Validation of TRansanal Irrigation Adherence scaLe (TRIAL)
Recruiting now
Conditions studied: Irritation; Anus
In brief
Transanal irrigation (TAI) is a method used to empty stools from the recto-sigmoid and colon (from the descending colon to the transverse colon). It is recommended for treating evacuation disorders (bowel movements) or continence issues (fecal incontinence). It is a second-line treatment, offered after the failure of hygienic-dietary rules, perineal physiotherapy, and conventional drug treatments (suppositories, obturator plugs, etc.), in combination with treatments for transit constipation (hygienic-dietary rules and laxatives) if necessary. The effectiveness of TAI has been widely demonstrated, particularly in neurological populations (spinal cord injuries, spina bifida, multiple sclerosis, etc.), but also in non-neurological populations, with a significant reduction in symptoms (constipation or incontinence) and an improvement in quality of life compared to medical treatment Despite demonstrated effectiveness with a long-term success rate of 50% among users, only 42% of patients continue use 21 months after learning the technique. The aim of this study is to validate a tool for assessing patient adherence to the TAI device in order to identify non-adherent patients and subsequently determine the reasons for non-adherence to optimize treatment, in the absence of non-surgical therapeutic alternatives The primary objective of this study is the psychometric validation of a transanal irrigation adherence self-questionnaire scale (TRIAL) in French. The secondary objectives are assessing : 1/ correlation between the final score of TRIAL with sides effects reported, the using modalities, indications of this treatment, and patient's satisfaction. 2/ quality of life of these patients using the Transanal irrigation device. 3/ correlation between the final score of TRIAL and stool diary in order to define the cut-offs of strong, moderate and low adherence of this scale.
Key facts
- Study ID
- NCT06805903
- Run by
- Assistance Publique - Hôpitaux de Paris
- People needed
- 100
- Starts
- 2026-03-30
- Expected to finish
- 2028-09-30
- Last updated by the study team
- 2026-04-06
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients using ICT for at least 1 month
- Patients with anorectal disorders of neurological or neurological or non-neurological origin
- Patients whose indication for TCI is constipation, anorectal and/or fecal incontinence.
- Adult patients
- Informed patients who do not object to participating in the study.
You may not qualify if…
- Language barrier and comprehension difficulties
- Patients under legal protection
Where it is running
- Service de Neuro-urologie et explorations périnéales Hôpital Pitié Salpêtrière — Paris, France (enrolling)
Full record on ClinicalTrials.gov
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