Motivational Interviewing in Women's Pelvic Wellness Education

Ottawa Hospital Research Institute

Status: Completed

Conditions: Pelvic Floor Disorders; Pelvic Prolapse Conditions; Urinary Incontinence (UI)

Treatments: Behavioral: Workshop

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT02758561

20150564-01H

Details and patient eligibility

About

This pilot study will assess the feasibility and acceptability of an educational workshop on pelvic floor disorders and its potential impact on decisional conflict.

Full description

Pelvic floor disorders can significantly affect a woman's quality of life, yet many feel uncomfortable openly discussing these topics. Treatments include lifestyle modification, medications, and/or surgery. "Decisional conflict" arises when patients have difficulty choosing between several viable treatment options. Factors contributing to decisional conflict include biased information, poor peer support, and unaddressed fears. Effective counselling may help address these factors.

There are few studies on how decision coaching can help women with prolapse and incontinence reach a satisfactory decision about treatment. This study aims to use the principals of shared decision making to address decisional conflict surrounding treatment for pelvic floor disorders. Specifically, the investigators will evaluate the feasibility and acceptability of small group workshops on pelvic organ prolapse and urinary incontinence led by a nurse continence advisor and a psychologist (decision coach).

Results of this study will inform future development of interdisciplinary, patient-centered approaches to enhanced decision making in women's health.

Enrollment: 80 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women ages >18 years old
• Urinary incontinence and/or pelvic organ prolapse
• First visit with urogynecologist

Exclusion criteria

• Anal incontinence
• Previous pelvic radiation therapy
• Requirement for a Substitute Decision Maker
• Inability to attend the workshop
• Unwilling to attend an English-language workshop
• Unwilling to complete English-language surveys

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

80 participants in 2 patient groups

Standard of care

No Intervention group

Description:

Standard of care

Workshop

Experimental group

Description:

90 minute workshop on either Urinary Incontinence (UI) or Pelvic Organ Prolapse (POP)

Treatment:

Behavioral: Workshop