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Research ArticleOriginal Research

Improving Erectile Dysfunction Management Among Asian Men With Diabetes Using the Knowledge Translation Intervention

Mohd Redhuan Abdul Muin, Saharuddin Ahmad, Mohd Hafidzul Jasman, Aznida Firzah Abdul Aziz, Mohd Fairuz Ali and Zulkifli Md Zainuddin
The Annals of Family Medicine November 2023, 21 (6) 502-507; DOI: https://doi.org/10.1370/afm.3030
Mohd Redhuan Abdul Muin
1Simpang Kuala Health Clinic, Ministry of Health Malaysia, Kedah, Malaysia
MBChB, DocFamMed
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Saharuddin Ahmad
2Department of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
MD, MMed
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  • For correspondence: saha@ppukm.ukm.edu.my
Mohd Hafidzul Jasman
3Department of Medical Education, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
MBChB, MSurg
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Aznida Firzah Abdul Aziz
2Department of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
MBBS, MMed, PhD
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Mohd Fairuz Ali
2Department of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
MBBS, DocFamMed
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Zulkifli Md Zainuddin
4Department of Surgery, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
MD, MMed
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  • Article
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Article Figures & Data

Tables

  • Additional Files
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    Table 1.

    Sociodemographic Characteristics of Participants (N = 120)

    CharacteristicTotal
    No. (%)
    Groups (n = 60 per group)P Value
    Control
    No. (%)
    Intervention
    No. (%)
    Age, y
        <4010 (8.4)5 (8.3)5 (8.3).980a
        40-5937 (30.8)19 (31.7)18 (30.8)
        ≥6073 (60.8)36 (60.0)37 (60.8)
    Ethnicity
        Malay101 (84.2)48 (80.0)53 (88.3).211a
        Non-Malay19 (15.8)12 (20.0)7 (11.7)
    Employment
        Employed46 (38.3)27 (45.0)19 (31.7).133a
        Not employed74 (61.7)33 (55.0)41 (68.3)
    Education
        Primary9 (7.5)6 (10.0)3 (5.0).099b
        Secondary79 (65.8)43 (71.7)36 (60.0)
        Tertiary32 (26.7)11 (18.3)21 (35.0)
    Monthly household income, MYR
        <3,710106 (88.4)53 (88.3)53 (88.3).613b
        3,710-754910 (8.3)4 (6.7)6 (10.0)
        >7,5504 (3.3)3 (5.0)1 (1.7)
    Marital status
        Single7 (5.8)3 (5.0)4 (6.7).786b
        Married110 (91.7)56 (93.3)54 (90.0)
        Widower3 (2.5)1 (1.7)2 (3.3)
    Severity of ED
        None28 (23.3)18 (30.0)10 (16.7).098a
        Mild38 (31.7)21 (35.0)17 (28.3)
        Moderate40 (33.3)14 (23.3)26 (43.3)
        Severe14 (11.7)7 (11.7)7 (11.7)
    • ED = erectile dysfunction; MYR = Malaysian Ringgit currency.

    • ↵a χ2 test.

    • ↵b Fisher-Exact test.

    • View popup
    Table 2.

    Initiation of Discussion and Prescription of a PDE5 Inhibitor Between Groups (N = 120)

    CharacteristicTotal
    No. (%)
    Groups (n = 60 per group)P Value
    Control
    No. (%)
    Intervention
    No. (%)
    Initiation of ED discussion (n = 120)
        Yes45 (37.5)5 (8.3)40 (66.7)<.001a
        No75 (62.5)55 (91.7)20 (33.3)
    PDE5 inhibitor prescription (n = 45)
        Yes23 (51.1)0 (0.0)23 (57.5).022b
        No22 (48.9)    5 (100.0)17 (42.5)
    • ED = erectile dysfunction; PDE5 = phosphodiesterase-5.

    • ↵a χ2 test.

    • ↵b Fisher exact test.

    • View popup
    Table 3.

