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Using a checklist to increase the effectiveness of behavioral therapy for overactive bladder: A prospective
Muhammet F Kilinc1, Omer G Doluoglu1, Yildiray Yildiz1
1Department of Urology, Medical Science University, Ankara Training and Research Hospital, Ankara, Turkey.
Neurourology and Urodynamics
|March 15, 2019
Summary
A new checklist for behavioral therapy significantly improved overactive bladder (OAB) treatment response and adherence. This checklist enhances medical treatment persistence and effectiveness for OAB patients.
Area of Science:
- Urology
- Behavioral Therapy
- Clinical Trial Design
Background:
- Overactive bladder (OAB) is a condition characterized by urinary urgency, frequency, and nocturia.
- Current treatments include behavioral therapy and pharmacotherapy, but adherence and effectiveness can be challenging.
Purpose of the Study:
- To evaluate the efficacy of a novel checklist-based behavioral therapy for overactive bladder (OAB).
- To assess the impact of this checklist on treatment adherence and persistence.
Main Methods:
- 155 patients with OAB symptoms were randomized into four groups over 6 months.
- Groups received behavioral therapy (guideline vs. checklist) with or without medical treatment (antimuscarinics).
- Outcomes measured included treatment response, adherence, and persistence rates.
Main Results:
- The group receiving antimuscarinic drugs combined with the checklist showed the highest treatment response (64.3%) and adherence (85.7%).
- Persistence rates were significantly higher for patients using antimuscarinics with the checklist (75.4%) compared to those with a written guideline (60.2%).
Conclusions:
- A newly designed checklist can enhance the effectiveness of behavioral therapy for OAB.
- The checklist may also improve adherence and persistence rates for medical treatments in OAB management.
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