FI Stool Diary 3.1

Fecal Incontinence Stool Diary Instrument (FISDI) Review

The Fecal Incontinence Stool Diary Instrument (FISDI) serves as a structured tool designed to capture patient-reported symptoms related to fecal incontinence, as well as other associated bowel complications. Given the prevalence of fecal incontinence—affecting approximately 9% of the adult population in the United States and at least 25% of nursing home residents—the need for reliable assessment methods is paramount. This condition is often linked with various bowel and stool-related symptoms, highlighting the necessity of a comprehensive evaluation approach.

FISDI facilitates prospective assessments by collecting detailed patient-reported outcomes regarding bowel habits, including episodes of accidental stool and gas leakage. This instrument is particularly relevant for both clinical trials and the ongoing assessment of affected patients, taking into account the irregular and unpredictable nature of bowel movements.

Authors:

• Neurogut Incorporated (USA)

Objective:

The primary goal of FISDI is to evaluate the presence and severity of bowel, stool, and abdominal symptoms associated with fecal incontinence. This assessment aims to enhance the understanding of patient experiences in clinical settings.

Therapeutic Areas:

• Gastrointestinal and Digestive System Diseases
• Pathological Conditions, Signs, and Symptoms

Therapeutic Indications:

• Fecal Incontinence
• Dyssynergic Defecation
• Anorectal and Colorectal Diseases
• Urinary Incontinence
• Pelvic Floor Problems

Type of Clinical Outcome Assessment (COA):

This instrument qualifies as a Patient Reported Outcome (PRO) assessment.

Original Language:

English (USA)

Bibliographic Reference for the Original Questionnaire:

1. Rao SSC. Diagnosis and Management of Fecal Incontinence. Am J Gastroenterol 2004; 99: 1585-1604.

User Guidelines:

The FISDI requires respondents to reflect on their experiences with fecal incontinence over a seven-day period. Participants are encouraged to answer each question with careful consideration, accurately describing their bowel and abdominal symptoms during each episode of stool leakage and rating its severity accordingly. The structured format ensures comprehensive data collection essential for effective clinical assessment.