Pelvic Organ Prolapse
Conditions
Keywords
Decision Aid, Pelvic Organ Prolapse (POP)
Brief summary
Pelvic organ prolapse (POP) is a highly prevalent condition among women that impairs quality of life, daily activities and sexual function. Latina women are disproportionally affected, with significantly higher rates of POP compared to women of other ethnicities. Decision aids have been used to increase patient knowledge prior to physician intervention and to facilitate informed patient participation on treatment selection. The investigators hypothesize that the use of a video decision aid prior to initial Urogynecology specialist evaluation of Latina women with POP in a border region university-affiliated medical clinic, will increase patient knowledge regarding the condition, decrease decisional conflict regarding selection among different treatment options and increase patient satisfaction with selected treatment.
Detailed description
Pelvic organ prolapse (POP) is a highly prevalent condition among women that impairs quality of life, daily activities and sexual function. Latina women are disproportionally affected, with significantly higher rates of POP compared to women of other ethnicities. Counseling Latina women suffering from POP is often complex due to a variety of factors, including language barriers, limited patient understanding of anatomy and disease etiology and confusion regarding surgical versus nonsurgical treatment options. Decision aids have been used to increase patient knowledge prior to physician intervention and to facilitate informed patient participation on treatment selection. The investigators hypothesize that the use of a video decision aid prior to initial Urogynecology specialist evaluation of Latina women with POP will increase patient knowledge regarding the condition, decrease decisional conflict regarding selection among different treatment options and increase patient satisfaction with selected treatment, empowering these women as active participants in their healthcare instead of relying on provider input alone.
Interventions
OTHERVideo Decision Aid
A video decision aid was developed inform patients about pelvic organ prolapse, to include female anatomy, and treatment options.
Sponsors
Texas Tech University Health Sciences Center, El Paso
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hispanic Women * Referred for evaluation of pelvic organ prolapse for the first time
Exclusion criteria
* Women previously referred or treated for pelvic organ prolapse * Women who do not live in El Paso, Texas
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline decisional conflict score at 6 months. | 6 months | Decisional Conflict Scale will be used |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline knowledge of condition score at 6 months. | 6 months | 12-item questionnaire of female pelvic anatomy and pelvic organ prolapse concepts will be used |
| Change from baseline satisfaction with selected treatment at 6 months. | 6 months | Satisfaction with Decision Scale-(PFD) will be used |
Outcome results
None listed