Patient-Oriented Outcome Tool (POOT): providing guidance for the management of incontinence – a pilot study
Angela Khera, David Fonda, Alison Brooks, Colin Torrance, Greg Powell, Rachel Barton
The aim of the study was to develop a simple, open-ended, goal-oriented clinical tool which was able to record patient and carer priorities for conservative continence care and treatment. This patient-oriented outcome tool (POOT) was developed from both clinician and patient/carer focus groups. The final format was piloted over 15 weeks in a multidisciplinary continence service. Clients listed bladder or bowel continence management problems; these were self-rated for severity and frequency of bother on a 0-4 rating scale, prior to treatment (n=50) and again at interim stage of treatment (n=29) or at completion of treatment (n=15). The 50 participants listed 117 problems; these were of a psychosocial nature rather than physical. Comparison of the interim group data with the completion group data before treatment revealed no significant difference on either the severity nor frequency ratings of the problems they listed. Those patients who had completed their treatment demonstrated a greater improvement in severity rating than the interim group (p<0.001). In conclusion, despite this being a pilot study, the POOT has demonstrated its potential usefulness as an outcome measure and as a measurable tool to assist clinicians in directing management strategies that address patients’ and carers’ key issues. Further refinement and testing of the tool would be worthwhile to establish validity.