Abdominal-Kegel Exercise and the Effect of Telemedicine in Stress Urinary Incontinence

NCT06189443 | Unknown

• 1 other identifier: EskisehirOU/03.03.2022-20
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

Urinary incontinence is a very common health problem that reduces the quality of life mostly in women. Behavioral therapy (lifestyle changes, abdominal-Kegel exercises) is recommended as the first choice in the treatment of the disease. It is known that surgical and medical treatment cannot give a definite result. The application of behavioral therapy with telemedicine has advantages such as reducing the cost and increasing the treatment rate. In this study, it is aimed to evaluate the effect of telemedicine practices on compliance with multi-module behavioral therapy in women with stress urinary incontinence.

Conditions

Stress Urinary Incontinence

Keywords

stress urinary incontinence; Kegel exercises; Randomization; Telemedicine

Outcome Measures

Primary Outcomes (2)

• Telemedicine success

  Changes in the "frequency of incontinence episodes patients" and "adaptation to lifestyle changes (Body mass index status, smoking, exercise, fluid intake) " in the intervention and control group after the study

  1 year

• Quality of life score

  Changes in the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score. The questionnaire includes questions such as the frequency of urinary incontinence, the amount of leakage, its impact on daily lifestyle, and in what situation the patient leaks urine. The score that can be obtained from the scale is distributed between 0-21. As the total score decreases, the quality of life increases.

  1 year

Study Arms (2)

Traditional lifestyle changes and kegel exercise recommended group

NO INTERVENTION

Patients with stress urinary incontinence will be given a brochure that will be prepared similar to the brochure given to the Intervention group.

Group administered to individual telemedicine

ACTIVE COMPARATOR

A brochure containing incontinence patient information will be prepared and given, web-based training will be implemented, and informative/reminder messages will be sent via short messages every day.

Other: Group administered to individual telemedicine

Interventions

Group administered to individual telemedicine OTHER

A brochure containing incontinence patient information will be prepared and given, web-based training will be implemented, and informative/reminder messages will be sent via short messages every day.

Also known as: Kegel and abdominal egsercises with telemedicine

Group administered to individual telemedicine

Eligibility Criteria

• Age: 20 Years - 65 Years
• Gender Eligibility Details: stress urinary incontinence is common in women than men
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• having symptoms of UI for at least the last 6 months,
• QUID stress score is ≥ 4,
• diagnosed with SUI as a result of the evaluation made by a specialist physician, have minimal skills in using new technologies
• Those who have the opportunity to access the web page to be prepared can participate in the research.

You may not qualify if:

• History of using medical therapy for UI,
• existing urinary infection,
• diabetes mellitus,
• nervous system disease (such as multiple sclerosis, cerebrovascular disease),
• psychiatric illness or dementia,
• genitourinary malignancy,
• having limited range of motion in the foot or pelvic region,
• pregnant

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead
• Eskisehir City Hospital: collaborator

Study Sites (2)

Eskisehir Osmangazi University Faculty of Medicine

Eskişehir, Tepebaşı, 26000, Turkey (Türkiye)

Location

Eskişehir Osmangazi Üniversitesi Tıp Fakültesi

Eskişehir, Turkey (Türkiye)

Location

Related Publications (2)

• Schroeder M, Plotner EA, Sharma S, Hunter K, Spector S, Lipetskaia L. A Randomized Controlled Trial of a Multimedia Patient Education Tool for Stress Versus Urgency Urinary Incontinence. Female Pelvic Med Reconstr Surg. 2021 Jul 1;27(7):403-408. doi: 10.1097/SPV.0000000000000946.

  PMID: 32925421 BACKGROUND

• Rygh P, Asklund I, Samuelsson E. Real-world effectiveness of app-based treatment for urinary incontinence: a cohort study. BMJ Open. 2021 Jan 4;11(1):e040819. doi: 10.1136/bmjopen-2020-040819.

  PMID: 33397664 BACKGROUND

MeSH Terms

Conditions

Urinary Incontinence, Stress

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Urinary Incontinence; 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)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: December 9, 2023
• First Posted: January 3, 2024
• Study Start: January 1, 2023
• Primary Completion: March 31, 2024
• Study Completion: July 30, 2024
• Last Updated: January 3, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)