Does Patient Education Augment Pelvic Floor Physical Therapy Preparedness and Attendance? A Randomized Controlled Trial

Shannon, Megan; Adams, William; Fitzgerald, C M; Mueller, Elizabeth R.; Brubaker, Linda; Brincat, Cynthia

doi:10.1097/spv.0000000000000516

Cited by 23 publications

(28 citation statements)

References 13 publications

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“…The rates of PFPT attendance and completion in our series are similar to those found by Shannon et al in a 2018 retrospective review of urogynecologic patients in another Midwest academic practice setting (66 and 29%) [8] and in a subsequent 2019 randomized trial testing the impact of enhanced counseling on PFPT attendance and completion (65 and 47%) [9].…”

Section: Discussionsupporting

confidence: 87%

“…While a multidisciplinary approach appears to promote PFPT attendance, further study is required to determine how we can positively affect adherence and completion with this important treatment approach. Rates of attendance and completion of pelvic floor physical therapy (PFPT) with and without same-day PFPT appointment at initial urogynecology consultation Table 1 Sample description stratified by pelvic floor physical therapy (PFPT) outcomes 61 (18) 38 (17) 19 (14) Divorced/separated 99 (10) 36 (11) 26 (12) 13 (9) Widowed 96 (10) 29 (9) 22 (10) 17 (12) Insurance Participants were asked about race and ethnicity separately so numbers do not sum to 100% Table 2 Factors associated with pelvic floor physical therapy (PFPT) attendance and completion Factor PFPT attendance…”

Section: Discussionmentioning

confidence: 99%

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Better together: multidisciplinary approach improves adherence to pelvic floor physical therapy

et al. 2019

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Introduction and hypothesis-To determine whether consultation with pelvic floor physical therapy (PFPT) at the time of initial urogynecologic evaluation increases adherence to PFPT and to identify factors associated with PFPT attendance and completion. Methods-We performed a retrospective chart review of all patients evaluated for new urogynecology consultation at our institution in a 1-year period, abstracting data about demographics, diagnoses, and PFPT referral, attendance, and completion. Descriptive analyses compared patients who were referred to, attended, and completed PFPT, stratified by whether they saw PFPT the same day as their initial urogynecologic consultation. Logistic regression identified factors associated with PFPT attendance, completion, and referral. Results-PFPT referral was made for 35% (335/958), of whom 67% attended and 42% completed PFPT. Patients who saw PFPT the same day as their first urogynecology visit were significantly more likely to attend PFPT than those who did not (91% vs. 61%, p < 0.001), but completion rates did not differ (49% vs. 41%, p = 0.15). PFPT attendance was higher among women who saw a PFPT the same day as their initial urogynecology appointment (p <0.001) and among those aged ≥ 65 years (p = 0.015). Age ≥ 65 years and white, non-Hispanic race/ethnicity were associated with PFPT completion. Patients with a diagnosis of pelvic organ prolapse or urinary incontinence and those seen in multidisciplinary clinic were more likely to be referred to PFPT. Conclusions-PFPT consultation at the time of initial urogynecologic evaluation improves attendance of initial PFPT appointment, but does not improve completion rates.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Better together: multidisciplinary approach improves adherence to pelvic floor physical therapy

et al. 2019

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“…Since most women need approval from their spouse or mother-in-law to seek healthcare, (264), we considered the video to be important to increase knowledge and understanding about PFMT. On the other hand, a recent study from the United States showed that the addition of an informational video did not improve patient preparedness or odds of attending PFMT (265). The authors of the study concluded that adherence behaviours and PFMT attendance are multifactorial and require further qualitative research to understand this issue in more depth.…”

Section: Pelvic Floor Muscle Training In Pregnant Nepalese Women (Papmentioning

confidence: 89%

Pelvic floor muscle training programme in pregnant Nepalese women—a feasibility study

et al. 2019

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“…Adherence to PFPT is multifactorial and includes attendance at each visit, performance of home exercise program between visits and the long-term adherence to home exercise plan [24]. Despite the efficacy of physical therapy treatment for urinary incontinence, as well as the lowrisk nature of the intervention, adherence to PFPT has been reported as lower than 50% [25,26].…”

Section: Loss Of Anterior Abdominal Wall Muscular Strength With the Pmentioning

confidence: 99%

Pelvic Floor Physical Therapy and Women’s Health

Zoorob¹,

Anderson²

2020

Physical Therapy Effectiveness

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Personalized approaches for the management and maintenance of women's pelvic health are increasingly in demand. As pelvic floor dysfunction is multifactorial and origins vary, it is essential as a clinician, to be familiar with available interventions to address each of these dysfunctions and their causes. This chapter will discuss the role of physical therapy in the management of female patients presenting with pelvic floor dysfunction related to bowel, bladder and sexual health with focus on variations associated with age. Each section addresses a specific type of pelvic floor dysfunction, discusses the methodology for management, as well as the efficacy of the physical therapy intervention related to treatment of each diagnosis.

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Does Patient Education Augment Pelvic Floor Physical Therapy Preparedness and Attendance? A Randomized Controlled Trial

Abstract: The addition of enhanced patient counseling did not improve patient preparedness or odds of attending PFPT. Adherence behaviors surrounding PFPT attendance are multifactorial and require further qualitative research to elucidate barriers to PFPT attendance.

Cited by 23 publications

References 13 publications

Better together: multidisciplinary approach improves adherence to pelvic floor physical therapy

Better together: multidisciplinary approach improves adherence to pelvic floor physical therapy

Pelvic floor muscle training programme in pregnant Nepalese women—a feasibility study

Pelvic Floor Physical Therapy and Women’s Health

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