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Randomized Controlled Trial of the Effect of a Brief Telephone Support Intervention on Initial Attendance at Physiotherapy Group Sessions for Pelvic Floor Problems

      Abstract

      Objective

      To assess the efficacy of a brief telephone call to patients on a waiting list for physiotherapy treatment of pelvic floor dysfunction on initial attendance.

      Design

      Three-armed randomized controlled trial.

      Setting

      Outpatient physiotherapy clinic at a hospital.

      Participants

      Female patients (N=130; mean age, 51.47±13.33y; range, 26–84y) with various pelvic floor dysfunction problems.

      Interventions

      Telephone support call (2–10min) 3 days before or 3 days after receiving an invitation letter to physiotherapy sessions.

      Main Outcome Measures

      Attendance at the initial physiotherapy group session.

      Results

      Groups receiving a telephone call demonstrated 80% attendance at the session, with no significant difference between these groups. The group receiving no call had significantly lower attendance rates (50%) than did the call groups. The telephone support was more effective in those people who were older, came from less economically deprived areas, and had been on the waiting list for less time.

      Conclusions

      A brief telephone support call may be an effective method to enhance patient attendance at treatment, but it may work best when targeted at certain groups of individuals.

      Keywords

      List of abbreviations:

      BMI (body mass index)
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      References

        • Irwin D.E.
        • Kopp Z.S.
        • Agatep B.
        • Milsom I.
        • Abrams P.
        Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction.
        BJU Int. 2011; 108: 1132-1138
        • Nygaard I.
        • Barber M.D.
        • Burgio K.L.
        • et al.
        Prevalence of symptomatic pelvic floor disorders in US women.
        JAMA. 2008; 300: 1311-1316
        • Lipschuetz M.
        • Cohen S.M.
        • Liebergall-Wischnitzer M.
        • et al.
        Degree of bother from pelvic floor dysfunction in women one year after first delivery.
        Eur J Obstet Gynecol Reprod Biol. 2015; 191: 90-94
        • Wu J.M.
        • Vaughan C.P.
        • Goode P.S.
        • et al.
        Prevalence and trends of symptomatic pelvic floor disorders in US women.
        Obstet Gynecol. 2014; 123: 141
        • Bols E.
        • Berghmans B.
        • de Bie R.
        • et al.
        Rectal balloon training as add-on therapy to pelvic floor muscle training in adults with fecal incontinence: a randomized controlled trial.
        Neurourol Urodyn. 2012; 31: 132-138
        • Hay-Smith J.
        • Bø K.
        • Berghmans B.
        • Hendriks E.
        • de Bie R.
        • van Waalwijk van Doorn E.
        Pelvic floor muscle training for urinary incontinence in women.
        Cochrane Database Syst Rev. 2008; : CD001407
        • National Institute for Health and Clinical Excellence
        Urinary incontinence: the management of urinary incontinence in women. NICE Clinical Guideline 40.
        NICE, London2006
        • Chartered Society of Physiotherapy
        A survey of NHS physiotherapy waiting times, workforce and caseloads in the UK 2010-2011.
        (Information Paper PD090) Chartered Society of Physiotherapy, London2011
        • Carrick H.
        • Purcell R.
        • Byrne M.
        Embracing performance measurement in mental health services.
        Ir J Psychol Med. 2013; 30: 209-219
        • Jacobs R.
        • Mannion R.
        • Davies H.T.
        • Harrison S.
        • Konteh F.
        • Walshe K.
        The relationship between organizational culture and performance in acute hospitals.
        Soc Sci Med. 2013; 76: 115-125
        • National Health Service
        The NHS constitution.
        Department of Health, London2013
        • Brookes C.
        Loss of treatment time due to non-attendance for physiotherapy out-patient appointments in a district general hospital: pilot study.
        Physiotherapy. 1992; 78: 349-352
        • Loumidis K.S.
        • Shropshire J.M.
        Effects of waiting time on appointment attendance with clinical psychologists and length of treatment.
        Ir J Psychol Med. 1997; 14: 49-54
        • Vasey L.M.
        DNAs and DNCTs—why do patients fail to begin or to complete a course of physiotherapy treatment?.
        Physiotherapy. 1990; 76: 575-578
        • Taylor N.F.
        • Bottrell J.
        • Lawler K.
        • Benjamin D.
        Mobile telephone short message service reminders can reduce nonattendance in physical therapy outpatient clinics: a randomized controlled trial.
        Arch Phys Med Rehabil. 2012; 93: 21-26
        • Khan Z.A.
        • Whittal C.
        • Mansol S.
        • Osborne L.A.
        • Reed P.
        • Emery S.
        Effect of depression and anxiety on the success of pelvic floor muscle training for pelvic floor dysfunction.
        J Obstet Gynaecol. 2013; 33: 710-714
        • Enock L.
        • Saad M.
        • McLean S.
        Is telephone triage an effective and feasible form of treatment within physiotherapy outpatient settings? A systematic review.
        Int J Ther Rehabil. 2014; 21: S2-S3
        • Gurol-Urganci I.
        • de Jongh T.
        • Vodopivec-Jamsek V.
        • Atun R.
        • Car J.
        Mobile phone messaging reminders for attendance at healthcare appointments.
        Cochrane Database Syst Rev. 2013; : CD007458
        • Spadea T.
        • Bellini S.
        • Kunst A.
        • Stirbu I.
        • Costa G.
        The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: a review.
        Prev Med. 2014; 50: 159-164
        • Osborne L.A.
        • Noble J.G.
        • Lockhart-Jones H.M.
        • et al.
        Sources of discovery, reasons for registration, and expectations of an Internet-based register for multiple sclerosis: visualisations and explorations of word uses and contexts.
        Int J Healthc Inf Syst Inform. 2012; 7: 27-43
        • Henry S.R.
        • Goetz M.B.
        • Asch S.M.
        The effect of automated telephone appointment reminders on HIV primary care no-shows by veterans.
        J Assoc Nurses AIDS Care. 2012; 23: 409-418
        • de Vries H.F.
        • Northington G.M.
        • Bogner H.R.
        Urinary incontinence (UI) and new psychological distress among community dwelling older adults.
        Arch Gerontol Geriatr. 2012; 55: 49-54
        • Pocock S.J.
        Clinical trials: a practical approach.
        Wiley, Chichester, United Kingdom1983