The impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: A double‐blind randomized controlled trial

Abstract

Aims:To develop and validate a scale that is applicable in Belgium to investigate the aspects of female patients' satisfaction with urodynamic consultation, and to use it to measure the impact of a detailed explanatory leaflet on their satisfaction. Materials and Methods: Question items were obtained from a group consensus (Delphi process). Each item was scored on a five-point Likert scale. The satisfaction scale was administered to two groups of patients attending the clinics for urodynamics. One hundred twenty-nine patients were included in the study and randomized in two groups. One group (n = 60) received a detailed explanatory leaflet about urodynamic consultation and the other did not (n = 69). Responses were subjected to a reliability and principal component analysis (PCA) to achieve data reduction and analysis, and to assess the reliability of the new scale. Relevant items were retained to compare both interventions using regression analysis. Results: A 15-item scale was derived from the Delphi process. Exploratory factor analysis suggested a single factor solution with 11 meaningful items. No significant difference was noted in global scores of satisfaction between the two groups (P = 0.051). Conclusions: A short-form patient satisfaction scale with acceptable validity and reliability was developed and used to measure patient satisfaction with urodynamic consultation in this population of Belgian women. This study did not provide support for the effectiveness of explanatory leaflets in improving satisfaction.

International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure‐flow study

“…However, reports analysing existing information conclude that this is of poor quality. Studies to develop a detailed explanatory leaflet, which were used in a double‐blind randomized controlled trial to conclude that “leaflet” or “no leaflet” intervention had a disappointing satisfaction outcome . Poor understanding of the test has been associated with lack of satisfaction with care and with, for example, the perception that the investigation in itself is therapeutic …”

Optimizing practices to prevent urinary tract infection after cystoscopy and urodynamics in women: A quality improvement study

“…[19][20][21][22][23] Limited research exists on patient satisfaction associated with UDS and there are no reports on comparatively scored scales. 24,25 This study has several strengths. It is the first quality improvement study addressing the incidence of UTI in women undergoing outpatient cystoscopy/UDS.…”

“…Pain score, anxiety, and visual analogue scores following cystoscopy have been reported with satisfaction rates ranging between 53% and 100% 19–23 . Limited research exists on patient satisfaction associated with UDS and there are no reports on comparatively scored scales 24,25 …”