Evidence map›Paper›PMID 38454065›Full record

ArticleSpinal cord2024

Knowledge, perceptions, and beliefs about urinary tract infections in persons with neurogenic bladder and impacts on interventions to promote person-centered care.

Margaret A Fitzpatrick, Pooja Solanki, Marissa Wirth, Frances M Weaver, Katie J Suda, Stephen P Burns, Nasia Safdar, Eileen Collins, Charlesnika T Evans

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Spinal cord, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07084376 (A Multicenter, Parallel-group, Randomized Controlled Trial to Assess the Efficacy of Two Different Educational Approaches on Intermittent Catheter-related Acceptance and Patient-Reported Outcome Measures), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07084376 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Multicenter, Parallel-group, Randomized Controlled Trial to Assess the Efficacy of Two Different Educational Approaches on Intermittent Catheter-related Acceptance and Patient-Reported Outcome Measures (PROMs): RElax & feeL at EASE (RELEASE)

TypeinterventionalSponsorStefania MuscoRan2025 to 2026Enrolled64ConditionsIncontinence, Neurogenic Bladder Dysfunction, Urinary RetentionArmsEnhanced Educational Program for Intermittent Catheterization, Standard Education Group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Margaret A FitzpatrickCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA. margaret.fitzpatrick@va.gov.ORCID 0000-0002-1919-9238
Pooja SolankiCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA.
Marissa WirthCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA.
Frances M WeaverCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA.ORCID 0000-0002-5495-4649
Katie J SudaCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Stephen P BurnsSpinal Cord Injury/Disorders Service, VA Puget Sound Healthcare System, Seattle, WA, USA.ORCID 0000-0003-4714-5111
Nasia SafdarDepartment of Medicine, Division of Infectious Diseases, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
Eileen CollinsCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Charlesnika T EvansCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA.ORCID 0000-0002-0696-8288
Edward Hines, Jr. VA Hospital · USLoyola University Chicago · USNorthwestern University · USUniversity of Illinois Chicago · USUniversity of Pittsburgh · USUniversity of Washington · USUniversity of Wisconsin–Madison · US

Funding

Optimizing Management of Urinary Tract Infections in Patients with Neurogenic Bladder through Improved Knowledge of Provider Practice and Patient-reported OutcomesIK2RX002826 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI FITZPATRICK, MARGARET A · 2020 to 2024
–
HSR&D Research Career Scientist AwardIK6HX003156 · VA · EDWARD HINES JR VA HOSPITAL · PI EVANS, CHARLESNIKA T · 2020 to 2025
–
HSRD VA IK6 HX003156RRD VA IK2 RX002826U.S. Department of Veterans Affairs (VA) B2826-WU.S. Department of Veterans Affairs (VA) RCS 20-192U.S. Department of Veterans Affairs (VA) RCS 98-35
6 · The paper itself

Abstract

STUDY

designQualitative study.

objectivesTo explore how knowledge, perceptions, and beliefs about urinary tract infections (UTIs) among persons with neurogenic bladder (NB) may impact health behaviors and provider management and enhance person-centeredness of interventions to improve UTI management.

settingThree Veterans Affairs (VA) medical centers.

methodsAdults with NB due to spinal cord injury/disorder (SCI/D) or multiple sclerosis (MS) with UTI diagnoses in the prior year participated in focus groups. Transcripts were coded using deductive codes linked to the Health Belief Model and inductive codes informed by grounded theory.

resultsTwenty-three Veterans (SCI/D, 78%; MS: 18.5%) participated in discussions. Three themes emerged: (1) UTI knowledge; (2) factors affecting the intervention environment; and (3) factors affecting modes of delivery. Knowledge gaps included UTI prevention, specific symptoms most indicative of UTI, and antibiotic side effects. Poor perceptions of providers lacking knowledge about NB and ineffective patient-provider communication were common in the Emergency Department and non-VA facilities, whereas participants had positive perceptions of home-based care. Participants perceived lower severity and frequency of antibiotic risks compared to UTI risks. Participant preferences for education included caregiver involvement, verbal and written materials, and diverse settings like peer groups.

conclusionsIdentifying patient perspectives enhances person-centeredness and allows for novel interventions improving patient knowledge and behaviors about UTIs. Partnering with trusted providers and home-based caregivers and improving NB knowledge and communication in certain care settings were important. Patient education should address mental risk representations and incorporate preferences for content delivery to optimize self-efficacy and strengthen cues to action.

Indexed as

Health Knowledge, Attitudes, PracticePatient-Centered CareSpinal Cord InjuriesUrinary Bladder, NeurogenicUrinary Tract InfectionsAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedMultiple SclerosisQualitative ResearchUnited States Department of Veterans AffairsVeterans

Identifiers

PMID38454065
PMCPMC11175994
OpenAlexW4392557675

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.