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NCT Number: NCT06695871

Research on the Application of Patient Navigation-based Management Model of Patients After LEEP

Cervical cancer poses a significant threat to women's health and is a crucial public health issue. Early detection and treatment of cervical lesions and standardized management have emerged as essential pillars in the Global Cervical Cancer Elimination. The loop electrosurgical excision procedure (LEEP) is widely employed as a preferred approach for the diagnosis and treatment of precancerous cervical lesions and early invasive cervical cancer. Patients with high-grade cervical lesions are more prone to experiencing sexual dysfunction and psychological disorders after LEEP, attributed to the unique surgical site, physiological alterations, and psychological stress during the postoperative recovery process, thereby adversely affecting their quality of life. Currently, there is a shortage of research evidence regarding targeted intervention measures and long-term effect evaluations for sexual function quality and quality of life after LEEP for cervical lesions. In recent years, the health management model based on patient navigation has evolved into a novel modality for facilitating comprehensive tumor prevention and control. However, its effect in managing cervical lesions has yet to be comprehensively assessed. Therefore, we will design a randomized controlled trial to evaluate the impact of a patient navigation-based health management model on quality of life and sexual function after LEEP in patients with cervical lesions.

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Key information

Age range

25 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Peking University People's Hospital

Beijing, Beijing Municipality, 100044, China

Location contact

Wenhui Ren, PhD

CONTACT

[email protected]

86+18800124938

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals aged between 25 and 50 years;
  • LEEP will be conducted following clinical evaluation;
  • No intention to conceive within the subsequent year;
  • Proficiency in utilizing social media platforms, such as WeChat, is required;
  • Patients must be capable of providing informed consent to participate in the study and willing to engage in long-term follow-up.

Exclusion criteria

  • Individuals who are widowed, separated, or experiencing atypical sexual activity due to reasons related to their spouse.
  • Presence of genital tract malformations.
  • A history of neurological disorders, such as stroke or epilepsy, or a history of psychiatric conditions, such as depression.
  • Patients with other significant illnesses that could impact the long-term follow-up of the study.

Treatment and study plan

Patient navigation-based health management

Other

A patient navigation-based health management model for individuals with cervical lesions post-LEEP procedure, encompassing healthcare consultation services, personalized health guidance, and routine follow-up assessments.

Primary outcomes

  1. Quality of Life

    Time frame: six months after LEEP

    The quality of life six months post-surgery was assessed using 36-Item Short Form Survey.

Secondary outcomes

  1. Sexual function index

    Time frame: before LEEP, three months after LEEP, and six months after LEEP

    The Chinese version of the Female Sexual Function Index was used to evaluate the sexual function index at three time points: before LEEP, three months after LEEP, and six months after LEEP.

  2. Anxiety

    Time frame: before LEEP, three months after LEEP, and six months after LEEP

    Anxiety symptoms were assessed using the Self-Rating Anxiety Scale at three-time points: before LEEP, three months after LEEP, and six months after LEEP.

  3. Quality of Life

    Time frame: before LEEP and three months after LEEP

    The quality of life was assessed using 36-Item Short Form Survey.

  4. Depression

    Time frame: before LEEP, three months after LEEP, and six months after LEEP

    Depression symptoms were assessed using the Self-Rating Anxiety Scale at three time points: before LEEP, three months after LEEP, and six months after LEEP.

  5. Vaginal discharge

    Time frame: three and six months after LEEP

    Patient-reported alterations in the volume, color, and odor of vaginal secretions.

  6. Recurrence rates

    Time frame: three and six months after LEEP

    The recurrence of cervical lesions at three and six months post-surgery was evaluated using high-risk HPV testing, cytology test, and histopathological examination.

Study contacts

Contact information is provided by the study sponsor or research team.

Wenhui Ren, PhD

CONTACT

[email protected]

86+18800124938

Sponsors and collaborators

Lead sponsor

Peking University People's Hospital

Other

Registry information

Official study title

Effect of Patient Navigation-based Health Management Model on Quality of Life and Sexual Function After LEEP in Patients With Cervical Lesions

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Nov 19, 2024
Registry last updated
Nov 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.