Bio
Meg Tolbert is a Nurse Practitioner with colorectal surgery at Stanford Hospital. She earned her undergraduate and graduate degrees from Villanova University. She is currently involved in several research studies with the colorectal team. Prior to coming to Stanford she was a faculty member at both the University of Miami and the University of Michigan where she taught in the undergraduate and graduate nursing programs. While at University of Michigan she also taught in the college of LSA and worked with the medical school’s office of diversity helping with community outreach. At the University of Miami she practiced clinically in women’s health and was involved in research projects with HIV+ women as well as the NIH funded Women’s Health Initiative. She also helped write a grant that was funded for a distance-learning program for second career nursing students. While at the University of Michigan she worked at a free health clinic as a primary care provider and was part of the Pelvic Floor Research Team, which was a multidisciplinary team. While there she was involved with NIH funded studies and was project manager for a multi site study for a device seeking FDA approval. She has been published with the team in peer-reviewed journals and has been first author on several poster presentations. She was also awarded a grant for the free clinic to start a primary care/continuity of care clinic
Clinical Focus
- Nurse Practitioner
- Colorectal Surgery
- Benign Anorectal Disease
Professional Education
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Board Certification: American Nurses Credentialing Center, Nurse Practitioner (1998)
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Professional Education: Villanova University (1997) PA
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Professional Education: Villanova University (1984) PA
All Publications
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Self-Perceived Improvement in Bladder Health After Viewing a Novel Tutorial on Knack Use: A Randomized Controlled Trial Pilot Study
JOURNAL OF WOMENS HEALTH
2019
Abstract
Purpose: To test a novel bladder health tutorial on use of the Knack for overcoming bladder control challenges. The Knack-tutorial is a self-administered vignette-based instructional program on preempting bladder challenges in daily life (urgency, stress-leakage, or urge-leakage) through anticipatory, well-timed pelvic floor muscle contraction at the moment of challenge. Materials and Methods: This is a randomized controlled trial pilot test of 108 women with stress or mixed urinary incontinence. The Knack-tutorial group saw a 15-minute slide show with 10 vignettes portraying use of the Knack in daily life. The slide show format used inserted narrated videos, dubbed and animation enhanced pictures and cartoons, and automatic slide advancement. A control group saw a similarly constructed slide show on incorporating good diet/exercise habits. Outcomes were self-perceived improvement (yes/no, and as 0%-100%) 1 month after viewing the tutorial. Results: We enrolled 123 women, randomizing 64 to Knack-tutorial group and 59 to diet/exercise tutorial group. Eleven and one participant, respectively, did not return. Three did not fill out the self-perceived improvement report. Significant improvement was reported by 71% in the Knack-tutorial group compared to 25% in the diet/exercise group (p < 0.001). Self-perceived improvement was 21%-22% higher (Model I Est: 21.01, SE: 4.25, p < 0.001) in the Knack-tutorial group. Conclusions: An electronic tutorial viewed independent of a health care provider with vignettes showing Knack application to manage the everyday bladder challenges women face shows benefit of a magnitude that warrants more widespread use and rigorous testing. A professional remake of the intervention is now available (www.myconfidentbladder.com).
View details for DOI 10.1089/jwh.2018.7606
View details for Web of Science ID 000500562400001
View details for PubMedID 31800360