Theoretical and practical development of the TOPSY self-management intervention for women who use a vaginal pessary for pelvic organ prolapse
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Le résumé fourni par la source
BACKGROUND: Pelvic organ prolapse (POP) is a common condition in women, where the downward descent of pelvic organs into the vagina causes symptoms which impacts quality of life. Vaginal pessaries offer an effective alternative to surgery for the management of POP. However, the need for regular follow-up can be burdensome for women and requires significant healthcare resources. The TOPSY study is a randomised controlled trial which aims to determine the clinical and cost-effectiveness of self-management of vaginal pessaries. This paper describes the theoretical and practical development of the self-management intervention. METHODS: The intervention was developed using the MRC complex intervention framework, normalisation process theory (NPT) and self-management theory. The intervention aims to boost perceived self-efficacy in accordance with Bandura's social cognitive theory and is guided by the tasks and skills Lorig and Hollman describe as necessary to self-manage a health condition. RESULTS: The TOPSY intervention was designed to support women to undertake the medical management, role management and emotional management of their pessary. The six self-management skills described by Lorig and Hollman: problem-solving, decision-making, resource utilisation, formation of a patient-provider partnership role, action planning and self-tailoring, are discussed in detail, including how women were supported to achieve each task within the context of pessary self-management. The TOPSY intervention includes a self-management support session with a pessary practitioner trained in intervention delivery, a follow-up phone call 2 weeks later and ongoing telephone or face-to-face support as required by the woman initiated by contacting a member of the research team. CONCLUSIONS: The TOPSY study intervention was developed utilising the findings from a prior service development project, intervention development and self-efficacy theory, relevant literature, clinician experience and feedback from pessary using women and members of the public. In 2022, the findings of the TOPSY study will provide further evidence to inform this important aspect of pessary management. TRIAL REGISTRATION: ISRCTN Registry ISRCTN62510577 . Registered on June 10, 2017.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Theoretical and practical development of the TOPSY self-management intervention for women who use a vaginal pessary for pelvic organ prolapse
- Date Crossref
- 05/09/2022
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
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Manchester Academic Health Science Centre pays non établi dans la noticeÉtablissement de santé
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Manchester University NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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St Mary's Hospital pays non établi dans la noticeÉtablissement de santé
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University of Stirling Health Sciences & Sport pays non établi dans la noticeUniversité ou école supérieure
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Glasgow Caledonian University Midwifery & Allied Health Professions Research Unit pays non établi dans la noticeUniversité ou école supérieure
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NHS Ayrshire and Arran pays non établi dans la noticeÉtablissement de santé
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University of Glasgow pays non établi dans la noticeUniversité ou école supérieure
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NHS Greater Glasgow and Clyde pays non établi dans la noticeÉtablissement de santé
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Aberdeen Royal Infirmary pays non établi dans la noticeÉtablissement de santé
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Aberdeen Maternity Hospital pays non établi dans la noticeÉtablissement de santé
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James Cook University Hospital South Tees Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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South Tees Hospitals NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust et St Mary's Hospital, avec 9 autres affiliations.
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