TY - JOUR
T1 - Standard compared with mnemonic counseling for fecal incontinence
T2 - A randomized controlled trial
AU - Cichowski, Sara B.
AU - Dunivan, Gena C.
AU - Rogers, Rebecca G.
AU - Murrietta, Ambroshia M.
AU - Komesu, Yuko M.
N1 - Publisher Copyright:
© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/5/22
Y1 - 2015/5/22
N2 - OBJECTIVE: To estimate whether women who underwent mnemonic counseling had better recall of fecal incontinence therapies at 2 months and if mnemonic counseling resulted in greater satisfaction with physician counseling and improvement in quality of life when compared with a group who underwent standard counseling. METHODS: Counseling-naive women with fecal incontinence were recruited from an academic urogynecology clinic. Women underwent physical examinations, completed the Quality of the Physician-Patient Interaction, recorded fecal incontinence treatment options they recalled, and completed the Fecal Incontinence Severity Index and Manchester Health Questionnaire immediately after counseling and again at 2 months. RESULTS: Ninety women consented to participate, were randomized, and completed baseline questionnaires. At baseline, women did not differ in age, ethnicity, education, Fecal Incontinence Severity Index, or Manchester Health Questionnaire scores. After counseling, the mnemonic group reported higher satisfaction on Quality of the Physician-Patient Interaction (66.4±6.5 compared with 62.2±10.7, P.03). Ninety percent (81/90) of women followed up at 2 months. Our primary endpoint, 2-month recall of fecal incontinence treatments, was not different between groups (2.3±1.6 mnemonic counseling compared with 1.8±1.0 standard counseling; P.08). Secondary endpoints for the mnemonic group reported greater improvement on total Manchester Health Questionnaire (P.02), emotional (P.03), sleep (0.045), role limitations (P<.01), and physical limitations (P.04) when compared with the standard group. CONCLUSION: Fecal incontinence counseling with a mnemonic aid did not improve recall at 2 months but improved patient satisfaction and quality of life at 2 months.
AB - OBJECTIVE: To estimate whether women who underwent mnemonic counseling had better recall of fecal incontinence therapies at 2 months and if mnemonic counseling resulted in greater satisfaction with physician counseling and improvement in quality of life when compared with a group who underwent standard counseling. METHODS: Counseling-naive women with fecal incontinence were recruited from an academic urogynecology clinic. Women underwent physical examinations, completed the Quality of the Physician-Patient Interaction, recorded fecal incontinence treatment options they recalled, and completed the Fecal Incontinence Severity Index and Manchester Health Questionnaire immediately after counseling and again at 2 months. RESULTS: Ninety women consented to participate, were randomized, and completed baseline questionnaires. At baseline, women did not differ in age, ethnicity, education, Fecal Incontinence Severity Index, or Manchester Health Questionnaire scores. After counseling, the mnemonic group reported higher satisfaction on Quality of the Physician-Patient Interaction (66.4±6.5 compared with 62.2±10.7, P.03). Ninety percent (81/90) of women followed up at 2 months. Our primary endpoint, 2-month recall of fecal incontinence treatments, was not different between groups (2.3±1.6 mnemonic counseling compared with 1.8±1.0 standard counseling; P.08). Secondary endpoints for the mnemonic group reported greater improvement on total Manchester Health Questionnaire (P.02), emotional (P.03), sleep (0.045), role limitations (P<.01), and physical limitations (P.04) when compared with the standard group. CONCLUSION: Fecal incontinence counseling with a mnemonic aid did not improve recall at 2 months but improved patient satisfaction and quality of life at 2 months.
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U2 - 10.1097/AOG.0000000000000755
DO - 10.1097/AOG.0000000000000755
M3 - Article
C2 - 25932833
AN - SCOPUS:84928121494
SN - 0029-7844
VL - 125
SP - 1063
EP - 1070
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 5
ER -