None listed
Conditions
Brief summary
This study is assessing whether a cellphone text based reminder service will improve the likelihood of participants carrying out their pelvic floor muscle exercises at home to lessen the chance of leaking urine after surgery for removal of the prostate due to prostate cancer. Who is it for? You may be eligible for this study if you are a male aged 30 years or older, who has been diagnosed with prostate cancer that is eligible for surgery to remove your prostate, and you have access to a mobile phone. Study details Participants in this study will be randomly assigned to one of two groups. The first group will receive daily text message reminders to complete their prescribed pelvic floor exercises. The text messages will be sent for up to 2 weeks prior to their prostate removal surgery, and will then be sent daily starting 2 weeks after their surgery for up to 3 months after surgery. The second group will receive the same text message reminder only once 2 weeks before their surgery, then once 2 weeks after their surgery and then once every 4 weeks for up to 3 months after surgery. All participants will be asked to complete a study diary to record whether they have completed their pelvic floor exercises each day, as well as to note how many incontinence pads they used each day after their surgery. Participants will also be asked to complete a study questionnaire at set timepoints, which will ask you about any incontinence you have experienced after surgery, and for your thoughts on the text message reminder service. It is hoped this research will determine whether text message reminders about completing pelvic floor exercises regularly will lead to improved health outcomes for prostate cancer patients by helping to reduce the incidence of post-prostate removal surgery incontinence.
Interventions
A daily text will be sent to the participants mobile phone reminding them to do their pelvic floor exercises to prevent the development and persistence of stress urinary incontinence after removal of the prostate for prostate cancer. The urologist will refer the participant to a specialist pelvic floor therapist who will prescribe a pelvic floor exercise program. The exercise program is a daily regime to be performed by the participant at home at least three times a day of varying intensity as t
A daily text will be sent to the participants mobile phone reminding them to do their pelvic floor exercises to prevent the development and persistence of stress urinary incontinence after removal of the prostate for prostate cancer. The urologist will refer the participant to a specialist pelvic floor therapist who will prescribe a pelvic floor exercise program. The exercise program is a daily regime to be performed by the participant at home at least three times a day of varying intensity as tolerated. The exercises can be performed during voiding where the participant may be asked to "shorten the penis"; "interrupt their flow of urine"; "Pretend they are gently crushing a straw". They should avoid clenching their bottom and focus on keeping their tummy soft with gently breathing. The reminder text will be sent from an accredited independent provider at the University of Sydney. The text message system has been validated and used in other studies. The text messages will start being delivered 2 weeks prior to surgery and will resume 2 weeks after surgery up to 3 months. A generic message will be sent out to all participants to remind them to do their pelvic floor muscle exercises which will also include alternating but random specific exercise prompts (such as those previously mentioned). The independent provider has a monitoring facility by way of message delivery software which is able to determine whether messages are delivered or not. Adherence will be assessed by means of a participant diary and follow up questionnaire.
Sponsors
Westmead Hospital - Department of Urology
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
Male
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Men over the age of 30 with confirmed prostate cancer (any stage that’s eligible for surgery), informed consent and an active mobile telephone.
Exclusion criteria
Participants who have pre-existing incontinence or an IPSS (International prostate symptom score) above 19 will be excluded. Participants without an active mobile phone,
Outcome results
None listed