Trial Outcomes & Findings for Does a Patient Education Video Augment Pelvic Floor Physical Therapy Compliance? (NCT NCT02875977)

NCT ID: NCT02875977

Last Updated: 2019-05-24

Results Overview

The number of patients who completed at least half of their recommended PFPT visits is compared between those assigned to enhanced counseling versus standard counseling

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

200 participants

Primary outcome timeframe

3 months

Results posted on

2019-05-24

Participant Flow

Patients were recruited from August 2016 through March 2017 (7 months) from a tertiary care female pelvic medicine and reconstructive surgery practice.

Participant milestones

Participant milestones
Measure
Experimental Counseling
Patients randomized to this arm receive experimental counseling on the importance of attending pelvic floor physical therapy (PFPT) appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Overall Study
STARTED
100
100
Overall Study
COMPLETED
58
71
Overall Study
NOT COMPLETED
42
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Counseling
Patients randomized to this arm receive experimental counseling on the importance of attending pelvic floor physical therapy (PFPT) appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Overall Study
Lost to Follow-up
42
29

Baseline Characteristics

Does a Patient Education Video Augment Pelvic Floor Physical Therapy Compliance?

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Counseling
n=100 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=100 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Total
n=200 Participants
Total of all reporting groups
Age, Continuous
57.32 years
STANDARD_DEVIATION 16.12 • n=93 Participants
56.77 years
STANDARD_DEVIATION 17.00 • n=4 Participants
57.05 years
STANDARD_DEVIATION 16.52 • n=27 Participants
Sex: Female, Male
Female
100 Participants
n=93 Participants
100 Participants
n=4 Participants
200 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
n=93 Participants
24 Participants
n=4 Participants
48 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
76 Participants
n=93 Participants
75 Participants
n=4 Participants
151 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=93 Participants
13 Participants
n=4 Participants
28 Participants
n=27 Participants
Race (NIH/OMB)
White
81 Participants
n=93 Participants
78 Participants
n=4 Participants
159 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
6 Participants
n=4 Participants
8 Participants
n=27 Participants
Region of Enrollment
United States
100 participants
n=93 Participants
100 participants
n=4 Participants
200 participants
n=27 Participants
Body Mass Index
32.48 kg/m^2
STANDARD_DEVIATION 8.24 • n=93 Participants
29.94 kg/m^2
STANDARD_DEVIATION 6.74 • n=4 Participants
31.21 kg/m^2
STANDARD_DEVIATION 7.62 • n=27 Participants
Primary Language
English
95 Participants
n=93 Participants
94 Participants
n=4 Participants
189 Participants
n=27 Participants
Primary Language
Spanish
5 Participants
n=93 Participants
6 Participants
n=4 Participants
11 Participants
n=27 Participants
Vaginal Parity
2 Pregnancies to a viable gestational age
n=93 Participants
2 Pregnancies to a viable gestational age
n=4 Participants
2 Pregnancies to a viable gestational age
n=27 Participants
Urogynecologic diagnosis
Stress Urinary Incontinence (SUI)
9 Participants
n=93 Participants
25 Participants
n=4 Participants
34 Participants
n=27 Participants
Urogynecologic diagnosis
Urgency Urinary Incontinence (UUI)
25 Participants
n=93 Participants
24 Participants
n=4 Participants
49 Participants
n=27 Participants
Urogynecologic diagnosis
Mixed Urinary Incontinence (MUI)
34 Participants
n=93 Participants
21 Participants
n=4 Participants
55 Participants
n=27 Participants
Urogynecologic diagnosis
Urgency-frequency syndrome
27 Participants
n=93 Participants
20 Participants
n=4 Participants
47 Participants
n=27 Participants
Urogynecologic diagnosis
Weak Pelvic Floor
8 Participants
n=93 Participants
14 Participants
n=4 Participants
22 Participants
n=27 Participants
Urogynecologic diagnosis
Defecatory dysfunction
6 Participants
n=93 Participants
6 Participants
n=4 Participants
12 Participants
n=27 Participants
Urogynecologic diagnosis
Pelvic Organ Prolapse (POP)
10 Participants
n=93 Participants
12 Participants
n=4 Participants
22 Participants
n=27 Participants
Urogynecologic diagnosis
Myofascial Pain
40 Participants
n=93 Participants
36 Participants
n=4 Participants
76 Participants
n=27 Participants
Urogynecologic diagnosis
Other Urogynecologic Diagnosis
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 3 months

Population: This analysis comprises only the participants who were randomized and had follow-up PFPT completion information available

The number of patients who completed at least half of their recommended PFPT visits is compared between those assigned to enhanced counseling versus standard counseling

Outcome measures

Outcome measures
Measure
Experimental Counseling
n=58 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=71 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Number of Participants With Completed PT Visits
Completed half of the recommended visits
47 Participants
50 Participants
Number of Participants With Completed PT Visits
Did not complete half of the recommended visits
11 Participants
21 Participants

SECONDARY outcome

Timeframe: 3 months

Population: This analysis comprises all participants who were randomized

The number of patients who initiated PFPT is compared between those assigned to enhanced counseling versus standard counseling

Outcome measures

Outcome measures
Measure
Experimental Counseling
n=100 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=100 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Initiation of PFPT
Initiated PFPT
58 Participants
71 Participants
Initiation of PFPT
Did not initiate PFPT
42 Participants
29 Participants

SECONDARY outcome

Timeframe: 3 months

Population: This analysis comprises only the participants who were randomized and had follow-up PFPT completion information available

The number of patients who discharged from PFPT is compared between those assigned to enhanced counseling versus standard counseling

Outcome measures

Outcome measures
Measure
Experimental Counseling
n=58 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=71 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
PFPT Discharge
PFPT discharge status unknown
2 Participants
1 Participants
PFPT Discharge
Discharged from PFPT
27 Participants
33 Participants
PFPT Discharge
Not discharged from PFPT
29 Participants
37 Participants

SECONDARY outcome

Timeframe: 3 months

Population: This analysis comprises only the participants who were randomized and initiated PFPT

The number of days from referral to PFPT to the first PFPT visit is compared between those assigned to enhanced counseling versus standard counseling

Outcome measures

Outcome measures
Measure
Experimental Counseling
n=58 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=71 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Days to Initiation of PFPT
15 Days
Interval 7.0 to 23.0
19 Days
Interval 11.0 to 31.0

SECONDARY outcome

Timeframe: 3 months

Population: This analysis comprises only the participants who were randomized and had pre-PFPT and post-PFPT UDI-6 scores available

Patients complete the Urinary Distress Inventory 6 (UDI-6) prior to beginning PFPT therapy and following PFPT therapy. The change in UDI-6 from baseline to 3 months following therapy is compared between those assigned to enhanced counseling versus standard counseling. The UDI-6 is an assessment of urogenital distress with a score range from 0 to 100, where higher scores indicate greater disability.

Outcome measures

Outcome measures
Measure
Experimental Counseling
n=27 Participants
Patients randomized to this arm receive experimental counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout and a 4-minute educational video.
Standard Counseling
n=24 Participants
Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout.
Change in Urogenital Distress From Baseline to 3 Months
-12.04 units on a scale
Standard Deviation 21.29
-16.49 units on a scale
Standard Deviation 25.46

Adverse Events

Experimental Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Cynthia Brincat, M.D., Ph.D.

Loyola University Medical Center

Phone: 708-216-2180

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place