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Understanding the Context of Northern Plains American Indian Teen Pregnancy

了解北部平原美洲印第安人青少年怀孕的背景

基本信息

批准号：
8630885
负责人：
Gerald John Yutrzenka
金额：
$ 17.05万
依托单位：
UNIVERSITY OF SOUTH DAKOTA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-03-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8630885
关键词：
Adolescent Adolescent and Young Adult Affect American Indians Attitude Awareness Behavior Behavioral Birth Caring Centers for Disease Control and Prevention (U.S.)Clinical Trials Communities Community Health Education Community Health Systems Data Development Diabetes Mellitus Distress Effectiveness Epidemiology Equipment and supply inventories Fetal Development Fetus Funding Goals Health Health Personnel Health Promotion Health behavior Healthcare Incontinence Indian reservation Individual Infant Development Inpatients Intervention Knowledge Life Style Local anesthesia Maternal Health Minority Modeling Operative Surgical Procedures Outcome Outpatients Participant Patient Care Patients Population Pregnancy Pregnancy in Adolescence Procedures Process Provider Research Research Design Research Methodology Resources Risk Factors Rural Secure Severities Sioux Falls Smoking Social support South Dakota Specialist Stress Urinary Incontinence Support System System Tribes Unplanned pregnancy Urinary Incontinence Vagina Woman base care seeking design evidence base health practice improved medical specialties member minimally invasive northern plains parity programs research study rural area urinary

项目摘要

The focus of this project is to evaluate the feasibility and effectiveness of an out-patient, minimally invasive surgery to American Indian women from a rural reservation community in the Northern Plains who are suffering from stress urinary incontinence. This study is unique because it is the first research study in which epidemiological discovery will be followed by outpatient treatment for urinary incontinence in this population. There is little data on urinary incontinence with American Indian women, although they are faced with several of the risk factors for urinary incontinence, including high rates of parity, diabetes, and smoking (1,2). American Indian women who completed the Urinary Distress Inventory will be followed-up for possible treatment, which ultimately depends on the type, severity, and underlying cause of urinary Incontinence. Participants with moderate to severe stress incontinence wiii receive outpatient surgical interventions at Sanford Health in Sioux Falls, South Dakota. The surgery that will be used for this project is a procedure called the tension-free vaginal tape secure system (TVT System), a procedure that can be performed under local anesthesia and is completed in about 30 minutes. Patients will be followed-up at 1, 3, and 12 months after the initial procedure. A retrospective chart abstraction will be completed to compare this group of American Indian women receiving the TVT procedure with other populations of women. While many other interventions for incontinence are focused on inpatient surgical interventions for stress urinary incontinence, an outpatient, office-based procedure from urogynecological specialists is essential for a rural and minority population of women. Ideally, this research will be the first step in designing larger, long-term clinical trials for American Indian women in the Northern Plains who are affected by urinary incontinence yet are not receiving the care they need. The greatest goal of the study is to evaluate an outpatient intervention with a group of rural, minority women with an overlooked but serious problem.

本项目的重点是评估门诊微创手术的可行性和有效性