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Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients

Lisa Osborne, Simon Emery, Monika Vij, Bhawana Purwar, Phil Reed Orcid Logo

Journal of Obstetrics and Gynaecology, Volume: 42, Issue: 5, Pages: 1 - 6

Swansea University Authors: Lisa Osborne, Simon Emery, Monika Vij, Phil Reed Orcid Logo

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DOI (Published version): 10.1080/01443615.2021.1990230

Abstract

Patients with complications following mesh removal risk a variety of symptoms, and can view medical intervention negatively. This study explored the patient-acceptability of a Multidisciplinary Team (MDT), and whether the presence of a Counsellor would be accepted and effective. Twenty consecutively...

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Published in: Journal of Obstetrics and Gynaecology
ISSN: 0144-3615 1364-6893
Published: Informa UK Limited 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa59138
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This study explored the patient-acceptability of a Multidisciplinary Team (MDT), and whether the presence of a Counsellor would be accepted and effective. Twenty consecutively referred women, who had undergone mesh-removal but experienced complications were interviewed about their experiences, and completed the Queensland scale for pelvic floor symptoms, McGill Pain Questionnaire, and Hospital Anxiety and Depression Scales, before and after treatment. Patients had high levels of pelvic-floor symptoms, sensory and affective pain, anxiety, and depression. 70% reported a positive MDT experience; predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which commenced within one week of referral, typically lasted 1-4 sessions, and reduced pelvic-floor symptoms, affective pain, anxiety, and depression. Results suggest that the MDT approach is generally acceptable for this patient group, and that mesh-removal patients accept and benefit from input by a Counsellor.Impact statement Concerns have been raised regarding the safety of mesh insertion. Multidisciplinary Teams (MDTs) are suggested to offer a strong approach to managing many women's health conditions, but no studies have examined mesh-removal patients, making generalisation difficult to the current patient group. Furthermore, it is unknown whether an MDT approach, including a Counsellor, would be acceptable to mesh-removal patients. Patients had high levels of pelvic-floor symptoms, pain, anxiety, and depression. 70% reported the MDT experience as positive, predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which reduced pelvic-floor symptoms, affective pain, anxiety, and depression. The Counselling provided as part of the MDT approach was able to commence quickly, did not require many sessions, and reduced reported pelvic-floor symptoms, affective pain, anxiety, and depression. These findings suggest that an MDT approach involving Counselling is generally acceptable, and that mesh-removal patients accept and benefit from the input of a Counsellor, as part of their treatment.</abstract><type>Journal Article</type><journal>Journal of Obstetrics and Gynaecology</journal><volume>42</volume><journalNumber>5</journalNumber><paginationStart>1</paginationStart><paginationEnd>6</paginationEnd><publisher>Informa UK Limited</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0144-3615</issnPrint><issnElectronic>1364-6893</issnElectronic><keywords>counselling, symptoms, Multidisciplinary Team (MDT), Mesh-removal, treatment acceptability, mesh complications</keywords><publishedDay>23</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-12-23</publishedDate><doi>10.1080/01443615.2021.1990230</doi><url/><notes/><college>COLLEGE NANME</college><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><apcterm/><funders/><projectreference/><lastEdited>2023-01-04T11:36:05.8819705</lastEdited><Created>2022-01-10T15:53:32.5589153</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Psychology</level></path><authors><author><firstname>Lisa</firstname><surname>Osborne</surname><order>1</order></author><author><firstname>Simon</firstname><surname>Emery</surname><order>2</order></author><author><firstname>Monika</firstname><surname>Vij</surname><order>3</order></author><author><firstname>Bhawana</firstname><surname>Purwar</surname><order>4</order></author><author><firstname>Phil</firstname><surname>Reed</surname><orcid>0000-0002-8157-0747</orcid><order>5</order></author></authors><documents><document><filename>59138__22104__0578bc38eb664eb4908d4305f71882ca.pdf</filename><originalFilename>59138.pdf</originalFilename><uploaded>2022-01-10T16:19:41.9089281</uploaded><type>Output</type><contentLength>318844</contentLength><contentType>application/pdf</contentType><version>Accepted Manuscript</version><cronfaStatus>true</cronfaStatus><embargoDate>2022-12-23T00:00:00.0000000</embargoDate><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2023-01-04T11:36:05.8819705 v2 59138 2022-01-10 Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients 3b5a10cb1a89c62fed224527ff183065 Lisa Osborne Lisa Osborne true false d64840e3bc2eec0bc6a436ef38e15320 Simon Emery Simon Emery true false dffc2843174259d0d00cdbfe20bc82b7 Monika Vij Monika Vij true false 100599ab189b514fdf99f9b4cb477a83 0000-0002-8157-0747 Phil Reed Phil Reed true false 2022-01-10 Patients with complications following mesh removal risk a variety of symptoms, and can view medical intervention negatively. This study explored the patient-acceptability of a Multidisciplinary Team (MDT), and whether the presence of a Counsellor would be accepted and effective. Twenty consecutively referred women, who had undergone mesh-removal but experienced complications were interviewed about their experiences, and completed the Queensland scale for pelvic floor symptoms, McGill Pain Questionnaire, and Hospital Anxiety and Depression Scales, before and after treatment. Patients had high levels of pelvic-floor symptoms, sensory and affective pain, anxiety, and depression. 