    Simple Logistic Regression of Associated Factors for Initiation of Discussion and Prescription of a PDE5 Inhibitor in the Intervention Group (N = 60)

    CharacteristicInitiation of Discussion (n = 60)PDE5 Inhibitor Prescription (n = 40)
    Crude OR (95% CI)P ValueCrude OR (95% CI)P Value
    Age, y
        <40Ref…Ref…
        40-595.25 (0.64-43.13).1231.53 (0.13-17.33).727
        ≥602.77 (0.41-18.74).2963.40 (0.35-33.40).294
    Ethnicity
        MalayRef…Ref…
        Non-Malay3.35 (0.38-29.96).2792.39 (0.48-11.80).286
    Employment
        EmployedRef…Ref…
        Not employed1.26 (0.40-3.93).6951.54 (0.49-4.85).465
    Education
        PrimaryRef 1Ref…
        Secondary0.89 (0.73-10.72).9231.43 (0.19-17.23).779
        Tertiary1.25 (0.95-16.50).8651.00 (0.08-13.01)1.000
    Monthly household income, MYR
        <3,710Ref…Ref…
        ≥3,7101.29 (0.23-7.29).7770.24 (0.03-2.09).194
    Marital status
        MarriedRef…Ref…
        Single2.71 (0.29-24.95).3780.29 (0.32-2.66).274
    Severity of ED
        MildRef…Ref…
        Moderate1.55 (0.49-4.80).4506.00 (1.73-20.82).004a
        Severe4.13 (0.43-39.21).2173.30 (0.55-19.65).190
    • ED = erectile dysfunction; MYR = Malaysian Ringgit currency; OR = odds ratio; PDE5 = phosphodiesterase-5.

    • ↵a P value <.05

    • View popup
    Table 4.

    Use of LASTED on Discussion Satisfaction and Prescription of PDE5 Inhibitors in the Intervention Group (N = 40)

    OutcomesTotal
    No. (%)
    Use of LASTEDP Value
    Yes (n = 33)
    No. (%)
    No (n = 7)
    No. (%)
    Discussion satisfaction
        Extremely satisfied13 (32.5)13 (39.4)0 (0.0)<.001b
        Satisfied22 (55.0)20 (60.6)2 (28.5)
        Not sure3 (7.5)0 (0.0)3 (42.8)
        Not satisfied2 (5.0)0 (0.0)2 (28.5)
    PDE5 inhibitor prescription
        Yes23 (57.5)22 (66.7)1 (14.3).011a
        No17 (42.5)11 (33.3)6 (85.7)
    • LASTED = Knowledge Translation Tools in the Management of Erectile Dysfunction; PDE5 = phosphodiesterase-5.

    • ↵a χ2 test.

    • ↵b Fisher exact test.

    • View popup
    Table 5.

    Topics and Types of Treatment Discussed in the Intervention Group (N = 40)

    OutcomesTotal
    No. (%)
    Use of LASTED
    Yes (n = 33)
    No. (%)
    No (n = 7)
    No. (%)
    Topics discussed
        Causes of ED23 (57.5)17 (51.5)6 (85.7)
        Symptoms of ED16 (40.0)13 (39.4)3 (42.9)
        Severity of ED12 (30.0)11 (33.3)1 (14.3)
        Treatment of ED32 (80.0)28 (84.0)4 (57.1)
        Cardiac risk of ED7 (17.5)6 (18.2)1 (14.3)
        Others3 (7.5)3 (9.1)0 (0.0)
    Type of treatment discussed
        Lifestyle13 (32.5)10 (30.3)3 (42.9)
        Oral medication35 (87.5)31 (93.9)4 (57.1)
        Vacuum erection device13 (32.5)13 (39.4)0 (0.0)
        Intracavernous injections10 (25.0)10 (30.3)0 (0.0)
        Penile prosthesis6 (15.0)6 (18.2)0 (0.0)
    • ED = erectile dysfunction; LASTED = Knowledge Translation Tools in the Management of Erectile Dysfunction.

Additional Files

  • Tables
  • SUPPLEMENTAL MATERIALS IN PDF FILE BELOW

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The Annals of Family Medicine: 21 (6)
The Annals of Family Medicine: 21 (6)
Vol. 21, Issue 6
November/December 2023
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Improving Erectile Dysfunction Management Among Asian Men With Diabetes Using the Knowledge Translation Intervention
Mohd Redhuan Abdul Muin, Saharuddin Ahmad, Mohd Hafidzul Jasman, Aznida Firzah Abdul Aziz, Mohd Fairuz Ali, Zulkifli Md Zainuddin
The Annals of Family Medicine Nov 2023, 21 (6) 502-507; DOI: 10.1370/afm.3030

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Improving Erectile Dysfunction Management Among Asian Men With Diabetes Using the Knowledge Translation Intervention
Mohd Redhuan Abdul Muin, Saharuddin Ahmad, Mohd Hafidzul Jasman, Aznida Firzah Abdul Aziz, Mohd Fairuz Ali, Zulkifli Md Zainuddin
The Annals of Family Medicine Nov 2023, 21 (6) 502-507; DOI: 10.1370/afm.3030
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Subjects

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