Personal goals and expectations of OAB patients in the UK

Neurourol Urodyn. 2017 Apr;36(4):1194-1200. doi: 10.1002/nau.23094. Epub 2016 Aug 26.

Abstract

Introduction: In clinical practice and in research patient-centred outcomes are often utilised to help improve communication between patients and clinicians and to help manage expectations from treatment. However, many of these goals are generic and do not adequately capture the details of day to day life that bother patients the most and that they hope will improve with therapy. This study aimed to understand what are the goals of patients with overactive bladder symptoms in the UK who were taking part in a clinical trial and to assess goal achievement.

Methods: This was a qualitative analysis of the patients goals recorded using the Self-Assessment Goal Achievement (SAGA) Questionnaire during the UK study assessing flexible dose fesoterodine in adults (SAFINA) trial. Free text patient goals were completed at baseline and an assessment of achievement was performed at the end of treatment. Grounded theory was used to develop themes and sub themes.

Results: Three hundred and thirty-one patients completed the trial and 1137 open ended goals were set. Six themes emerged from the data including, OAB, other LUTS and finishing the task in hand with multiple subthemes noted.

Conclusions: By assessing and understanding what is important to the patient, it may help to tailor patient care and treatment and improve patient satisfaction.

Keywords: overactive bladder; patient satisfaction; patient-centred outcomes; patients goals.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Benzhydryl Compounds / therapeutic use
  • Female
  • Goals
  • Humans
  • Male
  • Middle Aged
  • Patient Outcome Assessment
  • Patient Satisfaction
  • Quality of Life
  • Surveys and Questionnaires
  • Treatment Outcome
  • United Kingdom
  • Urinary Bladder, Overactive / drug therapy
  • Urinary Bladder, Overactive / psychology*
  • Urological Agents / therapeutic use
  • Young Adult

Substances

  • Benzhydryl Compounds
  • Urological Agents
  • fesoterodine