70% reported a positive MDT experience; predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which commenced within one week of referral, typically lasted 1-4 sessions, and reduced pelvic-floor symptoms, affective pain, anxiety, and depression. Results suggest that the MDT approach is generally acceptable for this patient group, and that mesh-removal patients accept and benefit from input by a Counsellor.Impact statement Concerns have been raised regarding the safety of mesh insertion. Multidisciplinary Teams (MDTs) are suggested to offer a strong approach to managing many women's health conditions, but no studies have examined mesh-removal patients, making generalisation difficult to the current patient group. Furthermore, it is unknown whether an MDT approach, including a Counsellor, would be acceptable to mesh-removal patients. Patients had high levels of pelvic-floor symptoms, pain, anxiety, and depression. 70% reported the MDT experience as positive, predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which reduced pelvic-floor symptoms, affective pain, anxiety, and depression. The Counselling provided as part of the MDT approach was able to commence quickly, did not require many sessions, and reduced reported pelvic-floor symptoms, affective pain, anxiety, and depression. These findings suggest that an MDT approach involving Counselling is generally acceptable, and that mesh-removal patients accept and benefit from the input of a Counsellor, as part of their treatment. Journal Article Journal of Obstetrics and Gynaecology 42 5 1 6 Informa UK Limited 0144-3615 1364-6893 counselling, symptoms, Multidisciplinary Team (MDT), Mesh-removal, treatment acceptability, mesh complications 23 12 2021 2021-12-23 10.1080/01443615.2021.1990230 COLLEGE NANME COLLEGE CODE Swansea University 2023-01-04T11:36:05.8819705 2022-01-10T15:53:32.5589153 Faculty of Medicine, Health and Life Sciences School of Psychology Lisa Osborne 1 Simon Emery 2 Monika Vij 3 Bhawana Purwar 4 Phil Reed 0000-0002-8157-0747 5 59138__22104__0578bc38eb664eb4908d4305f71882ca.pdf 59138.pdf 2022-01-10T16:19:41.9089281 Output 318844 application/pdf Accepted Manuscript true 2022-12-23T00:00:00.0000000 true eng https://creativecommons.org/licenses/by-nc/4.0/
title Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
spellingShingle Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
Lisa Osborne
Simon Emery
Monika Vij
Phil Reed
title_short Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
title_full Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
title_fullStr Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
title_full_unstemmed Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
title_sort Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
author_id_str_mv 3b5a10cb1a89c62fed224527ff183065
d64840e3bc2eec0bc6a436ef38e15320
dffc2843174259d0d00cdbfe20bc82b7
100599ab189b514fdf99f9b4cb477a83
author_id_fullname_str_mv 3b5a10cb1a89c62fed224527ff183065_***_Lisa Osborne
d64840e3bc2eec0bc6a436ef38e15320_***_Simon Emery
dffc2843174259d0d00cdbfe20bc82b7_***_Monika Vij
100599ab189b514fdf99f9b4cb477a83_***_Phil Reed
author Lisa Osborne
Simon Emery
Monika Vij
Phil Reed
author2 Lisa Osborne
Simon Emery
Monika Vij
Bhawana Purwar
Phil Reed
format Journal article
container_title Journal of Obstetrics and Gynaecology
container_volume 42
container_issue 5
container_start_page 1
publishDate 2021
institution Swansea University
issn 0144-3615
1364-6893
doi_str_mv 10.1080/01443615.2021.1990230
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Patients with complications following mesh removal risk a variety of symptoms, and can view medical intervention negatively. This study explored the patient-acceptability of a Multidisciplinary Team (MDT), and whether the presence of a Counsellor would be accepted and effective. Twenty consecutively referred women, who had undergone mesh-removal but experienced complications were interviewed about their experiences, and completed the Queensland scale for pelvic floor symptoms, McGill Pain Questionnaire, and Hospital Anxiety and Depression Scales, before and after treatment. Patients had high levels of pelvic-floor symptoms, sensory and affective pain, anxiety, and depression. 70% reported a positive MDT experience; predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which commenced within one week of referral, typically lasted 1-4 sessions, and reduced pelvic-floor symptoms, affective pain, anxiety, and depression. Results suggest that the MDT approach is generally acceptable for this patient group, and that mesh-removal patients accept and benefit from input by a Counsellor.Impact statement Concerns have been raised regarding the safety of mesh insertion. Multidisciplinary Teams (MDTs) are suggested to offer a strong approach to managing many women's health conditions, but no studies have examined mesh-removal patients, making generalisation difficult to the current patient group. Furthermore, it is unknown whether an MDT approach, including a Counsellor, would be acceptable to mesh-removal patients. Patients had high levels of pelvic-floor symptoms, pain, anxiety, and depression. 70% reported the MDT experience as positive, predicted by higher anxiety, and lower depression. 60% elected to receive Counselling, which reduced pelvic-floor symptoms, affective pain, anxiety, and depression. The Counselling provided as part of the MDT approach was able to commence quickly, did not require many sessions, and reduced reported pelvic-floor symptoms, affective pain, anxiety, and depression. These findings suggest that an MDT approach involving Counselling is generally acceptable, and that mesh-removal patients accept and benefit from the input of a Counsellor, as part of their treatment.
published_date 2021-12-23T04:16:12Z
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score 11.036706

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