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

Study Overview
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Brief Summary
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The investigators intend to measure compliance with attending pelvic floor physical therapy (PFPT) in a Urogynecology population by randomizing patients to either viewing a four minute educational video or reading a handout explaining the therapy.

Detailed Description
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Patients who have been interviewed, examined, and a plan has been made by the treating physicians in the Female Pelvic Medicine & Reconstructive Surgery practice will be invited to participate at the end of the visit if the patient and physician mutually agree that PFPT is the treatment modality to pursue. If she agrees to participate, she will be consented and randomized. If she is randomized to standard counseling, she will be given the standard handout to read. If she is randomized to the intervention, she will receive the standard handout and view the 4-minute educational video on an iPad. At the conclusion of the counseling, patients will be asked if they have any additional questions, and these will be recorded and answered. The patient will also fill out a visual analog scale about how informed she feels regarding PFPT.

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

Conditions
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Patient Compliance, Pelvic Floor Disorders

Intervention / Treatment
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* Other: Educational video
* Other: Educational handout


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who have prescribed PFPT by a treating physician in the Female Pelvic Medicine & Reconstructive Surgery practice Exclusion Criteria: Patients ≤ 18 years old

Ages Eligible for Study
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Minimum Age: 18 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
Interventional Model Description: Participants are randomized to standard counseling for pelvic floor physical therapy (PFPT) or to an experimental counseling group that comprises both standard counseling and a 4-minute PFPT educational video using a 1:1 allocation
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Counseling<br>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. | Other: Educational video<br>* A 4-minute educational video describing PFPT<br>Other: Educational handout<br>* A 2-page educational handout describing PFPT<br>|
| Active Comparator: Standard Counseling<br>Patients randomized to this arm receive standard counseling on the importance of attending PFPT appointments. This includes the standard 2-page educational handout. | Other: Educational handout<br>* A 2-page educational handout describing PFPT<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Completed PT Visits | 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 | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Initiation of PFPT | The number of patients who initiated PFPT is compared between those assigned to enhanced counseling versus standard counseling | 3 months | 
| PFPT Discharge | The number of patients who discharged from PFPT is compared between those assigned to enhanced counseling versus standard counseling | 3 months | 
| Days to Initiation of 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 | 3 months | 
| Change in Urogenital Distress From Baseline to 3 Months | 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. | 3 months |