You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making V1 Apr 2017MP86-09 CRITERION VALIDATION OF THE NOVEL FLOW QUESTIONNAIRE VERSUS AUA SYMPTOM SCORE IN A COMMUNITY-BASED COHORT Daniel Heslop, Lisa Sherden, Christopher Johnson, Arturo Holmes, Nia Johnson, Lauren Sartor, Consuelo Wilkins, Ken Wallston, and Kelvin Moses Daniel HeslopDaniel Heslop More articles by this author , Lisa SherdenLisa Sherden More articles by this author , Christopher JohnsonChristopher Johnson More articles by this author , Arturo HolmesArturo Holmes More articles by this author , Nia JohnsonNia Johnson More articles by this author , Lauren SartorLauren Sartor More articles by this author , Consuelo WilkinsConsuelo Wilkins More articles by this author , Ken WallstonKen Wallston More articles by this author , and Kelvin MosesKelvin Moses More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2692AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The American Urological Association Symptom Score (AUA-SS) has been the gold standard for assessing lower urinary tract symptoms (LUTS); however, it is frequently incorrectly completed or unfinished due to inadequate literacy/numeracy. We developed the novel FLOW questionnaire to assess LUTS regardless of respondents' literacy/numeracy level. We previously showed the FLOW questionnaire is internally consistent and rapidly administered. Our current study objective is to establish criterion validation of FLOW vs AUA-SS, and perform a critical analysis of the AUA-SS via validated literacy and numeracy scales. METHODS A total of 161 men were recruited from clinics at Nashville General Hospital, a safety net hospital in Nashville, TN. We collected demographic data and assessed literacy/numeracy using validated tools: the revised Rapid Estimate of Adult Literacy in Medicine (REALM-R), the Brief Health Literacy Screen (BHLS), and the Subjective Numeracy Scale (SNS). Patients were administered the FLOW questionnaire and the AUA-SS. We evaluated the completion rates, completion times, and whether or not patients required assistance to complete either questionnaire. RESULTS Median age was 56 years, 99 men (61.5%) identified as Black/African American, and the median REALM-R score was six. There was a significant correlation between FLOW scores and AUA-SS (r=0.63, p<0.001). Among men with adequate health literacy (REALM-R 6-8; n =87), all were able to complete the FLOW and AUA-SS; however, among men with low literacy (REALM-R <6; n =74) all were able to complete the FLOW but only 81% were able to complete the AUA-SS (p<0.001). For the FLOW, health literacy was unrelated to median completion time (21.5 sec), the median number of prompts needed (0), or median score (2). For the AUA-SS, although the median number of prompts needed to complete the questionnaire (2) and median AUA-SS score (10.5) did not differ as a function of the men's health literacy, men with low health literacy who completed it had a median completion time of 129.5 seconds compared to 92 seconds for those with adequate health literacy (p<0.001). CONCLUSIONS The FLOW questionnaire meets criterion validity due to its strong, significant correlation with the AUA-SS for those who were able to complete both measures. However, a critical analysis of the AUA-SS utilizing valid health literacy and numeracy scales reveals the AUA-SS is frequently not completed, required prompting, and/or took longer to complete for men with low health literacy. Further studies of the FLOW questionnaire in a larger cohort in diverse clinical settings are needed. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1159-e1160 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Daniel Heslop More articles by this author Lisa Sherden More articles by this author Christopher Johnson More articles by this author Arturo Holmes More articles by this author Nia Johnson More articles by this author Lauren Sartor More articles by this author Consuelo Wilkins More articles by this author Ken Wallston More articles by this author Kelvin Moses More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...