Interactive Patient and Provider Counseling on Pelvic Organ Prolapse: Do Patients Better Understand and Do Providers Better Counsel
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Change in patient reported satisfaction with understanding of bulge symptoms based on Likert scale scores.
研究概览
简要总结
The primary aim is to assess whether an interactive patient/provider counseling process using a web-based tool (iPadTM) will improve patient satisfaction regarding understanding of her bulge symptoms.
The secondary aims are to assess whether an interactive patient/provider counseling process using web-based tool (iPadTM) will:
- Decrease patient anxiety with counseling
- Improve patient satisfaction with counseling
- Improve provider knowledge, anxiety, and satisfaction with counseling
- Be easy to use in clinic
- Be actually used in clinic
详细描述
This will be a randomized controlled trial comparing conventional counseling regarding pelvic organ prolapse versus an interactive patient/provider counseling process using a pelvic organ prolapse web-based tool (iPad).
All women agreeing to enroll will:
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Complete a pre-visit questionnaire querying
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Baseline satisfaction with knowledge of their presenting bulge symptoms ("pelvic anatomy")
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Anxiety related to their presenting symptoms
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Undergo a new patient history and physical exam, including a pelvic organ prolapse quantification (POPQ) exam as per practice standard.
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Patients will then be randomized and will either receive:
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Group 1: "usual practice" counseling regarding pelvic organ prolapse
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Group 2: "usual practice" counseling in addition to interactive patient/provider counseling using the pelvic organ prolapse web-based tool (iPad)
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Complete a post-visit questionnaire before leaving the office querying:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •English speaking
- •Women over the age of 18
- •With complaints of symptomatic bulging from the vagina
- •Presenting as a new patient to University of North Carolina, Chapel Hill (UNC) Urogynecology clinic
- •All providers at UNC Urogynecology clinic will be allowed to participate in counseling sessions
排除标准
- •Patients not meeting inclusion criteria
结局指标
主要结局
Change in patient reported satisfaction with understanding of bulge symptoms based on Likert scale scores.
时间窗: Day 1
Immediately before a history, physical, and counseling session subjects will fill out a Likert scale questionnaire (1=Very Dissatisfied, 2=Dissatisfied, 3=Neutral, 4=Satisfied, 5=Extremely Satisfied) to evaluate pre-visit satisfaction with understanding of bulge symptoms. After the history and physical exam subjects are randomized to group 1 or 2 for their counseling session. After the counseling session, they will fill out a similar Likert scale questionnaire to assess their satisfaction with understanding of their bulge symptoms. We will then compare the pre-visit and post-visit satisfaction with understanding of bulge symptoms for each group.
次要结局
- Change in patient reported anxiety with understanding of bulge symptoms based on Likert scale scores.(Day 1)
- Assessment of patient satisfaction after standard counseling (group 1) vs standard counseling with a web-based tool (ipad)(group 2).(Day 1)
- Change in provider satisfaction with knowledge and anxiety regarding counseling and satisfaction with the ability to counsel women regarding pelvic organ prolapse.(Baseline and at 9 months)
- Provider assessment: was the web-based tool easy to use, would you implement this tool into your practice?(At 9 months)