Overactive Bladder Clinical Trial
Official title:
Group Medical Visits for Latina Women With Urgency Urinary Incontinence
This is a mixed methods study to compare group medical visits (GMVs) to usual care for Spanish speaking Latina women with urgency urinary incontinence. Patients will be randomized to GMVs and to usual care. At the conclusion of each series of GMVs we will hold a focus group for participants.The primary outcome will be improvement in urgency urinary incontinence symptoms.
Urinary incontinence, though its effects can be personally devastating, exists most often as
a quality of life issue. As such, partnering with the patient toward shared medical decision
making is of the utmost importance. Research suggests that Latina women with pelvic floor
disorders are overwhelmed by the amount and speed of information presented by healthcare
providers and respond by placing healthcare decisions within the hands of the provider.
Group medical visits have demonstrated improved quality of life, improved healthcare
self-efficacy and closed outcomes gaps in low income groups. We propose a mixed methods study
to compare group medical visits (GMVs) to usual care for Spanish speaking Latinas presenting
to gynecology clinics at LAC+USC. The study will consist of a randomized control trial of
GMVs compared to usual care. In addition we will hold focus group for participants of the GMV
arm to gain insight into the patient experience of GMVs and how to improve the visits. The
primary outcome will be improvement in urgency urinary incontinence symptoms as measured by
the OABq SF. Additionally, changes in quality of life and healthcare self-efficacy will be
measured before and after the intervention.
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