The Effectiveness of a Bladder Training Video for Management of Lower Urinary Tract Symptoms.

McMaster University

Status: Completed

Conditions: Nonneurogenic Lower Urinary Tract Dysfunction; Dysfunctional Elimination Syndrome

Treatments: Other: Educational Intervention

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT01915004

Bladder Training Video

Details and patient eligibility

About

Children with non-neurogenic lower urinary tract dysfunction (NLUTD) represent a significant subgroup of pediatric urology patients, comprising up to 30 percent of some out-patient clinics. These children present with urinary tract infections (UTIs), abnormal voiding habits and various other lower urinary tract symptoms (LUTs) such as incontinence, urinary urgency and urinary frequency. Furthermore, the effects of NLUTD on a child's physical health, mental health and its potential negative clinical sequelae, which includes upper or lower urinary tract damage, must be taken into account when treating these children. These patients have complex needs requiring a significant amount of health teaching and it is imperative to determine the effectiveness of the various modes of delivering urotherapy. To determine the best modality to deliver urotherapy, this trial will compare the effectiveness of a 7 minute bladder training video to the effectiveness of standard urotherapy provided at a pediatric urology clinic at improving NLUTD/DES symptoms and quality of life in children between 5-10 years of age.

Enrollment: 150 patients

Sex: All

Ages: 5 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 6-10 years old
• Bladder Dysfunction (Diagnosis of NLUTD or DES)

Exclusion criteria

• Grade 3 or 4 hydronephrosis
• Grade 3, 4 or 5 vesicoureteral reflux
• Other diagnoses which affect bladder bowel function (i.e. Spina Bifida)
• English as a second language
• Diagnosed learning disability (i.e. ADD or ADHD)
• Mental health condition (i.e. anxiety or depression)
• Received intensive urotherapy and biofeedback in past 12 months
• Child is diagnosed with primary nocturnal enuresis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

Standard Invididual Urotherapy

Other group

Description:

Educational Intervention. Standard individual urotherapy (bladder re-training) occurs in the pediatric urology clinic.

Treatment:

Other: Educational Intervention

Bladder Training Video

Experimental group

Description:

Experimental Educational Intervention. Participants will watch a 7 minute animated bladder training video.

Treatment:

Other: Educational Intervention