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Multiple reminders were carried out but despite these measures, the GP has not enough participated .
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Many male patients complain about their ejaculation: 21-30% of men aged between 18 and 59 have admitted suffering from a decrease in, or loss of control of, their ejaculation. The quality of life of patients and their partners is impaired compared to men not suffering from premature ejaculation. Economically, the impact of the disease are significant. In the year preceding the detection of premature ejaculation patients visit twice their physician. The majority of men interviewed anonymously, in their General Practitioner's ( GP's) waiting room, considered it important to talk with their GP about their sexual concerns. Almost half of them preferred that their GP initiate any discussions about sexuality. More than two thirds of the respondents would have liked their GP to signal his or her open-mindedness by directly addressing sexual topics during the consultation. In 2008 a qualitative study brought to the fore the strategies used by GPs to initiate the discussion on premature ejaculation . GPs who mentioned premature ejaculation with their patient described three attitude-related strategies and three investigative strategies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional GP : GP trainned in communication skills | Other | The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. Then the interventional GP group must use one of the six strategies to approach the subject of premature ejaculation. There three strategies of attitude (Total attention, Humour, Take the drama out) and three investigative strategies (Question about premature ejaculation, Symptoms of premature ejaculation, Help to verbalize). |
|
| Usual care : GP did not trainnd in communication skills | Other | The subjects have to answer to the questionary SF12 on pre and post consultation to evaluate the quality of life. He must so answer to the questionary PEDT. This classical GP group make a classical consultation like each day without use any strategies to speak about |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionary SF12 and PEDT (Premature Ejaculation Diagnostic Tool) | Other | The SF-12 was designed to measure general health status from the patient's point of view (12 questions are asking to the patients) and the PEDT questionnaire is a self-assessment questionnaire to diagnose premature ejaculation (5 questions are asking to the patients). |
| Measure | Description | Time Frame |
|---|---|---|
| The impact of training general practitioners in communication skills | The impact of training general practitioners in communication skills on the rate of patients bringing up the topic of premature ejaculation with their GP. To measure the proportions of patients bringing up the topic of premature ejaculation with their GP, the GPs in the two groups were asked to fill in a questionnaire after the consultation on whether the topics tackled were genital, urinary or psychological. The aim of detailing the different topics broached was to avoid contamination bias in the control group. | Day 0 - 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of quality of life | The quality of life will be evaluated with the SF-12 health assessment scale. The SF-12 was designed to measure general health status from the patient's point of view. The SF-12 includes 8 concepts commonly represented in health surveys: physical functioning, role functioning physical, bodily pain, general health, vitality, social functioning, role functioning emotional, and mental health. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie BARAIS, GP | GP department, ERCR SPURBO | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cabinet médical | Ambert | 63600 | France | |||
| Cabinet médical - 89 Bis Rue de la Calade |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30419940 | Derived | Barais M, Vaillant Roussel H, Costa D, Derriennic J, Pereira B, Cadier S. Premature ejaculation in primary care: communication strategies versus usual care for male patients consulting for a sexual, urogenital or psychological reason - GET UP: study protocol for a cluster randomised controlled trial. Trials. 2018 Nov 12;19(1):622. doi: 10.1186/s13063-018-2947-2. |
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All collected data that underlie results in a publication
After result publication
The data that will support the findings of this study will be available when the findings will be published in a peerreview journal, from the corresponding author, upon reasonable request
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This study is a multicenter trial. Patients will be followed either by GPs from the interventional group who trained in communication skills or by the control group who never participated. The distribution of general practitioners in the groups is done thanks random draw .
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The study is based on the participation of general practitioners in a training, the test is necessarily open for doctors. However patients will not know if their doctor has received training and will be blinded .
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|
| Total attention | Other | Total attention of the GP to approach the subject of premature ejaculation during all the consultation |
|
| Humour | Other | Use the humour to approach the subject of premature ejaculation |
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| Take the drama out | Other | Take the drama out to approach the subject of premature ejaculation |
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| Question about premature ejaculation | Other | Question about premature ejaculation during the GP consultation |
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| Symptoms of premature ejaculation | Other | GP's observation about signs of premature ejaculation |
|
| Help to verbalize | Other | Help for the patient to speak about premature ejaculation |
|
| Day 0 - 4 weeks |
| Assas |
| 34820 |
| France |
| Cabinet médical | Augerolles | 63930 | France |
| Cabinet médical | Avermes | 0300 | France |
| Cabinet médical - Esplanade Mitterrand 5 | Bellerive-sur-Allier | 03700 | France |
| Cabinet de médecine générale | Brest | 29200 | France |
| Cabinet du 122 rue Paul Masson | Brest | 29200 | France |
| Cabinet médical Place J. London | Brest | 29200 | France |
| Cabinet médical | Clarensac | 30870 | France |
| Cabinet médical | Fleury | 11560 | France |
| Pôle universitaire de Lanmeur | Lanmeur | 29620 | France |
| Cabinet médical | Le Mayet-de-Montagne | 03250 | France |
| Cabinet médical | Le Puy-en-Velay | 43000 | France |
| Cabinet médical | Lempdes-sur-Allagnon | 43410 | France |
| Cabinet médical du 38 Bd 1848 | Narbonne | 11000 | France |
| Cabinet de médecine générale | Ondres | 40440 | France |
| Cabinet de médecine générale | Pont-de-Buis-lès-Quimerch | France |
| Cabinet médical du 5 Descente des Oliviers | Restinclières | 34160 | France |
| Cabinet médical | Saint-Nicolas-du-Pélem | 22480 | France |
| Groupe médical Tourren | Saint-Vincent-de-Tyrosse | 40230 | France |
| Cabinet de médecine générale | Saubrigues | 40230 | France |
| Cabinet médical | Thézan Les Béziers | 34490 | France |
| Cabinet médical - 39 rue Saint Philibert | Trégunc | 29910 | France |
| ID | Term |
|---|---|
| D061686 | Premature Ejaculation |
| D012735 | Sexual Dysfunction, Physiological |
| ID | Term |
|---|---|
| D000097910 | Ejaculatory Dysfunction |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |
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