Incontinence Clinical Trial
Official title:
Enhancing Patient Recall in Urogynecologic Surgery
Patient counseling is an essential part of any new treatment implementation. This process
becomes even more important when it involves surgical counseling. This is when the patient
and the surgeon discuss the possible surgical options and ideally establish a plan for the
appropriate surgical intervention. Unfortunately, multiple studies have shown that patients
tend to have poor recall of the key elements discussed during the consultation (1-3). In the
investigators' experience, the concern lies specifically in the level of recall that patients
have regarding their planned surgical procedure, as most patients cannot correctly state the
planned intervention despite extensive counseling and explanation. Lack of knowledge about
the type of surgery can have serious implications for the patient in the future. For example,
knowing facts like the presence or absence of the cervix and whether future pap smears are
needed or the presence of an implant, such as a mesh are necessary for the patient's
well-being and proper medical care down the line, especially when the patient has multiple
medical providers. In addition, previous research has demonstrated that low-quality
counseling and the feeling of being "unprepared for surgery" directly correlate with patient
dissatisfaction (4). This is especially relevant in the field of female pelvic reconstructive
surgery, where the success of surgical interventions relies heavily upon subjective
patient-reported outcomes (5).
There have been many studies to augment the counseling process using supplemental materials.
These have included use of multiple visual charts, anatomical models, and passive and
interactive audiovisual aids (6). Some improvement in the outcomes has been observed in
various fields of medicine with the dissemination of supplemental patient resources (7-10).
However, in urogynecology, the effectiveness of surgical counseling sessions has not been
achieved despite the different additional methods for patient education (6, 11). Reasons that
urogynecologic supplemental materials have not seen the same level of success as those in
other fields of medicine include the complexity of the surgeries and the language used in
many of these educational aids (12). The investigators aim to address the problem of poor
patient recall of their procedure by providing them with an easy-to-read patient card
detailing the anticipated surgery at the time of their consult.
Status | Recruiting |
Enrollment | 128 |
Est. completion date | August 1, 2020 |
Est. primary completion date | August 1, 2020 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 19 Years to 89 Years |
Eligibility |
Inclusion Criteria: - English-speaking females, ages >18 and <90 years, present for surgical planning for reconstructive urogynecologic procedures Exclusion Criteria: - Dementia, blindness, non-English speakers |
Country | Name | City | State |
---|---|---|---|
United States | Atlantic Urogynecology Associates | Morristown | New Jersey |
Lead Sponsor | Collaborator |
---|---|
Atlantic Health System |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient recall of the anticipated surgery during the preoperative visit | All patient present for a preoperative visit, which occurs within 30 days of the scheduled surgery. At this time, all patients will receive a questionnaire testing their knowledge about their upcoming surgery. We will compare the answers from patients who received the education card and those who did not at the time of their surgical counseling visit. The name of the questionnaire is "The 7-Question Knowledge Questionnaire," which was developed by the Urogynecology Department at Atlantic Health System. The scale consists of 7 questions and will have score ranges between from 0 to 7. |
Patients will receive questionnaires within 30 days prior to their scheduled surgery. | |
Secondary | Patient recall of the surgery during the postoperative visit | All patients will receive questionnaires, testing their knowledge of the performed surgery, during their postoperative follow-up visit. The questionnaire will include "The 7-Question Knowledge Questionnaire," which was developed by the Urogynecology Department at Atlantic Health System. The scale consists of 7 questions and will have score ranges between from 0 to 7. |
Patients will receive questionnaires within 30 days of their surgery. | |
Secondary | Patient satisfaction | A validated questionnaire, called the "Leiden Perioperative care Patient Satisfaction questionnaire" will be given at the postoperative visit to determine patient satisfaction. A part of this questionnaire will be used, which consists of 4 questions. The total score will range between 0 and 4. | Patients will receive questionnaires within 30 days of their surgery. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02835846 -
Investigation of the Effect of the Female Urinary Microbiome on Incontinence
|
Phase 4 | |
Recruiting |
NCT02978638 -
Electrical Stimulation for Continence After Spinal Cord Injury
|
N/A | |
Completed |
NCT01978210 -
Development of a Manualized Wireless Moisture Pager Intervention for Teaching Toileting in Children With Autism
|
N/A | |
Completed |
NCT01036035 -
Effects of Novel Combinations of Tolterodine/Pilocarpine on Pharmacokinetics (PK) and Pharmacodynamics (PD) of Tolterodine in Healthy Subjects
|
Phase 1 | |
Completed |
NCT00972998 -
Study to Examine the Effect of Coated Phenylephrine Suppositories on Anal Pressure in Healthy Subjects
|
Phase 1/Phase 2 | |
Recruiting |
NCT04110821 -
Quality of Life After Conservative and Surgical Treatment of Pelvic Organ Prolapse
|
||
Recruiting |
NCT05826691 -
Benign Prostate Surgery and QOL and Sexual Function
|
||
Recruiting |
NCT05362292 -
TReating Incontinence for Underlying Mental and Physical Health
|
Phase 4 | |
Recruiting |
NCT05935371 -
Consequences of Obstetric Anal Sphincter Injuries on Maternal Psychology and Relationship Experience
|
||
Completed |
NCT02554201 -
Efficacy of Electrical Pudendal Nerve Stimulation for Neurogenic Lower Urinary Tract Dysfunction
|
N/A | |
Completed |
NCT01486706 -
Efficacy and Safety of Gabapentin in Treating Overactive Bladder
|
Phase 2/Phase 3 | |
Completed |
NCT00617786 -
CPT Testing for Sacral Neuromodulation Outcomes
|
N/A | |
Completed |
NCT02633592 -
Seated Evaluation of Anorectal funcTion by High Resolution Anorectal Manometry
|
N/A | |
Completed |
NCT01747343 -
Toilet Training Toddlers and Preschoolers
|
N/A | |
Completed |
NCT01470001 -
The Effect of Solifenacin on Post Void Dribbling in Women
|
N/A | |
Recruiting |
NCT02091947 -
Efficacy of Functional Magnetic Stimulation in Urinary Incontinence
|
Phase 2 | |
Completed |
NCT01108367 -
Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate (HoLEP)
|
N/A | |
Completed |
NCT04924218 -
Evaluation of the Effect of Endoscopic Urethral Procedures Applied After Radical Prostatectomy on Urinary Incontinence
|
N/A | |
Completed |
NCT05106010 -
The Effect of Yoga on Decreasing Risk of Fall-Related Injury in Peri and Post-Menopausal
|
||
Completed |
NCT04867876 -
Qol Following Management for Pediatric UI
|
N/A |