International Consultation on Incontinence Modular Questionnaire – Short Form (ICIQ-SF)
Description: ICIQ-SF reflects the impact of urinary incontinence on quality of life (QoL) .
Format: 4 items in total: frequency of urinary incontinence, amount of leakage, overall impact of urinary incontinence & self-diagnostic.
Scoring: 3 items (frequency of urinary incontinence, amount of leakage, overall impact of urinary incontinence) are summed to provide a score between 0 & 21. Higher scores reflect increased urinary incontinence and poorer QoL.
Administration and Burden: Approximately 5 minutes.
Psychometrics for SCI: Not available.
Languages: Afrikaans, Arabic, Australian-English, Brazilian-Portuguese, Bulgarian, Czech, Danish, Dutch, Estonian, Finnish, French, German, Greek, Hungarian, Icelandic, Italian, Japanese, New Zealand-English, Norwegian, Polish, Romanian, Russian, Slovakian, South African-English, Spanish, Swedish, Turkish, Ukrainian, UK-English, US-English.
QoL Construct: The ICIQ-SF is a measure of the impact of urinary incontinence on QoL, which corresponds to boxes B (societal standards) and C (achievements) of Dijker’s model.
Permissions/Where to Obtain: Request the questionnaire on the website (www.iciq.net).
**CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE RIGHT TO READ HOW THE ICIQ-SF HAS BEEN USED WITH A PARTICULAR CONDITION**
- Böthing R, Hirschfeld S, Thietje R. Quality of life and urological morbidity in tetraplegics with artificial ventilation managed with suprapubic or intermittent catheterization. Spinal Cord. 2012;50:247–51.