Pelvic Organ Prolapse, Urinary Incontinence
Conditions
Brief summary
The purpose of this study is to evaluate the impact of pre-procedure patient reminder systems on patient satisfaction, preparedness, and anxiety among patients undergoing urodynamics studies. The rate of successful procedure completion will be compared between a prospective intervention group and a historical control group to determine whether the intervention improves procedural success and healthcare delivery.
Interventions
OTHERPatient reminder system
Using patient reminder systems before scheduled urodynamics studies on patient satisfaction, preparedness, anxiety, and successful completion of the procedure to improve healthcare delivery by comparing a prospective intervention group with a historical control group.
Sponsors
Ohio State University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This study will use a prospective interventional cohort design with a historical control group. This design is appropriate because it allows evaluation of a low-risk, practical intervention within routine clinical workflows while enabling comparison to baseline outcomes. A historical cohort for the control group is used as the process of consenting patients into a control group could influence patient preparation and behavior, potentially altering the study outcomes.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age 18 years or older 2. Sex assigned at birth: Female. 3. English-speaking 4. Scheduled to undergo a urodynamics study at the OSU Upper Arlington Outpatient Clinic, OSU New Albany Outpatient Clinic, or OSU Eye and Ear Institute 5. Ability to access a telephone 6. Active MyChart account 7. Ability to provide informed consent 8. Documented post-residual volume of less than 150 mL 9. Ability to be reached by telephone after three call attempts 10. Negative point-of-care urinary tract infection on the day of the scheduled procedure (SOC)
Exclusion criteria
1. Under 18 years of age 2. Patients with structural causes of urinary retention/incomplete bladder emptying (defined as a post-void residual \>150ml) or a positive point-of-care urinary tract infection on the day of the procedure. 3. Men are excluded as the population of interest is the female urogynecology population in both urology and obstetrics and gynecology. 4. Patients without access to a telephone or an active MyChart account are excluded because the intervention relies on telephone calls and electronic messaging for delivery of pre-procedure education and reminders. 5. Individuals who cannot be reached by telephone are excluded because they cannot receive the intervention. 6. Non-English speaking individuals are excluded because they will not be able to receive the standardized phone call in English and will not be able to complete the informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent decrease in urodynamics procedure completion failure rate in patients who received the reminder system before scheduled urodynamics procedures vs. patients who did not receive the reminder | From enrollment to the end of the urodynamics study (less than 1 week) | Completion failure is defined as a uroflow less than 150 mL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate anxiety before and after a urodynamics (UDS) procedure after delivery of a patient reminder system. | From enrollment to the end of the urodynamics study (less than 1 week) | Anxiety is measured by patient completion of ST-STAI before and after the UDS study. |
| Evaluate patient satisfaction and preparedness before and after a urodynamic study after delivery of a patient reminder system. | From enrollment to the end of the urodynamics study (less than 1 week) | Patient satisfaction and preparedness for the procedure will be assessed using Likert-style items via a survey issued to patients before and after the UDS study. |
Countries
United States
Contacts
CONTACTLisa Hickman, MD
CONTACTAshka Shah
Outcome results
None listed