Understanding and Improving Treatment Decision-Making for Older Males with Stress Urinary Incontinence

了解并改善患有压力性尿失禁的老年男性的治疗决策

基本信息

批准号：
9811955
负责人：
Lindsay Ann Hampson
金额：
$ 12.05万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2021-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9811955
关键词：
Address Adult Aftercare Age Age-Years Aging Attitude Automobile Driving Belief Benefits and Risks Body Weight decreased California Caring Clinical Research Comorbidity Computerized Medical Record Consultations Counseling Data Decision Aid Decision Making Devices Disease Dryness Elderly Ensure Ethics Etiology Extravasation Foundations Frequencies Goals Gold Health Impaired cognition Incontinence Individual Infection Institution Intervention Interview Kegel exercise Knowledge Life Expectancy Liquid substance Manuals Measures Medical center Mental Depression Methods Mission Motivation Operative Surgical Procedures Outcome Patient-Focused Outcomes Patients Personal Satisfaction Population Postoperative Period Public Health Pump Quality of life Recommendation Regrets Repeat Surgery Research Research Personnel Research Proposals Risk San Francisco Scrotum Social isolation Sphincter Stress Urinary Incontinence Structure Surgeon Surveys Telephone Testing Time Training Treatment Factor United States National Institutes of Health Universities Urethra Urinary Incontinence Urination Urologist Urology Veterans age related base chronic pain cognitive function cohort cost demographics functional status health related quality of life improved innovation male men men&apos s group multiple chronic conditions novel older men operation patient oriented patient population personalized decision prostate surgery reconstruction surgery outcome treatment choice urinary urologic

Address Adult Aftercare Age Age-Years Aging Attitude Automobile Driving Belief Benefits and Risks Body Weight decreased California Caring Clinical Research Comorbidity Computerized Medical Record Consultations Counseling Data Decision Aid Decision Making Devices Disease Dryness Elderly Ensure Ethics Etiology Extravasation Foundations Frequencies Goals Gold Health Impaired cognition Incontinence Individual Infection Institution Intervention Interview Kegel exercise Knowledge Life Expectancy Liquid substance Manuals Measures Medical center Mental Depression Methods Mission Motivation Operative Surgical Procedures Outcome Patient-Focused Outcomes Patients Personal Satisfaction Population Postoperative Period Public Health Pump Quality of life Recommendation Regrets Repeat Surgery Research Research Personnel Research Proposals Risk San Francisco Scrotum Social isolation Sphincter Stress Urinary Incontinence Structure Surgeon Surveys Telephone Testing Time Training Treatment Factor United States National Institutes of Health Universities Urethra Urinary Incontinence Urination Urologist Urology Veterans age related base chronic pain cognitive function cohort cost demographics functional status health related quality of life improved innovation male men men&apos s group multiple chronic conditions novel older men operation patient oriented patient population personalized decision prostate surgery reconstruction surgery outcome treatment choice urinary urologic

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项目摘要

PROJECT SUMMARY/ABSTRACT: Male stress urinary incontinence (SUI) is common, costly, and significantly impacts health-related quality of life among older men, yet little is known about patient-centered outcomes in this population. Moreover, current patient counseling for male SUI treatment is based upon surgical outcomes, lacking guidance from patient- centered factors and patients’ underlying attitudes and beliefs about the importance of these various factors on treatment decisions and outcomes. Data are needed to understand how multi-morbidity, cognitive function, functional limitations, and life expectancy impact quality of life and decisional regret among older men who have made SUI treatment decisions. The long-term goal is to broaden our understanding of patient-centered outcomes in this population and to ensure treatments are aligned with patients’ overall goals. The objective of this application is to gain an understanding of quality of life and decisional regret among older men who have made SUI treatment decisions, and to understand the beliefs and motivations that drive these decisions. The central hypothesis is that there are geriatric-specific factors that impact quality of life and decisional regret among older men who have made SUI treatment decisions which go beyond those that are usually considered by surgeons counseling patients about these decisions. This hypothesis will be tested by utilizing a cohort of men ≥ 65 who have made SUI treatment decisions at the University of California, San Francisco and the San Francisco Veterans Affairs Medical Center to pursue two specific aims: 1) To identify patient-, disease- and treatment-related factors associated with decisional regret and quality of life among older men who have made SUI treatment decisions; and 2) To understand the underlying beliefs and motivations driving treatment decisions among older men with SUI. This project is innovative because it is the first to focus on patient- centered outcomes in this patient population, goes beyond commonly measured surgical outcomes to bring geriatric principles to treatment decisions, and importantly, will be the first to identify what patient-identified treatment factors are important to older men considering SUI treatment. The proposed research is significant because it will improve patient counseling and informed decision-making among older adults facing treatment decisions for SUI, which is critical to patient-centered surgical care.

项目摘要/摘要：男性压力尿失禁（SUI）是常见的，昂贵的，并且会对健康相关的生活质量产生重大影响在老年男性中，对于该人群中以患者为中心的结果知之甚少。而且，当前男性SUI治疗的患者咨询是基于手术结果，缺乏患者的指导。集中的因素和患者的基本与会者，并相信这些各种因素的重要性治疗决策和结果。需要数据来了解多物种，认知功能，功能局限性以及预期寿命会影响年龄较大的男人的生活质量和决定性的遗憾已经做出了SUI治疗决定。长期目标是扩大我们以患者为中心的理解该人群的结果并确保治疗与患者的总体目标保持一致。目的该应用是为了了解拥有的年长男人做出SUI治疗决定，并了解推动这些决定的信念和动机。这中心假设是，有一些影响生活质量和决策遗憾的老年特异性因素在做出SUI治疗决策的老年人中，这些决定超出了通常被认为由外科医生咨询患者这些决定。该假设将通过使用一组在加利福尼亚大学，旧金山和SAN做出SUI治疗决定的男性≥65 弗朗西斯科退伍军人事务医疗中心购买两个具体目标：1）确定患者，疾病和与治疗相关的因素，与决定的遗憾和生活质量有关的因素 SUI治疗决定； 2）了解驱动治疗的潜在信念和动机 SUI老年人的决定。该项目具有创新性，因为它是第一个专注于患者 - 该患者人群中的集中结果超出了常见的手术结果治疗决定的老年原则，重要的是，将是第一个确定被患者识别的治疗因素对考虑SUI治疗的老年男性很重要。拟议的研究很重要因为它将改善患者咨询和面临治疗的老年人的明智决策 SUI的决定，这对于以患者为中心的手术护理至关重要。