Benign Prostatic Hyperplasia (BPH) Mobile Application Pilot Study
The Feasibility and Acceptability of a (Mobile) Application for Men With LUTS/BPH: a Pilot Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Rationale:
One of the next developments in healthcare is digitalization, including (mobile) applications that could support healthcare providers. A significant number of aging men suffer from lower urinary tract symptoms (LUTS), often caused by benign prostate hyperplasia (BPH). LUTS/BPH is primarily treated by physicians (GPs or Urologists). Optimal evaluation of patients with LUTS/BPH, treatment selection and follow-up by the physicians and medication adherence are essential in the management of LUTS. This pilot project represents a strong collaboration between a urological association, urologists, and physicians in supporting healthcare improvement for LUTS/BPH with the use of a (mobile) application. The hypothesis is that the (mobile) application can support the patient in medication adherence and improve the adherence by feedback and that the application can help to collect objective disease information with electronic questionnaires.
Objectives:
The primary objective is to assess the feasibility, and acceptability of a (mobile) application for men presenting at their general practitioner/or urologist with LUTS/BPH who are either: under treatment, or who may require medical therapy for the first time.
The secondary objectives are to identify potential gaps, clarify controversial points of the application, to document the communication between patients, physicians and supervising urologists in order to optimize (if necessary) the application, to assess medication adherence and to record if treatment provided by physicians is in compliance with the guidelines recommendations.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Stavros Gravas, MD
- Phone Number: +30-2413 502983
- Email: sgravas2002@yahoo.com
Study Contact Backup
- Name: Jean de la Rosette, MD, PhD
- Email: j.j.delarosette@gmail.com
Study Locations
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Larissa, Greece, 10
- University Hospital of Larissa, Institute for Monitoring of Urogenital Diseases
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Florence, Italy
- University of Florence
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Porto, Portugal
- Hospital de Santo Antonio
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Madrid, Spain, 28023
- Hospital Universitario La Zarzuela
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Istanbul, Turkey
- Istanbul Medipol University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
The population will be men, age ≥ 40, presenting at their physician's office with LUTS/BPH symptoms and are either: a) treatment naïve for LUTS/BPH or b) under medical treatment.
The study will be conducted by five centers in five countries: Institute for Monitoring of Urogenital Diseases in Larissa, Greece, the Istanbul Medipol University in Turkey, the Hospital Universitario la Zarzuela in Spain, the Hospital de San António in Portugal, and the University of Florence in Italy. The participating physicians will be from these areas and thus so will the participants.
Description
Inclusion Criteria:
- Male
- Age ≥ 40
- Bothersome LUTS
- Start of medical therapy for LUTS
Either:
- No previous LUTS/BPH treatment (medical or invasive), or
- Under medical treatment
- In possession of a smartphone, tablet or computer with internet connection
- Access to email
- Fluent speaking and reading of the national language
- Signed informed consent
Exclusion Criteria:
- Previous LUTS/BPH treatment with surgery
- Previous pelvic surgery or radiotherapy
- History of neurological disease
- History of bladder or prostate cancer
- Unable to provide informed consent
- Analphabet
- Unable to operate a smartphone/ tablet/computer
- Incapable of understanding the language in which the information for the patient is given
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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MyBPH Care
All patients enrolled in this study.
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The application that will give daily medication reminders and via which the questionnaires can be filled out.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Feasibility of a mobile application for LUTS
Time Frame: 6 months
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The feasibility is assessed by the application use for men presenting at their general practitioner/or urologist with LUTS/BPH who are either: under treatment, or who may require medical therapy for the first time.
The patient application will be judged as Definitely Feasible if the study is completed for ≥70% eligible patients, Possibly Feasible (completed for 50-69% eligible patients) or Not Feasible (completed for <50%).
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6 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Acceptability and satisfaction of a mobile application for LUTS
Time Frame: 6 months
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In order to assess the acceptance and satisfaction of the mobile application including the application subjective quality and perceived impact, a questionnaire will be used.
This questionnaire is based on a standardized application rating questionnaire, namely the user Mobile Application Rating Scale (uMARS).
Outcomes are described and compared between centers.
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6 months
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Medication adherence
Time Frame: 6 months
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Self-reported medication adherence by the patient via the application over the full period of the pilot.
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6 months
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Compliance to guidelines
Time Frame: At baseline
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Descriptive comparison between the medication prescribed by the physician and the advised medication according to the international guidelines based on the patient characteristics.
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At baseline
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Referral network
Time Frame: At the end of the 6 months period
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Evaluation of the referral communication between the physicians and the supervising urologist by questions in the final questionnaire.
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At the end of the 6 months period
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Stavros Gravas, MD, Societe Internationale d'Urologie
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- uCARE-2018-002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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