Improving Women's Health by Using an Electronic Pelvic Floor Questionnaire

Study Overview
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Brief Summary
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The overall goal of this study is to test whether an electronic pelvic floor questionnaire (e-PAQ-PF) will increase discussion rates of incontinence in a primary care setting.

Official Title
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Improving the Assessment of Women's Health Through the Use of a Computerized Pelvic Floor Questionnaire

Conditions
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Urinary Incontinence, Fecal Incontinence, Pelvic Floor Disorders

Intervention / Treatment
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* Other: e-PAQ-PF


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Woman Aged 40 and older Scheduled for a well visit at the Women's Health Internal Medicine West Clinic Exclusion Criteria: Unable to speak English Unable to fill out questionnaire Excluded by patient's clinician prior to recruitment

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: pre-visit e-PAQ-PF<br>Participants assigned to fill out the e-PAQ-PF prior to their clinic visit. Participants will arrive early to clinic appointment and fill out e-PAQ-PF. Results will be given to clinician and participant. After their visit they will complete the post visit questionnaire. | Other: e-PAQ-PF<br>* Participants will fill out the e-PAQ-PF prior to their clinic visit. The e-PAQ-PF has 4 dimensions (urinary, bowel, vaginal, sexual) and asks about symptoms severity, bother of symptoms, and impact on quality of life. A copy of the results will be given to their clinician and the participant.<br>* Other names: electronic pelvic floor questionnaire;|
| No Intervention: post-visit e-PAQ-PF<br>Participants assigned to complete the e-PAQ-PF after their clinic visit. Pre-visit participants will sign consent form - but otherwise will receive no study interventions. Post-visit they will fill out e-PAQ-PF and post visit questionnaire. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mention of urinary incontinence in the clinic visit note |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mention of fecal incontinence in the clinic visit note |  |  | 
| Participant report of urinary discussion |  | same day (within one week of appointment) | 
| Participant report of fecal incontinence discussion |  | same day (within one week of appointment) | 
| MD/NP initiated urinary incontinence discussion (per participant report) |  |  | 
| MD/NP initiate discussion of Fecal incontinence per participant report |  |  | 
| Urinary Incontinence History Score (Assessed from Clinic Note) |  |  | 
| Fecal Incontinence History Score (Assessed from Clinic Note) |  |  | 
| Urinary Incontinence Assessment and Treatment Score (from Clinic Note) |  |  | 
| Fecal Incontinence Assessment & Treatment Score (from Clinic Note) |  |  | 
| Any Urinary Incontinence Treatment or Referral (per clinic note) |  |  | 
| Any treatment or referral for fecal incontinence? (per clinic note) |  |  | 
| Diagnostic code given - Urinary incontinence |  |  | 
| Diagnostic code given - fecal incontinence |  |  | 
| Urinary incontinence detected |  | clinic visit | 
| fecal incontinence detected |  | clinic visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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urinary incontinence, fecal incontinence, communication