611 PARENT PERSPECTIVES OF THE VOIDING CYSTOURETHROGRAM: A THREE-PART PROSPECTIVE SURVEY STUDY

Abstract

You have accessJournal of UrologyPediatrics: Imaging (Genital & Urinary Tract)/Infections and Vesicoureteral Reflux1 Apr 2012611 PARENT PERSPECTIVES OF THE VOIDING CYSTOURETHROGRAM: A THREE-PART PROSPECTIVE SURVEY STUDY Liza Aguiar, Kathleen McCarten, Elaine Meyer, Pamela Ellsworth, and Anthony Caldamone Liza AguiarLiza Aguiar Providence, RI More articles by this author , Kathleen McCartenKathleen McCarten Providence, RI More articles by this author , Elaine MeyerElaine Meyer Boston, MA More articles by this author , Pamela EllsworthPamela Ellsworth Providence, RI More articles by this author , and Anthony CaldamoneAnthony Caldamone Providence, RI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.689AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The VCUG is an invasive procedure that is uncomfortable and distressing for the pediatric patient. We aim to assess parent preparation prior to VCUG, identify any correlation between being informed, or having had a previous VCUG experience, and parent/patient distress level, and to investigate perceived changes in children's behavior after the VCUG. METHODS We conducted an IRB-approved prospective survey study. Three separate surveys were administered to parents of 45 children: the “pre-VCUG survey” was administered before the VCUG, the “post-VCUG survey” was administered within 30 minutes after the study, and the “2-week post-VCUG survey” was a telephone survey administered 2-4 weeks after the VCUG. The first two surveys were investigator-generated; the “2-week post-VCUG survey” was a modified version of a validated survey, Posthospital Behavioral Questionnaire. Survey items were both 5-point scaled and open-ended questions. Demographics, previous experience with VCUG, and having been educated about VCUG were assessed. Statistical analyses were done using STATA 7.0. RESULTS Our populations consisted of 32 female and 13 male patients (mean age: 2.8 years) Thirty-two parents/guardians identified themselves as white and 13 as non-white. Nineteen parents/guardians interviewed had children who had undergone a previous VCUG. Twelve parents (27%) reported having had no explanation about the VCUG by a health-care provider. Fifteen percent of non-white interviewees had received an explanation compared to 84.9% of white interviewees. Parents with previous VCUGs experience and those who had been educated anticipated more pain (3.58 vs. 1.88, p = 0.001; 0.77 vs. 3.31, p value = 0.001 respectively). However, informed parents accurately predicted the perceived pain level their child. Of the 35 parents who completed the 2-week post-VCUG survey, 11 (31%) noticed changes in their child's behavior. Eight of these eleven parents were worried about those changes. CONCLUSIONS We conclude that a significant number of parents are uninformed about the VCUG, which influences their expectations for the procedure. A target population to consider improving access to information is the non-white population. Although education prior to the VCUG or a previous VCUG experience can increase parent anticipated pain for their child, which may contribute to increased stress for parent and child prior to the VCUG, it is important to inform parents about the procedure so they have reasonable expectations. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e249 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Liza Aguiar Providence, RI More articles by this author Kathleen McCarten Providence, RI More articles by this author Elaine Meyer Boston, MA More articles by this author Pamela Ellsworth Providence, RI More articles by this author Anthony Caldamone Providence, RI More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...