Improving Uroflowmetry Interpretability: Evaluating the Impact of Patient Reminder Systems
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Ohio State University
- Enrollment
- 162
- Locations
- 1
- Primary Endpoint
- Percent decrease in urodynamics procedure completion failure rate in patients who received the reminder system before scheduled urodynamics procedures vs. patients who did not receive the reminder
Study Overview
Brief Summary
The purpose of this study is to evaluate the impact of pre-procedure patient reminder systems on patient satisfaction, preparedness, and anxiety among patients undergoing urodynamics studies. The rate of successful procedure completion will be compared between a prospective intervention group and a historical control group to determine whether the intervention improves procedural success and healthcare delivery.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 18 years or older
- •Sex assigned at birth: Female.
- •English-speaking
- •Scheduled to undergo a urodynamics study at the OSU Upper Arlington Outpatient Clinic, OSU New Albany Outpatient Clinic, or OSU Eye and Ear Institute
- •Ability to access a telephone
- •Active MyChart account
- •Ability to provide informed consent
- •Documented post-residual volume of less than 150 mL
- •Ability to be reached by telephone after three call attempts
- •Negative point-of-care urinary tract infection on the day of the scheduled procedure (SOC)
Exclusion Criteria
- •Under 18 years of age
- •Patients with structural causes of urinary retention/incomplete bladder emptying (defined as a post-void residual >150ml) or a positive point-of-care urinary tract infection on the day of the procedure.
- •Men are excluded as the population of interest is the female urogynecology population in both urology and obstetrics and gynecology.
- •Patients without access to a telephone or an active MyChart account are excluded because the intervention relies on telephone calls and electronic messaging for delivery of pre-procedure education and reminders.
- •Individuals who cannot be reached by telephone are excluded because they cannot receive the intervention.
- •Non-English speaking individuals are excluded because they will not be able to receive the standardized phone call in English and will not be able to complete the informed consent.
Arms & Interventions
using patient reminder systems before scheduled urodynamics studies
The study intervention will include all participating patients receiving a phone call from a study team member reading from a script before their scheduled appointment. The phone call will involve consenting the patient for the study and a reminder to come in for the study with a comfortably full bladder, avoiding utilizing the lobby restroom before the appointment.
Intervention: Patient reminder system (Other)
not using patient reminder systems before scheduled urodynamics studies
Participants for the historical control group will be identified through retrospective review of electronic medical records of patients who previously underwent scheduled urodynamics studies.
Outcomes
Primary Outcomes
Percent decrease in urodynamics procedure completion failure rate in patients who received the reminder system before scheduled urodynamics procedures vs. patients who did not receive the reminder
Time Frame: From enrollment to the end of the urodynamics study (less than 1 week)
Completion failure is defined as a uroflow less than 150 mL
Secondary Outcomes
- Evaluate anxiety before and after a urodynamics (UDS) procedure after delivery of a patient reminder system.(From enrollment to the end of the urodynamics study (less than 1 week))
- Evaluate patient satisfaction and preparedness before and after a urodynamic study after delivery of a patient reminder system.(From enrollment to the end of the urodynamics study (less than 1 week))
Investigators
Lisa Hickman
Associate Professor
Ohio State University