Your activity: 10 p.v.

Bowel Function Index[1]

Bowel Function Index[1]
Bowel Function Index (BFI)
Please complete all items in this assessment.
  1. Ease of defecation (based upon a numeric analog scale [NAS]) during the last 7 days according to patient assessment:
0 = easy/no difficulty
100 = severe difficulty
 
Ask the subject: "During the last 7 days, how would you rate your ease of defecation on a scale from 0 to 100, where 0 = easy or no difficulty and 100 = severe difficulty?"
If the subject requires clarification, ask: "During the last 7 days, how easy or difficult was it to have a bowel movement on a scale from 0 to 100, where 0 = easy or no difficulty and 100 = severe difficulty?"
  1. Feeling of incomplete bowel evacuation (NAS) during the last 7 days according to patient assessment:
0 = not at all
100 = very strong
 
Ask the subject: "During the last 7 days, how would you rate any feeling of incomplete bowel evacuation on a scale from 0 to 100, where 0 = no feeling of incomplete evacuation and 100 = a very strong feeling of incomplete evacuation?"
If the subject requires clarification, ask: "During the last 7 days, how strongly did you feel that you did not empty your bowels completely? Please indicate how strong this feeling was on a scale from 0 to 100, where 0 = not at all and 100 = very strong."
  1. Personal judgement of patient (NAS) regarding constipation during the last 7 days:
0 = not at all
100 = very strong
 
Ask the subject: "During the last 7 days, how would you rate your constipation on a scale from 0 to 100, where 0 = not at all and 100 = very strong?"
If the subject requires clarification, ask: "During the last 7 days, how would you rate how constipated you felt on a scale from 0 to 100, where 0 = not at all and 100 = very strong?"
  • The Bowel Function Index (BFI) is a 3-item questionnaire to measure constipation from the patient's perspective. Study personnel should ask subjects the BFI questions. The BFI is not intended to be given to the subject for completion on their own (self-administration), not even if study personnel explain how the measure should be completed. The BFI should always be administered to the subject by study personnel.
  • Instructions for administering each item of the BFI are indicated in the grey sections below each item.
  • Ask subjects each question. If the subject does not understand the question, study personnel may provide clarification as indicated below each question in the grey sections of the measure below. Study personnel should enter each answer provided by the subject in the appropriate section of the case record form (CRF). To avoid any form of response bias, study personnel must not lead the subjects in their answers (eg, study personnel should not provide examples of answers to a given question).
NAS: numeric analogue scale.
Reference:
  1. Rentz AM, Yu R, Müller-Lissner S, Leyendecker P. Validation of the Bowel Function Index to detect clinically meaningful changes in opioid-induced constipation. J Med Econ 2009; 12:371.
© 2002 Mundipharma Laboratories GmbH, used with permission.
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