Video Decision Aid in Latina Women With Pelvic Organ Prolapse

Study Overview
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Brief Summary
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Pelvic organ prolapse (POP) is a highly prevalent condition among women that impairs quality of life, daily activities and sexual function. Latina women are disproportionally affected, with significantly higher rates of POP compared to women of other ethnicities. Decision aids have been used to increase patient knowledge prior to physician intervention and to facilitate informed patient participation on treatment selection. The investigators hypothesize that the use of a video decision aid prior to initial Urogynecology specialist evaluation of Latina women with POP in a border region university-affiliated medical clinic, will increase patient knowledge regarding the condition, decrease decisional conflict regarding selection among different treatment options and increase patient satisfaction with selected treatment.

Detailed Description
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Pelvic organ prolapse (POP) is a highly prevalent condition among women that impairs quality of life, daily activities and sexual function. Latina women are disproportionally affected, with significantly higher rates of POP compared to women of other ethnicities. Counseling Latina women suffering from POP is often complex due to a variety of factors, including language barriers, limited patient understanding of anatomy and disease etiology and confusion regarding surgical versus nonsurgical treatment options. Decision aids have been used to increase patient knowledge prior to physician intervention and to facilitate informed patient participation on treatment selection. The investigators hypothesize that the use of a video decision aid prior to initial Urogynecology specialist evaluation of Latina women with POP will increase patient knowledge regarding the condition, decrease decisional conflict regarding selection among different treatment options and increase patient satisfaction with selected treatment, empowering these women as active participants in their healthcare instead of relying on provider input alone.

Official Title
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Role of Video Decision Aid in Pelvic Organ Prolapse Treatment Selection in Latina Women

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Other: Video Decision Aid


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hispanic Women Referred for evaluation of pelvic organ prolapse for the first time Exclusion Criteria: Women previously referred or treated for pelvic organ prolapse Women who do not live in El Paso, Texas

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video Decision Aid<br>This group will be shown a video decision aid along with their standard of care. | Other: Video Decision Aid<br>* A video decision aid was developed inform patients about pelvic organ prolapse, to include female anatomy, and treatment options.<br>* Other names: VDA;|
| No Intervention: Standard Care<br>This group will not see the video decision aid and will only receive standard of care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline decisional conflict score at 6 months. | Decisional Conflict Scale will be used | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline knowledge of condition score at 6 months. | 12-item questionnaire of female pelvic anatomy and pelvic organ prolapse concepts will be used | 6 months | 
| Change from baseline satisfaction with selected treatment at 6 months. | Satisfaction with Decision Scale-(PFD) will be used | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Decision Aid, Pelvic Organ Prolapse (POP)