Urinary Incontinence Self-Screen for Healthy Aging

NCT03485872 | Completed

• 1 other identifier: H17-03037
• Study Type: interventional
• Target: 53
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to increase awareness and timely treatment of urinary incontinence through a self-screening process. This is a 3 month study involving 2 activities; one taking place at the beginning of study and another 3 months later. Participants will be randomized into experimental and control groups. The experimental group will receive a demographic questionnaire, quality of life questionnaire, a questionnaire pertaining to urinary symptoms, information about how to self-screen for urinary incontinence and information regarding how to refer oneself to urinary incontinence resources. The control group will receive the demographic and quality of life questionnaires only. It is estimated that it will take participants 20-30 minutes to complete their package of questionnaires. After 3 months, the participants will receive a phone call inquiring into what actions they have taken regarding their urinary incontinence.

Conditions

Urinary Incontinence

Outcome Measures

Primary Outcomes (1)

• Self-Referral Questionnaire

  The primary outcome will be the number of older adults who take action to receive help for their UI. The following question will be asked through a questionnaire at three month follow-up: "During the past three months, what have you done about the leakage?" Participants will have the option to check off any of the following options: "I haven't done anything about it", "have seen my GP about it", and "referred myself to the local Urinary Incontinence Clinic".

  3 months

Secondary Outcomes (2)

• Treatments Received Questionnaire

  3 months

• Satisfaction with Care Questionnaire

  3 months

Study Arms (2)

Self-Screening and Referral Information

EXPERIMENTAL

The intervention will include a combination of self-screening and UI specific information and resources. Older adults in the intervention group will complete a gender specific UI Self-Screening tool. Men will complete the International Consultation on Incontinence Modular Questionnaire (ICIQ) for Males and women will complete the ICIQ for Females. In addition, the intervention group will receive a fact sheet with UI specific information, contact information to the local incontinence clinic and a link to a website with patient incontinence resources and education.

Other: Self-Screening and Referral Information

Control Group

ACTIVE COMPARATOR

Older adults assigned to the control group will receive standard care from their physicians. Standard care may differ from general practitioner to general practitioner. Usual care for urinary incontinence (UI) from general practitioners is generally minimal. Most patients do not tell their physicians about UI, and most physicians do not ask about UI. If this topic does come up during a GP appointment, a patient may be offered no treatment, lifestyle advice (e.g., do not drink before bed), told to do Kegels (but likely not instructed how to do these properly) or in some cases, offered pharmacological therapies (which will be captured in our questionnaire with the participants). But standard of care is unfortunately very often no care.

Other: Standard Care

Interventions

Self-Screening and Referral Information OTHER

Urinary incontinence self-screening questionnaire, fact sheet and self-referral information will be provided by mail or email.

Self-Screening and Referral Information

Standard Care OTHER

Demographic and quality of life questionnaires; standard care provided by participants' GPs

Control Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Adults 65 years of age and older
• Attend a local Senior's Centre or organization
• Report having some UI symptoms
• Living independently
• Ambulatory
• No more than mild cognitive impairment
• Able to read and write in English or have someone who can assist with reading the data collection information and can complete a paper survey independently

You may not qualify if:

• Cognitive impairment
• Require more than minimal assistance with completing the survey
• Any impairment (e.g., vision) that would make self-screening and follow up challenging.
• Have been referred to a UI specialist or continence program in the past

Sponsors & Collaborators

• University of British Columbia: lead
• Retired Teachers of Ontario Foundation: collaborator
• Interior Health: collaborator

Study Sites (1)

University of British Columbia

Kelowna, British Columbia, V1V 1V7, Canada

Location

Related Publications (3)

• Donovan JL, Abrams P, Peters TJ, Kay HE, Reynard J, Chapple C, De La Rosette JJ, Kondo A. The ICS-'BPH' Study: the psychometric validity and reliability of the ICSmale questionnaire. Br J Urol. 1996 Apr;77(4):554-62. doi: 10.1046/j.1464-410x.1996.93013.x.

  PMID: 8777617 BACKGROUND

• Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol. 1996 Jun;77(6):805-12. doi: 10.1046/j.1464-410x.1996.00186.x.

  PMID: 8705212 BACKGROUND

• Okamura K, Nojiri Y, Osuga Y. Reliability and validity of the King's Health Questionnaire for lower urinary tract symptoms in both genders. BJU Int. 2009 Jun;103(12):1673-8. doi: 10.1111/j.1464-410X.2008.08335.x. Epub 2009 Jan 9.

  PMID: 19154505 BACKGROUND

MeSH Terms

Conditions

Urinary Incontinence

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Kathy Rush, PhD

  University of British Columbia- Okanagan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: March 7, 2018
• First Posted: April 2, 2018
• Study Start: March 11, 2018
• Primary Completion: July 2, 2019
• Study Completion: August 31, 2019
• Last Updated: November 4, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)