Consultations Reason for Genital, Urinary or Psychological Humans in General Practice

Not Applicable

Terminated

• Conditions: Premature Ejaculation
• Interventions: Other: Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool); Other: Total attention; Other: Humour; Other: Take the drama out; Other: Question about premature ejaculation; Other: Symptoms of premature ejaculation; Other: Help to verbalize

• Registration Number: NCT02378779
• Lead Sponsor: University Hospital, Brest

Brief Summary

Many male patients complain about their ejaculation: 21-30% of men aged between 18 and 59 have admitted suffering from a decrease in, or loss of control of, their ejaculation. The quality of life of patients and their partners is impaired compared to men not suffering from premature ejaculation. Economically, the impact of the disease are significant. In the year preceding the detection of premature ejaculation patients visit twice their physician. The majority of men interviewed anonymously, in their General Practitioner's ( GP's) waiting room, considered it important to talk with their GP about their sexual concerns. Almost half of them preferred that their GP initiate any discussions about sexuality. More than two thirds of the respondents would have liked their GP to signal his or her open-mindedness by directly addressing sexual topics during the consultation. In 2008 a qualitative study brought to the fore the strategies used by GPs to initiate the discussion on premature ejaculation . GPs who mentioned premature ejaculation with their patient described three attitude-related strategies and three investigative strategies.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2015-02-03
• Study First Submitted QC: 2015-03-03
• Study First Posted: 2015-03-04
• Study Start: 2016-04-22
• Primary Completion: 2018-04-22
• Study Completion: 2018-04-22
• Status Verified: 2020-10
• Last Update Submitted: 2020-10-15
• Last Update Posted: 2020-10-19

Recruitment & Eligibility

• Status: TERMINATED
• Sex: Male
• Target Recruitment: 132

Inclusion Criteria

• Male patients overbetween 18 and 80 years old and
• Patients consulting for a sexual, urogenital or psychological reason according to Interntational Classification of Primary Care (ICPC-2) will be included.

Exclusion Criteria

• Patients consulting for Aanother reason for visiting thethan urogenital pattern, sexual or psychological
• Nonunderstanding of the French language
• Patients with psychiatric disorders affecting judgement
• Patient refusal to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional GP : GP trainned in communication skills	Total attention	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Interventional GP : GP trainned in communication skills	Question about premature ejaculation	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Interventional GP : GP trainned in communication skills	Symptoms of premature ejaculation	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Usual care : GP did not trainnd in communication skills	Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool)	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. This classical GP group make a classical consultation like each day without use any strategies to speak about
Interventional GP : GP trainned in communication skills	Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool)	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Interventional GP : GP trainned in communication skills	Humour	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Interventional GP : GP trainned in communication skills	Take the drama out	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).
Interventional GP : GP trainned in communication skills	Help to verbalize	The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize).

Primary Outcome Measures

Name	Time	Method
The impact of training general practitioners in communication skills	Day 0 - 4 weeks	The impact of training general practitioners in communication skills on the rate of patients bringing up the topic of premature ejaculation with their GP. To measure the proportions of patients bringing up the topic of premature ejaculation with their GP, the GPs in the two groups were asked to fill in a questionnaire after the consultation on whether the topics tackled were genital, urinary or psychological. The aim of detailing the different topics broached was to avoid contamination bias in the control group.

Secondary Outcome Measures

Name	Time	Method
Evaluation of quality of life	Day 0 - 4 weeks	The quality of life will be evaluated with the SF-12 health assessment scale. The SF-12 was designed to measure general health status from the patient's point of view. The SF-12 includes 8 concepts commonly represented in health surveys: physical functioning, role functioning physical, bodily pain, general health, vitality, social functioning, role functioning emotional, and mental health.

Trial Locations

Locations (11)

Cabinet du 122 rue Paul Masson; 🇫🇷 Brest, France

Cabinet médical du 38 Bd 1848; 🇫🇷 Narbonne, France

Cabinet médical - Esplanade Mitterrand 5; 🇫🇷 Bellerive-sur-Allier, France

Cabinet médical - 89 Bis Rue de la Calade; 🇫🇷 Assas, France

Groupe médical Tourren; 🇫🇷 Saint Vincent de Tyrosse, France

Cabinet de médecine générale; 🇫🇷 Saubrigues, France

Cabinet médical Place J. London; 🇫🇷 Brest, France

Cabinet médical du 5 Descente des Oliviers; 🇫🇷 Restinclières, France

Pôle universitaire de Lanmeur; 🇫🇷 Lanmeur, France

Cabinet médical - 39 rue Saint Philibert; 🇫🇷 Trégunc, France

Cabinet médical; 🇫🇷 Thézan Les Béziers, France