Urinary Bladder, Overactive Clinical Trial
Official title:
Comparative Effectiveness of Three Different Teaching Methods in Behavioural Therapy Program for Female Overactive Bladder: A Randomized Controlled Trial
Researchers aimed to identify the effectiveness of three methods of patient education for
behavioral therapy (BT), including verbal instructions combined with a leaflet on a
structured training program of BT, only verbal instructions on a structured training and
only a leaflet on a structured BT training. Therefore, a randomized controlled trial was
designed to compare effectiveness of those methods of patient education in BT based on the
two validated patient- reported outcome measures (PROMs) for women with overactive bladder.
Idiopathic overactive bladder (iOAB) symptoms in female patients are perceived as normal,
which does not threaten life and not require to be treated immediately. It is necessary to
raise the awareness of iOAB on women. The education and consultancy role of continence
nurses is important in the treatment and care of urinary incontinence (UI) associated with
iOAB. In the study, it was seen that the training to be provided to patients is helpful
regardless of the teaching method used. Also it was found that the method of verbal
instructions in the form of a structured training plus giving a leaflet to patient is the
most effective method of BT for female iOAB.
Behavioural therapy (BT) is the first-line treatment for urinary incontinence including
idiopathic overactive bladder (iOAB) syndrome. It requires education of the actively
participated patient as well as time and effort from the clinician. However, the most
effective method for patient education in BT remains unclear. Researchers designed a
randomized controlled trial to compare effectiveness of 3 different methods of patient
education in BT for women with overactive bladder.
The sample of the study consisted of 60 iOAB female patients who applied to urogynecology
clinic between November 2012 and April 2013. These patients were equally randomized into 4
groups of teaching models for BT. Group I included the patients educated by a continence
nurse's verbal instructions in the form of a structured training including bladder training,
bladder control strategies, pelvic floor muscle training and lifestyle changes and a leaflet
containing information stated in structured training, group II included the patients taught
by a continence nurse as the only verbal structured training, group III included the
patients who were given only the leaflet and group IV was the control group consisted of
female iOAB patients who were given an unstructured training by a healthcare worker with no
specific experience in continence care.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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