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The Effect of Combined Systematized Behavioural Modification Education Program (SyBeMeP) With DDAVP in Patients With Nocturia

2014年11月19日 更新者：Seung-June Oh、Seoul National University Hospital

In patients with nocturia, combinational treatment of DDAVP and SyBeMeP might show better outcomes.

Systemic video instruction might prove to be beneficial by helping patients have better understanding on treatment and replacing healthcare personnel.

研究概览

地位

完全的

条件

干预/治疗

详细说明

One of main reason of nocturia is known as nocturnal polyuria. For the treatment of nocturia caused by overactive bladder, the combined therapy of anticholinergics plus behavioural modification has been established as the first line therapy. However, nocturia mainly comes from polyuria has been treated with desmopressin pharmacotherapy and the effect of behaviour modification education has not yet evaluated. Therefore, in this study, short term synergistic effect of combinational treatment of desmopressin and SyBeMeP (Systemized Behavioral Modification education Program) comparing desmopressin monotherpy will be evaluated in patients with nocturia.

Control group: Desmopressin (Minirin Tablet 0.1-0.4mg/day) + simple instruction Study group: Desmopressin (Minirin Tablet 0.1-0.4mg/day) + SyBeMeP. Patients will be randomized and assigned to each group at the ratio of 1:1. At screening visit, flowmetry and residual urine measurement, Complete Blood Count (CBC), atypical diabetes mellitus (ADM), electrolytes, urinalysis micro, urine concentration, and demographic examination will be done. Voiding diary will be distributed. At 2nd visit, patients will be randomized and each treatment will be initiated. IPSS, ICIQ-nocturia, and PPTB will be completed. Voiding diary will be distributed. At 3rd visit (2 weeks after from 2nd visit): IPSS, ICIQ-nocturia, and PPTB will be completed. Assess the treatment outcome including voiding diary analysis.

研究类型

观察性的

注册 (实际的)

124

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 大韩民国
      • Seoul、大韩民国、110-744
        • Seoul National University Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

20年 至 80年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Korean patients with nocturia regardless of age and gender

描述

Inclusion Criteria:

  • A patient with nocturia, who visited department of urology as outpatient
  • Have not been treated with desmopressin for at least 6 months before

Exclusion Criteria:

  • Sleep disorder,
  • history of medication for voiding,
  • diabetes insipidus,
  • diabetes mellitus,
  • cardiovascular disease,
  • voiding difficulties (including residual urine of more than 100ml),
  • small bladder capacity,
  • overactive bladder,
  • illiteracy,
  • psychiatric disorder and having no intention to be enrolled by written agreement

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

队列和干预

团体/队列
干预/治疗
Desmopressin monotherapy
Control group: Desmopressin (Minirin Tablet 0.1-0.4mg/day) + simple instruction
Combination group

Study group: Desmopressin (Minirin Tablet 0.1-0.4mg/day) + SyBeMeP

* Patients will be randomized and assigned to each group at the ratio of 1:1.
行为的：SyBeMeP (Systemized Behavioural Modification education Program)
  • Standard video material will be developed to minimize variation of outcomes caused by differences in contents at each trial site.
  • Video material will be self-study program for PC with running time around 20 minutes. Contents will cover pathophysiology, diagnosis and treatment process, and be easy to understand for everyone with variety of examples. In treatment part, it will describe general principles of behavioural therapy (Adjustment of timing of fluid intake, Reducing alcohol and caffeine, Improving sleep hygiene including moderate exercise, room temperature, noise and lighting. if necessary, compressive stocking, late afternoon nap and leg elevation would be added)
  • During trial, patients will watch SYBeMeP at a specially prepared separate room with computer.
  • After watching the video, check-list on take-home message will be recorded by patients at the site to confirm patients' awareness after education.

研究衡量的是什么？

主要结果指标

结果测量
大体时间
Decrease in urinary frequency (No. of nocturia)
大体时间：baseline, 2 week, 1 month, and 3 months
baseline, 2 week, 1 month, and 3 months

次要结果测量

结果测量
大体时间
Voiding diary indices
大体时间：baseline, 2 weeks, 1 month and 3 months
baseline, 2 weeks, 1 month and 3 months
IPSS
大体时间：baseline, 2 weeks, 1 month and 3 months
baseline, 2 weeks, 1 month and 3 months
ICIQ-nocturia
大体时间：baseline, 2 weeks, 1 month and 3 months
baseline, 2 weeks, 1 month and 3 months
patient's perception of bladder condition (PPTB)
大体时间：baseline, 2 weeks, 1 month and 3 months
baseline, 2 weeks, 1 month and 3 months
patient's satisfaction on the education
大体时间：baseline, 2 weeks, 1 month and 3 months
baseline, 2 weeks, 1 month and 3 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Seoul National University Hospital

合作者

Ferring Pharmaceuticals

调查人员

  • 研究主任：Sung Yong Cho, M.D.,Ph.D.、Seoul National University Hospital

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2012年4月1日

初级完成 (实际的)

2014年10月1日

研究完成 (实际的)

2014年10月1日

研究注册日期

首次提交

2012年2月13日

首先提交符合 QC 标准的

2012年4月11日

首次发布 (估计)

2012年4月13日

研究记录更新

最后更新发布 (估计)

2014年11月20日

上次提交的符合 QC 标准的更新

2014年11月19日

最后验证

2014年11月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • Nocturia-SBMP

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