Improving Women's Health by Using an Electronic Pelvic Floor Questionnaire

使用电子盆底问卷改善女性健康

• 批准号: 7587184
• 负责人: Sophia Miryam Schüssler-Fiorenza Rose
• 金额: $ 3.58万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2009-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7587184
• 关键词: Improving; Women; Health; Using; Electronic

DESCRIPTION (provided by applicant): Project Summary Incontinence is an important women's health issue that can have devastating personal, occupational, social and economic consequences. According to the published literature the prevalence of both urinary and fecal incontinence greatly outstrips detection and treatment. The reasons for this are multi-factorial and include both reluctance on the part of patients to bring up the symptoms and a lack of screening on the part of physicians. Patients often assume that incontinence is a normal part of aging or they may lack awareness that there are effective treatments. They are also sometimes too embarrassed to raise the issue. Physicians are often under time constraints and may prioritize other health problems. Sometimes they share the same misconceptions as patients. The challenge is to determine how to improve physician awareness and to facilitate patient reporting. While most authors have focused on patient or provider education, this project proposes a novel approach to the problem. The hypothesis is that the use of an electronic pelvic floor assessment questionnaire (e-PAQ) will improve communication about incontinence by facilitating patient reporting and by providing physicians with a comprehensive summary of a patient's pelvic floor symptoms. Because the e-PAQ also assesses the degree to which symptoms are problematic for patients as well as the impact on quality of life, the summary report enables physicians to efficiently focus on the symptoms that are most problematic to the patient. The overall goal of this project is to test whether an electronic pelvic floor questionnaire (e-PAQ) increases discussion rates of urinary and fecal incontinence in a primary care setting. A prospective controlled trial is being performed, in which women 40 years of age and older are randomized to receive the e-PAQ either before or after their primary care well visit. The primary outcome measure is whether urinary incontinence is discussed as determined by review of clinic note and also by patient report. Differences in assessment and treatment rates for urinary incontinence between the two arms will also be assessed. The question of whether administration of the e-PAQ prior to the visit increases the discussion rate of fecal incontinence and whether there are any differences in the assessment and treatment of fecal incontinence will also be explored. Finally, the information obtained by review of the clinic note will be compared with the information obtained from the patients and the concordance rate of the two sources will be calculated. Public Health Relevance: Project narrative Incontinence is a highly prevalent condition which can have devastating personal, social and economic consequences for the individual sufferer and also has a high societal cost. Many individuals do not receive available effective treatments because incontinence is often not discussed in the primary care setting. This study will determine whether having women fill out an electronic pelvic floor assessment questionnaire prior to their primary care clinic visit will improve the discussion rates of urinary and/or fecal incontinence during the visit

描述（由申请人提供）：项目摘要失禁是一个重要的妇女健康问题，可能会造成个人，职业，社会和经济后果。根据已发表的文献，泌尿和粪便失禁的患病率极大地超过了检测和治疗。其原因是多因素的，并且包括患者提出症状的不愿以及医生缺乏筛查。患者经常认为尿失禁是衰老的正常部分，或者他们可能缺乏意识到有有效的治疗方法。他们有时也太尴尬了，无法提出问题。医师通常受到时间限制，可能会优先考虑其他健康问题。有时，他们与患者有相同的误解。挑战是确定如何提高医师意识并促进患者报告。尽管大多数作者都专注于患者或提供者的教育，但该项目提出了一种新的问题方法。假设是，使用电子骨盆底评估问卷（E-PAQ）将通过促进患者报告，并为医生提供有关患者骨盆底症状的全面摘要，从而改善有关尿失禁的沟通。由于E-PAQ还评估了症状对患者有问题的程度以及对生活质量的影响，因此摘要报告使医生可以有效地关注对患者最有问题的症状。该项目的总体目标是测试电子骨盆底问卷（E-PAQ）是否会在初级保健环境中提高尿和粪便失禁的讨论率。正在进行一项前瞻性对照试验，其中40岁及以上的妇女被随机分配，以在初级保健前或之后接受E-PAQ。主要结果指标是是否通过审查诊所注释以及患者报告来确定尿失禁。还将评估两个臂之间尿失禁的评估和治疗率差异。访问前E-PAQ的管理是否会增加粪便失禁的讨论率，以及在粪便失禁的评估和治疗方面是否存在差异。最后，将通过审查诊所注释获得的信息与从患者那里获得的信息进行比较，并将计算两个来源的一致性率。 公共卫生相关性：项目叙事尿失禁是一种高度普遍的状况，可能会对个人患者造成毁灭性的个人，社会和经济后果，并且社会成本也很高。许多人没有获得可用的有效治疗，因为在初级保健环境中通常不会讨论尿失禁。这项研究将确定让女性在访问初级保健诊所之前是否填写电子骨盆底评估问卷，会提高访问期间的尿和/或粪便失禁的讨论率。

项目成果

Increasing Discussion Rates of Incontinence in Primary Care: A Randomized Controlled Trial.

提高初级保健中失禁的讨论率：一项随机对照试验。

• DOI: 10.1089/jwh.2015.5230
• 发表时间: 2015
• 期刊: Journal of women's health (2002)
• 作者: Schüssler-FiorenzaRose,SophiaMiryam;Gangnon,RonaldE;Chewning,Betty;Wald,Arnold
• 通讯作者: Wald,Arnold