What does this Questionnaire do?
The Accurx Colitis Activity Questionnaire allows the sending of an online questionnaire to patients to collect information about disease activity in patients with Ulcerative Colitis. It can be used as an aid to identify patients requiring more detailed assessment and to guide changes in treatment.
The copyright for this questionnaire’s content is held by the BMJ. Walmsley RS, Ayres RCS, Pounder RE, et al. A simple clinical colitis activity index, Gut 1998;43:29-32 with permission from BMJ Publishing Group Ltd.
The questionnaire link is sent via SMS or email. The patient fills in the questionnaire through a browser so can use their phone, tablet, laptop or desktop to complete it.
The responses are returned to the user or organisation via the Accurx Web inbox. The responses can be assigned to other colleagues.
What does it look like for the clinician and patient?
Clinician view of sending a Questionnaire👇
They can edit the SMS message if required.
Patient perspective of viewing and completing the Colitis Activity questionnaire👇
Questions:
1. How many times during the day do you need to open your bowels?
0-3
4-6
6-9
More than 9
2. How many times during the night do you need to open your bowels?
0
1-3
4-6
3. How quickly do you feel like you need to open your bowels when you feel the need to go?
No urgency - No strong urge or pressure to open your bowels
Hurry - Feeling a mild urgency to go, but you can wait for a short while
Immediately - Feeling a strong urge where you need to find a bathroom soon
Incontinence - Unable to control your bowel movements, leading to an accidental leakage
4. Have you noticed any blood in your poo?
No blood - there is no visible blood in your poo
Trace - a small amount of blood is occasionally noticed in your poo
Occasionally frank - blood is seen in your poo from time to time
Usually frank - blood is consistently present and easily noticeable in your poo
5. How would you rate your general well-being?
Very well
Slightly below par
Poor
Very poor
Terrible
6. Do you experience any of the following additional health problems that might be affecting other parts of your body (extracolonic features)?
Problems with muscles and bones, like arthritis.
Issues with the eyes such as redness or soreness, e.g. uveitis or episcleritis.
Skin conditions like pyoderma gangrenosum (skin ulcers) or erythema nodosum (red sore lumps under the skin).
Mouth troubles, like aphthous stomatitis (painful mouth sores).
No features: I do not have any of the listed features
1 feature: I have one of the features listed
2 features: I have two of the features listed
3 features: I have three of the features listed
4 features: I have four of the features listed
5 features: I have five of the features listed
When they have submitted their answers, they will be thanked for completing the questionnaire, sent a confirmation SMS and be given some safety netting information 👇
Clinician view of the Colitis Activity Questionnaire response
A red dot notification in Accurx Web and an email notification indicating a patient response has arrived 👇
The screenshot below shows the inbox view showing a colitis activity questionnaire response for a patient 👇
Users can assign the response to a different team by clicking on the pen icon to edit the assignee. 👇
Users can download a PDF version of the questionnaire response, which they can use to save responses to their paper or electronic medical records. 👇
If you still have any questions or concerns, feel free to chat with us using the green message bubble in the bottom right-hand corner of this page. 👉