RT Journal Article
SR Electronic
T1 Talking about premature ejaculation in primary care: the GET UP cluster randomised controlled trial
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP BJGPO.2021.0168
DO 10.3399/BJGPO.2021.0168
A1 Barais, Marie
A1 Costa, Marine
A1 Montalvo, Camille
A1 Rannou, Vincent
A1 Vaillant-Roussel, Hélène
A1 Costa, David
A1 Cadier, Sébastien
A1 Pereira, Bruno
YR 2021
UL http://bjgpopen.org/content/early/2021/12/03/BJGPO.2021.0168.abstract
AB Background Premature ejaculation is the most common sexual dysfunction in men. A previous qualitative study identified six communication strategies described by general practitioners (GP) to tackle this topic during consultations.Aim To determine whether these six strategies are more effective than usual care for promoting discussion about premature ejaculation by patients with their GP.Design and Setting Cluster randomised controlled trial, stratified in four French regions, with an intervention group (GPs who received a training session on the six communication strategies) and a control group (routine medical care). Participants were 18-80-year-old men consulting for a sexual, urogenital or psychological reason.Method The efficacy of the training session in communication skills, compared with usual care, was evaluated by determining the percentage of patients who discussed premature ejaculation with their GP (primary outcome). The percentage of enrolled patients with premature ejaculation was calculated using as cut-off a score >9 of the Premature Ejaculation Diagnostic Tool filled in by the enrolled patients at week four after the consultation. The quality-of-life changes were evaluated as the SF-12 scale score difference between baseline and week four post-consultation.Results 130 patients were included by 32 GPs (n=16 in the intervention and n=16 in the control group). The percentage of patients who discussed about premature ejaculation was higher in the intervention than in the control group (42% vs. 4.9%, absolute difference = 37% 95%CI [24% to 50%], p <0.001).Conclusions Training GPs in communication strategies about premature ejaculation improves its detection.ClinicalTrials.gov NCT02378779, date of registration: 03/02/2015.