What strategies have you found to be most helpful in improving patient compliance with vaginal dilator use after pelvic radiotherapy?

We attempted a randomized feasability trial to a study dilator use and test a theoretically driven enhanced educational program (EEP) to increase adherence, We did not find increased adherence to the EEP program. At present, other than good physician and nursing counselling, I am unaware of significant interventions that will increase compliance. Our Study: Hanlon A, Small W Jr, Strauss J, Lin LL, Hanisch L, Huang L, Bai J, Wells J, Bruner DW. Cancer Nurs. 2017 Apr 21.

William Small Jr., MD