Providers who are not knowledgeable about neurogenic bladder or who communicate ineffectively are part of the problem<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
<\/b><\/p>\n
TUESDAY, Jan. 2, 2024 (HealthDay News) — Expansion of caregiver involvement, enhancement of patient-provider communication, and targeting providers and care settings that lack familiarity with neurogenic bladder (NB) could improve urinary tract infection (UTI) management in this population, according to a study published online Nov. 1 in PLOS ONE<\/em>.<\/p>\n Margaret A. Fitzpatrick, M.D., from Rocky Mountain Regional VA Medical Center in Aurora, Colorado, and colleagues recruited adults with NB due to spinal cord injury\/disorder (SCI\/D) or multiple sclerosis (MS) to participate in 11 virtual focus groups. A total of 23 veterans (78 percent with SCI\/D; 18.5 percent with MS) were included between May 2021 and May 2022.<\/p>\n The researchers found that three major themes reflected participants’ perspectives, experiences, and beliefs about UTI: influence of caregivers; influence of health care environment and provider characteristics; and barriers and facilitators to care. Caregivers promoted care-seeking behavior, enabled care in the home, and improved participant self-efficacy for understanding educational material. Poor perceptions of providers who were not knowledgeable about NB or communicated ineffectively were reported. Self-efficacy to follow provider recommendations was improved by good relationships with providers who knew the participants well.<\/p>\n “Interventions to enhance patient-centeredness of UTI care for these individuals could focus on expanding in-home care by trusted, knowledgeable providers and improving patient-provider communication,” the authors write.<\/p>\n