Statistical Validation of the Shorter-Moldwin Food Sensitivity Questionnaire for Patients with Interstitial Cystitis/Bladder Pain Syndrome
Purpose: American Urological Association guidelines suggest dietary changes as first line treatment for interstitial cystitis/bladder pain syndrome. We previously developed a validated survey instrument to determine which foods, beverages and supplements exacerbate the symptoms of this condition. In this study we developed a shortened questionnaire that would provide an easily self-administered food symptomhistory useful for clinical practice and future research. Materials and Methods: Using data from our previously validated food sensitivity questionnaire we remodeled the original lengthy survey to an abbreviated list including the 35 most problematic comestibles. The instrument was reviewed by a panel of experts for face and content validity, and tested for internal consistency, readability and clarity, and test-retest reliability. Results: Of the 124 patients who completed a baseline questionnaire 52 (42%) returned the second instrument 1 week after completing the first instrument. Internal consistency was high (alpha = 0.96). A total of 47 patients (90.4%) indicated that they were food sensitive. Questionnaire test-retest reliability assessed by the Spearman correlation coefficient ranged from moderate (rho = 0.48 for Equal (R)) to very strong (rho = 0.90 for beer). Discrepancies between the survey instruments in individual comestibles occurred only 1% of the time. Conclusions: Our short form diet history questionnaire based on a previously validated long form is a reliable, newly validated instrument that will help identify comestibles associated with interstitial cystitis/bladder pain syndrome symptoms. Its brevity makes it simple to administer and useful for dietary management in this population.
Faculty, Northwell Researcher
School of Medicine; Northwell Health