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Article Abstract
Background: The prevalence of vulvar diseases has a significant impact on quality of life (QoL). Measurement may not be consistently collected during assessments. Incorporating a QoL measurement tool may help optimize patient-centred care.
Objective: To determine the impact of the validated Vulvar Quality of Life Index (VQLI) questionnaire during consultation assessments.
Methods: A randomized controlled trial from a single dermatology centre was completed over 10 months. The intervention group completed the VQLI at the baseline/initial appointment, and both the intervention and control groups completed the questionnaire at follow-up, with these scores compared. Secondary outcomes compared scores within the intervention group; analyzed treatment adherence; and surveyed self-reported symptom improvement, whether patient health-related concerns were addressed, and well-being. Data were analyzed descriptively, with significance between means and proportions assessed using -tests and Fisher's exact tests, respectively.
Results: Forty-two patients participated. Scores within the intervention group, baseline (18) versus follow-up (8.3), were statistically significant. Follow-up VQLI scores in the intervention group (n = 23), 8.3, trended lower than the control (n = 19), 12.8, but were not statistically significant ( = .1529). Although treatment adherence ( = .428), symptom improvement ( = .684), and feeling of whether health-related concerns were addressed ( = .391) were similar, improvement in well-being ( = .017) in the intervention group was statistically significant.
Conclusions: In addition to the use of VQLI in vulvar dermatology assessments as an aid in identifying the impact of vulvar conditions on QoL, we recommend its use to improve the patients' sense of well-being.
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| http://dx.doi.org/10.1177/12034754251347552 | DOI Listing |
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