Baseline Knowledge of Stress Urinary Incontinence Among Urogynecology Patients

Официальное название

Knowledge, Awareness, and Understanding of Stress Urinary Incontinence in Patients Attending a Urogynecology Clinic

Обзор

The goal of this prospective study is to assess whether a standardized educational flyer (pamphlet) improves knowledge about stress urinary incontinence (SUI) in adult females attending a urogynecology clinic. It will also explore how participant characteristics relate to treatment preferences. The main questions it aims to answer are: Does reading a standardized SUI patient information flyer improve participants' knowledge of SUI? How do patient characteristics influence treatment preferences for SUI? Participants will: Complete a self-administered questionnaire assessing knowledge of SUI, including its definition, pathophysiology, risk factors, natural history, and treatment options (this questionnaire is not part of standard care). Review a standardized SUI educational flyer during their clinic visit. Complete the same questionnaire again after reading the pamphlet to assess any change in knowledge. Questionnaire scores before and after reading the flyer will be compared. Secondary outcomes include participant characteristics and reported treatment preferences.

Подробное описание

This prospective study will recruit female adult patients with a clinical diagnosis of stress urinary incontinence (SUI) presenting to a urogynecology clinic at Sunnybrook Health Centre. Consenting participants will complete a self-administered questionnaire (15-item questionnaire) assessing knowledge related to SUI definition, pathophysiology, risk factors, natural history, and available treatment options. Demographic and clinical data, including age, education level, parity, menopausal status, symptom severity, and prior exposure to SUI treatment, SUI treatment preferences and level of education, will be collected.

A standardized patient information SUI flyer by the American Urogynecology Society (AUGS) will be given to the participant to read. Right after reading the flyer, participants will be re-tested with the same self-administered questionnaire (before leaving the clinic visit).

The primary outcome will be the change in the questionnaire (SUI knowledge) total score.

Secondary outcomes include patient characteristics and their treatment preferences.

Descriptive statistics will be used.

Participants who consent to being contacted for study-related updates will be asked to provide their preferred contact information.

Participant contact information will be stored separately from study data in a secure, password-protected electronic file accessible only to authorized members of the research team. Each participant will be assigned a unique study ID, and identifying information will not be linked to questionnaire responses or study outcomes.

Вмешательства

• Другое 15 Item Questionnaire
  Participants will complete a 15-item questionnaire assessing baseline knowledge of SUI. They will then review a standardized patient education Flyer developed by the American Urogynecologic Society (AUGS) about SUI and complete the same questionnaire again right after reading the flyer.

Первичные конечные точки

• Change in the total score of the SUI knowledge questionnaire [Срок оценки: At the same clinic visit: from enrollment to completing the post-intervention SUI Knowledge questionnaire]

Критерии участия

Критерии включения

• Participants are patients referred to Sunnybrook Health Sciences Centre Urogynecology Clinics with the condition of SUI.
• ≥ 18 years old
• Female
• Able to provide informed consent and communicate in English

Критерии исключения

• Under the age of 18 years
• Urge-predominant mixed urinary incontinence or pure urinary urge incontinence
• Inability to respond to research questionnaires in English
• Unable to provide informed consent

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Канада · 1 центр

• Sunnybrook Health Sciences Centre — Toronto

Публикации

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• Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women's decisions to seek treatment for urinary incontinence. J Womens Health (Larchmt). 2003 Sep;12(7):687-98. doi: 10.1089/154099903322404339. PMID 14583109
• Shaw C, Gupta RD, Bushnell DM, Assassa RP, Abrams P, Wagg A, Mayne C, Hardwick C, Martin M. The extent and severity of urinary incontinence amongst women in UK GP waiting rooms. Fam Pract. 2006 Oct;23(5):497-506. doi: 10.1093/fampra/cml033. Epub 2006 Jul 13. PMID 16840498
• Coyne KS, Wein A, Nicholson S, Kvasz M, Chen CI, Milsom I. Comorbidities and personal burden of urgency urinary incontinence: a systematic review. Int J Clin Pract. 2013 Oct;67(10):1015-33. doi: 10.1111/ijcp.12164. PMID 24073974
• Subak LL, Brown JS, Kraus SR, Brubaker L, Lin F, Richter HE, Bradley CS, Grady D; Diagnostic Aspects of Incontinence Study Group. The "costs" of urinary incontinence for women. Obstet Gynecol. 2006 Apr;107(4):908-16. doi: 10.1097/01.AOG.0000206213.48334.09. PMID 16582131
• Hannestad YS, Rortveit G, Sandvik H, Hunskaar S; Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol. 2000 Nov;53(11):1150-7. doi: 10.1016/s0895-4356(00)00232-8. PMID 11106889
• 5. Milsom I, Altman D, Lapitan MC, Nelson R, Sillén U, Thom D. Epidemiology of urinary incontinence and other lower urinary tract symptoms. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. 4th ed. Paris: Health Publication Ltd; 2009.
• Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78. doi: 10.1002/nau.10052. No abstract a PMID 11857671

Идентификаторы

NCT: NCT07553884 · 7119

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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