Improving Care for Women With Urinary Incontinence (EMPOWER)

NCT ID: NCT05515198

Last Updated: 2025-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-06

Study Completion Date

2024-12-23

Brief Summary

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The overall goal is to improve diagnosis and non-operative management of urinary incontinence in women.

Detailed Description

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In the study, patients will be screened in primary care offices for symptoms of urinary incontinence. Women with positive screening results will be asked if they are interested in participating in an implementation study where women will be assigned to one of the three following groups:

1. Usual Care plus Patient Educational Opportunities - The patient's urinary incontinence will be managed using standard of care treatment by the patient's primary care provider. Patients will be offered educational opportunities about urinary incontinence.
2. Nurse Navigation - Along with the treatment described for "Usual Care plus Patient Educational Opportunities," a nurse navigator will work with the patient to implement behavioral changes and provide education and physical therapy options. In addition, the navigator will be available to answer the patient's questions in a timely fashion and help the patient move through the care pathway.
3. Nurse Navigation and ChatBot - Along with the treatment described for "Usual Care plus Patient Educational Opportunities" and "Nurse Navigation," this group will include a ChatBot feature which will allow a patient to directly and privately communicate with an artificial intelligence-driven ChatBot, also known as a "conversational agent," that will provide education and help the patient navigate the care pathway.

All participants will complete questionnaires throughout their enrollment and data will be collected from medical records. The study team will analyze the data at six months after the original appointment/study enrollment, assess adherence to therapy and how the therapy impacted the outcomes the team hopes to improve, such as improvement in symptoms. The study will be implemented over three subsequent time periods called Wave 1, Wave 2 and Wave 3 with primary care practices from two geographic regions being involved in each wave (6 regions total). Participants in Wave 1 will be followed for a total of 18 months, while participants in Wave 2 will be followed for a total of 12 months, and participants in Wave 3 will be followed for 6 months. Primary care providers at all participating practices will be offered educational opportunities related to urinary incontinence.

Conditions

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Urinary Incontinence

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1

Patient Education

Group Type EXPERIMENTAL

Patient Education

Intervention Type OTHER

Patients will be provided educational opportunities.

Arm 2

Patient Education + Nurse Navigation

Group Type EXPERIMENTAL

Patient Education

Intervention Type OTHER

Patients will be provided educational opportunities.

Nurse Navigation

Intervention Type OTHER

A nurse navigator will work with the participants to help them navigate the care pathway. The navigator will provide education and recommendations for treatment options.

Arm 3

Patient Education + Nurse Navigation + ChatBot

Group Type EXPERIMENTAL

Patient Education

Intervention Type OTHER

Patients will be provided educational opportunities.

Nurse Navigation

Intervention Type OTHER

A nurse navigator will work with the participants to help them navigate the care pathway. The navigator will provide education and recommendations for treatment options.

ChatBot

Intervention Type OTHER

A ChatBot will allow participants to directly and privately communicate through a smartphone (or other device) with an artificial intelligence-driven ChatBot, also known as a "conversational agent," that will provide education and encouragement to manage their symptoms.

Interventions

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Patient Education

Patients will be provided educational opportunities.

Intervention Type OTHER

Nurse Navigation

A nurse navigator will work with the participants to help them navigate the care pathway. The navigator will provide education and recommendations for treatment options.

Intervention Type OTHER

ChatBot

A ChatBot will allow participants to directly and privately communicate through a smartphone (or other device) with an artificial intelligence-driven ChatBot, also known as a "conversational agent," that will provide education and encouragement to manage their symptoms.

Intervention Type OTHER

Other Intervention Names

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Education Behavioral/exercise via chatbot

Eligibility Criteria

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Inclusion Criteria

1. Female patient having a primary care provider visit at University Hospitals (UH) Cleveland Primary Care Institute (PCI)
2. ≥ 18 years old
3. Scores 1 or higher on the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF)

Exclusion Criteria

None
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals Cleveland Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Adonis Hijaz, MD

Vice Chair of Academics and Research for the Urology Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adonis Hijaz, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center

Goutham Rao, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center

Locations

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University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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20211420

Identifier Type: -

Identifier Source: org_study_id

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