Trial Outcomes & Findings for Slow Paced-Respiration Intervention to Reduce Incontinence Trial (SPIRIT) (NCT NCT01048424)

NCT ID: NCT01048424

Last Updated: 2013-11-21

Results Overview

The number of incontinence episodes per week was calculated only over a 1-week period before the 6-week visit. There were no other interim outcomes assessment timepoints.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

baseline to 6 weeks

Results posted on

2013-11-21

Participant Flow

Participant milestones

Participant milestones
Measure
Paced Respiration
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Usual Care
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Overall Study
STARTED
10
10
Overall Study
COMPLETED
8
10
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Slow Paced-Respiration Intervention to Reduce Incontinence Trial (SPIRIT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paced Respiration
n=10 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Usual Care
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Age Continuous
56.7 years
STANDARD_DEVIATION 10.9 • n=5 Participants
54.73 years
STANDARD_DEVIATION 16.8 • n=7 Participants
56 years
STANDARD_DEVIATION 15 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
10 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline to 6 weeks

The number of incontinence episodes per week was calculated only over a 1-week period before the 6-week visit. There were no other interim outcomes assessment timepoints.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Percent Change in Urgency Urinary Incontinence Episodes Per Week
-33 Percent Change
Standard Deviation 40
-6 Percent Change
Standard Deviation 50

SECONDARY outcome

Timeframe: Baseline to 6 weeks

The number of incontinence episodes per week was calculated only over a 1-week period before the 6-week visit. There were no other interim outcomes assessment timepoints.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Percent Change in Any Urinary Incontinence Episodes Per Week
-18 Percent Change
Standard Deviation 40
-2 Percent Change
Standard Deviation 40

SECONDARY outcome

Timeframe: Baseline to 6 weeks

The number of incontinence episodes per week was calculated only over a 1-week period before the 6-week visit. There were no other interim outcomes assessment timepoints.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Percent Change in Daytime Voiding Frequency.
-9 Percent Change
Standard Deviation 20
3 Percent Change
Standard Deviation 30

SECONDARY outcome

Timeframe: Baseline to 6 weeks

The Overactive Bladder Questionnaire (OAB-Q). 0- to 100-point scale. Higher scores on the OAB-Q indicate greater bothersomeness and impact of overactive bladder symptoms.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Overactive Bladder Symptoms
-.63 Score on a Scale
Standard Deviation 0.9
-.44 Score on a Scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Baseline to 6 weeks

Hospital Anxiety and Depression Scale. Anxiety Subscale range from 0 to 21, with scores of less than 8 indicative of absence of anxiety symptoms, 8 or above suggesting anxiety symptoms, and 12 or above suggesting generalized anxiety disorder.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Anxiety Symptoms
-.78 Score on a Scale
Standard Deviation 2.4
-.57 Score on a Scale
Standard Deviation 4.6

SECONDARY outcome

Timeframe: Baseline to 6 weeks

Beck Depression Inventory. Range of 0-63 (0-9 normal; 10-16 mild; 17-29 moderate; 30-63 severe).

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Depression Symptoms
-2.67 Score on a Scale
Standard Deviation 3.7
2.25 Score on a Scale
Standard Deviation 4.3

SECONDARY outcome

Timeframe: Baseline to 6 weeks

Cohen Perceived Stress Scale. Scores are scaled from 0 to 40, with higher scores indicated greater perceived stress.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Perceived Stress
-1.13 Score on a Scale
Standard Deviation 3.5
4.13 Score on a Scale
Standard Deviation 7.2

SECONDARY outcome

Timeframe: Baseline to 6 weeks

The Pittsburgh Sleep Quality Index. A global sleep quality score derived from the PSQI can be used to index overall quality of sleep over the prior one-week period. Global sleep quality scores are continuous (range 0-21), with high scores reflecting poor sleep quality.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Sleep Quality
-1.43 Score on a Scale
Standard Deviation 2.0
-.38 Score on a Scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Baseline to 6 weeks

Incontinence Impact Questionnaire. Scores on the overall IIQ range from 0 to 400, with higher scores indicating greater overall impact on quality of life.

Outcome measures

Outcome measures
Measure
Paced Respiration
n=8 Participants
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Control
n=10 Participants
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Change in Incontinence- or Bladder-specific Quality of Life
-.15 Score on a Scale
Standard Deviation 0.5
-.06 Score on a Scale
Standard Deviation 0.7

Adverse Events

Paced Respiration

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Usual Care

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Paced Respiration
n=8 participants at risk
Participants will be instructed to practice slow-paced respiration for 15 minutes a day using the RESPeRATE device, and will also be given a pamphlet containing general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Usual Care
n=10 participants at risk
Participants will be given a pamphlet including general information about urinary incontinence and behavioral strategies for managing incontinence symptoms.
Gastrointestinal disorders
Abdominal Pain
0.00%
0/8
12.5%
1/8 • Number of events 1
Infections and infestations
Cough
12.5%
1/8 • Number of events 1
25.0%
2/8 • Number of events 2
Nervous system disorders
Headache Issues
0.00%
0/8
12.5%
1/8 • Number of events 1
General disorders
Increased Fatigue Issues
12.5%
1/8 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Laryngitis
0.00%
0/8
37.5%
3/8 • Number of events 3
Nervous system disorders
Light-Headedness Issues
12.5%
1/8 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Lower Back Pain
0.00%
0/8
12.5%
1/8 • Number of events 1
Investigations
Rapid Heart Beat Issues
12.5%
1/8 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Skin Rash
0.00%
0/8
12.5%
1/8 • Number of events 1
General disorders
Swelling of both feet
0.00%
0/8
12.5%
1/8 • Number of events 1
Investigations
Urinary Tract Infection
12.5%
1/8 • Number of events 1
0.00%
0/8

Additional Information

Alison Huang, MD

University of California, San Francisco

Phone: 415-353-9751

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place