and again 2 weeks later. Paired t tests evaluated test-retest reliability. Factor analysis evaluated factor structure and guided item retention. Cronbach's alpha evaluated internal consistency. Within and across factor item means generated a summary BCABL score used to evaluate scale validity with six external criterion measures.

resultsAmong 1,677 click-throughs, 736 (44%) entered the survey; 95% of eligible female respondents (427 out of 458) provided complete data. Fifty-three percent of respondents had previously sought care for their ABL; median age was 62 years (range 27-89); mean Vaizey score was 12.8 (SD = 5.0), indicating moderate to severe ABL. Test-retest reliability was excellent for all items. Factor extraction via oblique rotation resulted in the final structure of 16 items in six domains, within which internal consistency was high. All six external criterion measures correlated significantly with BCABL score.

conclusionsThe BCABL questionnaire, with 16 items mapping to six domains, has excellent criterion validity and test-retest reliability when administered electronically in women with ABL. The BCABL can be used to identify care-seeking barriers for ABL in different populations, inform targeted interventions, and measure their effectiveness.

Indexed as

AdultAgedAged, 80 and overFactor Analysis, StatisticalFecal IncontinenceFemaleHumansMiddle AgedPatient Acceptance of Health CarePsychometricsReproducibility of ResultsSurveys and QuestionnairesAccidental bowel leakageBarriersCare-seekingFecal incontinenceHelp-seekingValidation

Identifiers

PMID28236039
PMCPMC5568984
OpenAlexW2589546307

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.