Study design, materials and methods
The multi-page ICIQ-FLUTS (4 pages) and ICIQ-MLUTS (5 pages) were consolidated into a single-page format by reorganizing questions into categories: storage, voiding, and post-micturition symptoms. Patients who previously completed the ICIQ-FLUTS or ICIQ-MLUTS PROMs were invited to complete the new single-page version. Feedback was collected through a question at the end of the form, asking for comparisons between the new and original formats. Clinicians were also surveyed to assess their experience interpreting results using the redesigned format compared to the original.
Results
Seventeen patients completed the redesigned PROMs, with all (100%) expressing a preference for the single-page format. Patients highlighted its ease of use, efficiency, clarity, and environmental benefits due to reduced paper usage. The new form was reported as less time-consuming and less confusing, significantly enhancing the patient experience. Three clinicians noted that the single-page format improved interpretation efficiency, particularly with clear categorization of storage, voiding, and post-micturition scores. However, a limitation identified was the "bother scale" in the final column, which was completed by only 11% of patients due to requiring manual insertion of a score from 0 to 10.
Interpretation of results
The results indicate that the single-page format of the ICIQ-FLUTS and ICIQ-MLUTS has succeeded in addressing key issues associated with the original multi-page versions. All patients preferred the single-page design. This suggests improvement in patient satisfaction and engagement with the PROMs. For clinicians, the clear categorization of symptoms into storage, voiding, and post-micturition scores enhanced the interpretability of results, facilitating more efficient clinical evaluations. However, the low completion rate for the "bother scale" underscores the need for further refinement, such as adding pre-filled numeric options to improve usability.