Urodynamic Testing: Can we Improve Patient Experience?
| Status: | Completed |
|---|---|
| Conditions: | Other Indications, Overactive Bladder, Urology |
| Therapuetic Areas: | Gastroenterology, Nephrology / Urology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/21/2018 |
| Start Date: | April 2016 |
| End Date: | June 2017 |
A Telephone Call to Decrease Patient Anxiety Before Urodynamic Testing: a Randomized Controlled Trial
The purpose of this study is to determine whether an intervention (pre-procedure telephone
call by the investigators) will reduce anxiety in women undergoing urodynamic testing (UDT)
compared to usual care. Our hypothesis is that women who receive the intervention will report
less anxiety immediately before UDT than women who receive usual care.
call by the investigators) will reduce anxiety in women undergoing urodynamic testing (UDT)
compared to usual care. Our hypothesis is that women who receive the intervention will report
less anxiety immediately before UDT than women who receive usual care.
This is a non-blinded, randomized controlled trial. The clinical trial will investigate
whether a telephone call by the investigator one week prior to urodynamic testing (UDT) will
decrease patient pre-procedure anxiety, improve patient-reported preparedness and increase
satisfaction compared to usual care. Patients who are scheduled for UDT will be informed
about the study. If the patient agrees to participate in the study, she will be randomized to
one of 2 groups based on the week of her scheduled UDT.
Group 1: Standard counseling. This group will receive the standard counseling that all Boston
Urogynecology Associates (BUA) patients would receive if they are scheduled to have
urodynamic testing. This counseling will include a description of the procedure and a handout
about urodynamic testing. On the day of their test the participants will be asked to complete
a brief survey about their experience before and after their testing. The investigators will
also collect some information from their medical record, such as age and prior urogynecologic
procedures.
Group 2: Standard counseling plus the intervention. The participants assigned to be in the
intervention group will receive the standard counseling that all BUA patients who are
scheduled for urodynamic testing receive (just like those who are assigned to group 1). This
counseling includes a description of the procedure and a handout about urodynamic testing. In
addition, the participants will receive a phone call from the investigators 1 week before
their testing to talk about the procedure. The investigator calling the participant will
document the duration of the phone call and any questions asked by the participant. On the
day of their test the participants will be asked to complete the same surveys as group 1.
Surveys given to the participants on the day of their UDT appointment will include:
1. A pre-UDT questionnaire that includes questions on demographics, overall anxiety,
anxiety about specific elements of procedure, self-reported preparedness and
satisfaction.
2. A brief post-UDT questionnaire addressing test experience and pain.
whether a telephone call by the investigator one week prior to urodynamic testing (UDT) will
decrease patient pre-procedure anxiety, improve patient-reported preparedness and increase
satisfaction compared to usual care. Patients who are scheduled for UDT will be informed
about the study. If the patient agrees to participate in the study, she will be randomized to
one of 2 groups based on the week of her scheduled UDT.
Group 1: Standard counseling. This group will receive the standard counseling that all Boston
Urogynecology Associates (BUA) patients would receive if they are scheduled to have
urodynamic testing. This counseling will include a description of the procedure and a handout
about urodynamic testing. On the day of their test the participants will be asked to complete
a brief survey about their experience before and after their testing. The investigators will
also collect some information from their medical record, such as age and prior urogynecologic
procedures.
Group 2: Standard counseling plus the intervention. The participants assigned to be in the
intervention group will receive the standard counseling that all BUA patients who are
scheduled for urodynamic testing receive (just like those who are assigned to group 1). This
counseling includes a description of the procedure and a handout about urodynamic testing. In
addition, the participants will receive a phone call from the investigators 1 week before
their testing to talk about the procedure. The investigator calling the participant will
document the duration of the phone call and any questions asked by the participant. On the
day of their test the participants will be asked to complete the same surveys as group 1.
Surveys given to the participants on the day of their UDT appointment will include:
1. A pre-UDT questionnaire that includes questions on demographics, overall anxiety,
anxiety about specific elements of procedure, self-reported preparedness and
satisfaction.
2. A brief post-UDT questionnaire addressing test experience and pain.
Inclusion Criteria:
1. 18 years or greater
2. Female
3. Patients who have decided to schedule Urodynamic Testing to follow-up lower urinary
tract dysfunction, pelvic organ prolapse, and/or urinary incontinence
Exclusion Criteria:
1. Pregnant
2. Presence of indwelling catheters
3. History of prior Urodynamic Testing
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