Checklist to Increase Effectiveness of Behavioural Therapy for Overactive Bladder
Overview
- Phase
- Not Applicable
- Intervention
- behavioural therapy with written guideline
- Conditions
- Overactive Bladder
- Sponsor
- Ankara Training and Research Hospital
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Urinary frequency
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The aim of this study is to investigate the efficiency of this newly-established checklist for overactive bladder (OAB) and whether determinate to adherence and persistence rate of combination of behavioural therapy and anticholinergic medications in patients with OAB.
Detailed Description
Overactive bladder (OAB) can worsen quality of life but it is not life-threatening condition. Although OAB medications effectively decrease disturbing symptoms of OAB, there are a lot of adverse side effects such as dry mouth, cognitive changes, constipation, urinary retention, blurred vision and dyspepsia. Therefore, guidelines have firstly recommended behavioural therapy which are noninvasive and not linked with adverse side effects. These behavioural recommendations include an advice on fluid balance, bladder retraining, urgency suppression or normal voiding techniques, pelvic floor muscle training, caffeine reduction, dietary changes, weight loss and other life style changes to improve lower urinary tract symptoms of OAB. Educational leaflets, verbal or audio-visual instructions and trainings for behavioural therapy have been recommended for patients with OAB, however, to date these beneficial instructions have not been documented as a written checklist. Therefore, they were collected and developed as a written checklist to instruct the patients. The aim of this study was to investigate the efficiency of this newly-established checklist for OAB and whether determinate to adherence and persistence rate of combination of behavioural therapy and anticholinergic medications in patients with OAB.
Investigators
Muhammet Fatih Kilinc
Principal Investigator
Ankara Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients with
- •\>8 micturitions,
- •\>1 nocturia,
- •\>6 urgency or
- •\>3 urgency urinary incontinence episodes per 24 h according to 3-day bladder diary.
Exclusion Criteria
- •active urinary tract infection,
- •a maximum flow rate of 15 ml. per second or less at least 2 uroflow studies,
- •residual volume of 100 cc or more,
- •any medications for OAB, benign prostatic obstruction,
- •polyuria (\>3 l per 24 hour),
- •endocrinological disease such as diabetes mellitus or diabetes insipidus which can cause polyuria,
- •neurological or psychological disease disease,
- •prostate or bladder cancer, renal disease, hypertension, genitourinary or congenital abnormality,
- •history of transobturator or transvaginal tape or pelvic organ prolapse surgery
- •pelvic radiation or surgery
Arms & Interventions
Behavioural therapy with written guideline
Patients were instructed to apply only written guideline forms of behavioural therapy which were the same as those in the checklist over six-month period.
Intervention: behavioural therapy with written guideline
Behavioural therapy with checklist
Patients were instructed to apply behavioural therapy with a written checklist for patients to fully complete over six-month period.
Intervention: behavioural therapy with written checklist form to complete
antimuscarinic drug plus verbal behavioural therapy
Patients received medical treatment (once or twice per day) plus behavioural therapy without checklist over six-month period.
Intervention: Antimuscarinic drugs used in overactive bladder
antimuscarinic drug plus verbal behavioural therapy
Patients received medical treatment (once or twice per day) plus behavioural therapy without checklist over six-month period.
Intervention: behavioural therapy with written guideline
antimuscarinics plus checklist
Patients received medical treatment (once or twice per day) with a written checklist to fully complete over six-month period.
Intervention: behavioural therapy with written checklist form to complete
antimuscarinics plus checklist
Patients received medical treatment (once or twice per day) with a written checklist to fully complete over six-month period.
Intervention: Antimuscarinic drugs used in overactive bladder
Outcomes
Primary Outcomes
Urinary frequency
Time Frame: 6 months
\>8 micturitions per day
Urgency
Time Frame: 6 months
\>6 urgency episodes per day
Secondary Outcomes
- Treatment Benefit Scale(6 months)
- Urgency urinary incontinence(6 months)
- Nocturia(6 months)