Evidence map›Paper›PMID 36735052›Full record

ArticleInternational urogynecology journal2023

Pelvic floor disorder assessment of knowledge and symptoms: an educational intervention for Spanish-speaking women (PAKS study).

Keila S Muñiz, Lizbeth Grado, Maria Gomez, Christine Ortiz, Rosa Cerna, Xiomara Brioso, Kathryn A Carson, Chi Chiung Grace Chen

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Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Keila S MuñizSt. Joseph's Health Hospital, 104 Union Ave, Suite 804, Syracuse, NY, 13203, USA. keilamunizmd@gmail.com.ORCID 0000-0001-8508-0748
Lizbeth GradoMaimonides Medical Center, Brooklyn, NY, USA.
Maria GomezSUNY Upstate Medical University, Syracuse, NY, USA.
Christine OrtizSUNY Upstate Medical University, Syracuse, NY, USA.
Rosa CernaUniversity of Maryland, College Park, MD, USA.
Xiomara BriosoYale New Haven Hospital, Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, CT, USA.
Kathryn A CarsonJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, MD, USA.
Chi Chiung Grace ChenDepartment of Gynecology and Obstetrics, Division of Female Pelvic Medicine and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
NCATS NIH HHS UL1 TR003098
6 · The paper itself

Abstract

introduction and hypothesisEducational interventions have been effective in improving postpartum knowledge, performance of pelvic floor exercises, and bowel-specific quality-of-life. Our primary objective was to determine if a video-based educational intervention on pelvic floor disorders (PFDs) would increase Spanish-speaking women's knowledge of PFDs, and secondarily to assess if it would decrease pelvic floor symptoms. We hypothesized that Spanish-speaking women would improve their pelvic floor knowledge and symptoms post-intervention.

methodsInclusion criteria included women age 18 years and older and self-reported as a predominantly Spanish-speaker or equally bilingual English- and Spanish-speaker. Changes in knowledge were assessed with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ). Changes in symptoms were assessed with the Pelvic Floor Distress Inventory-20 (PFDI-20). Linear regression assessed for independent effects.

resultsOne hundred and fourteen women were enrolled and 112 completed the pre- and post-intervention PIKQ. Mean (standard deviation [SD]) age was 50 (14) years. Immediate post-intervention scores showed significant improvement in knowledge. Total PIKQ score improved by 5.1 (4.7) points (p < 0.001). POP subscore improved by 2.7 (2.7) points (p<0.001) and UI subscore improved by 2.3 (2.5) points (p < 0.001). Improvement in knowledge continued after four weeks (p < 0.001). PFDI-20 prolapse (p=0.02), colorectal-anal (p < 0.001) and urinary (p = 0.01) scores significantly improved only for the most symptomatic women at baseline. Using linear regression, total PIKQ (p = 0.03) and total PFDI-20 scores (p = 0.04) were associated with predominantly Spanish-speakers versus fully bilingual.

conclusionFindings support the efficacy of a video-based educational intervention to improve knowledge of PFDs in Spanish-speaking women. The most symptomatic women benefitted from this intervention.

Indexed as

Fecal IncontinencePelvic Floor DisordersPelvic Organ ProlapseUrinary IncontinenceAdolescentFemaleHumansMiddle AgedQuality of LifeSurveys and QuestionnairesPelvic floor disorderPelvic organ prolapseProlapse and Incontinence Knowledge Questionnaire (PIKQ)Urinary incontinenceVideo intervention

Identifiers

PMID36735052

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.