A multi-centre randomised controlled trial , with process evaluation, to test the clinical and cost-effectiveness of self-management of vaginal pessaries to treat pelvic organ prolapse, compared to standard care to improve women's quality of life
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Glasgow Caledonian University
- Enrollment
- 340
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33032651/ process evaluation protocol (added 14/10/2020) 2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33032644/ protocol (added 14/10/2020) 2022 Other publications in https://pubmed.ncbi.nlm.nih.gov/36064727/ Theoretical and practical development of the TOPSY self-management intervention for women who use a vaginal pessary for pelvic organ prolapse (added 06/09/2022) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/38078194/ (added 19/12/2023) 2024 Results article in https://pubmed.ncbi.nlm.nih.gov/38767959/ Clinical and cost-effectiveness (added 22/05/2024)
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Women with pelvic organ prolapse of any type or stage
- •2\. Aged \=18 years
- •3\. Women treated with a vaginal pessary
- •4\. Pessary retained for 2 weeks or more
Exclusion Criteria
- •1\. Women with a shelf or Gellhorn pessary as these are difficult for women to remove and replace themselves
- •2\. Women lacking in manual dexterity, e.g. those with arthritis, as women would not be able to remove and replace her own pessary
- •3\. Women judged by the treating clinician to have a cognitive deficit such that she would be unable to give informed consent or understand self\-management instruction
- •4\. Pregnant women
Outcomes
Primary Outcomes
Not specified