Efficacy of cognitive behavioral therapy using self‐check sheet for patients with nocturia in real‐world clinical practice
Yuki Kyoda, Koji Ichihara, Ippei Muranaka, Yasuyuki Sakai, Makoto Nakamura, Nobuo Shinkai, Nodoka Kozen, Wakako Yorozuya, Daichi Morooka, Kazutaka Maruo, Kimihito Tachikawa, Kosuke Shibamori, Seisuke Nofuji, Keiko Fujino, Shuichi Kato, Takashi Yoshida, Tetsuya Shindo, Takeshi Maehana, Kohei Hashimoto, Ko Kobayashi, Toshiaki Tanaka, Naoya Masumori- Urology
- Neurology
Abstract
Objectives
We previously demonstrated the efficacy of cognitive behavioral therapy (CBT) using a self‐check sheet for patients with nocturia in a randomized controlled study. Additionally, we investigated the efficacy of the intervention in real‐world clinical practice.
Methods
Two hundred forty‐three outpatients with complaint of nocturia who practiced CBT for 4 weeks using a self‐check sheet were included in this trial, which took place from April 2021 to March 2022 in 20 institutions.
Results
Of the 243 patients, 215 who achieved 50% or more of the behavioral therapy tasks were included in the analysis. Their mean age ± SD was 77.1 ± 7.7. A significant decrease was observed in nighttime frequency at 4 weeks after CBT using self‐check sheets (pre 3.3 and post 2.8, p < .001). Nighttime frequency was decreased one or more times and was defined as treatment success in 102 patients (47.4%). Pretreatment nighttime frequency in the treatment‐success group was significantly higher than that of the failure group (3.5 ± 1.0 vs. 3.2 ± 1.0, p = .013). In multivariate logistic regression analysis, predictive factors of treatment success were pretreatment nocturnal frequency of four or more (odds ratio [OR] 1.82, 95% confidence interval [CI] 1.01–3.30; p = .046) and the absence of diabetes mellitus (OR 3.08, 95% CI 1.34–7.06; p = .008).
Conclusions
CBT using a self‐check sheet requiring less time, less labor, less cost, and less medication is very beneficial for both patients and medical staff in real‐world clinical practice.