- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07171424
- Original Trial
Moving Beyond p-Values: MCID for OAB-V8 8 and ICIQ-SF in Patients With OAB
March 14, 2026 updated by: Zeynep Yıldız Kızkın, Artvin Coruh University
Moving Beyond p-Values: Minimal Clinically Important Difference for Overactive Bladder Questionnaire - Version 8 and International Consultation on Incontinence Questionnaire - Short Form in Patients With Overactive Bladder Syndrome
The goal of this study was to determine the Minimal Clinically Important Difference (MCID) for the Overactive Bladder Questionnaire-Version 8 (OAB-V8) and the International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF) in people with Overactive Bladder Syndrome (OAB).
Study Overview
Status
Enrolling by invitation
Conditions
Intervention / Treatment
Detailed Description
104 patients with OAB will receive common behavioral therapy and transcutaneous posterior tibial nerve stimulation (TPTNS) for 12 weeks.
OAB-related symptoms and quality of life (QoL) will be assessed with the OAB-V8 and ICIQ-SF baseline and post-intervention.
The receiver operating characteristic (ROC) analysis and the Gamma coefficient will be employed to determine sensitivity.
Study Type
Interventional
Enrollment (Estimated)
104
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Istanbul, Turkey (Türkiye)
- Prof. Dr. Cemil Taşcıoğlu City Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- individuals diagnosed with urge and mixed urinary incontinence symptoms or with OAB symptoms only (no history of urinary incontinence),
- women over 18 years of age.
Exclusion Criteria:
- patients who did not give consent to participate in the study,
- not understanding the instructions given by the researcher,
- pregnancy or planning a pregnancy in the near future,
- urinary tract infection or kidney stones,
- pelvic organ prolapse of grade II or higher,
- stress-type urinary incontinence,
- neurogenic bladder,
- use of a pacemaker,
- epilepsy,
- peripheral neuropathy.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Experimental: Behavioral therapy and transcutaneous posterior tibial nerve stimulation
Patients with OAB will receive behavioral therapy and TPTNS one day a week for 12 weeks as previously recommended.
|
Behavioral therapy included appropriate fluid intake, bladder training, habit training, pelvic floor muscle exercises (Kegel exercises), prompted voiding, and scheduled voiding.
TPTNS will be applied in a biphasic square waveform with a frequency of 20 Hz and 200 cycles/sec in 30-minute sessions.
The current intensity will be varied between 0.5-20 mA according to the patient's pain threshold.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overactive Bladder Questionnaire-Version 8 (OAB-V8)
Time Frame: Baseline
|
On this scale, which ranges from 0 to 40 points, higher scores are associated with greater symptom severity.
|
Baseline
|
|
Overactive Bladder Questionnaire-Version 8 (OAB-V8)
Time Frame: After the 12-week intervention
|
On this scale, which ranges from 0 to 40 points, higher scores are associated with greater symptom severity.
|
After the 12-week intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF)
Time Frame: Baseline
|
The total score of the scale ranges from 0 to 21, with higher scores indicating more severe symptoms.
It measures the frequency, severity, and impact of OAB through three main questions.
An additional open-ended question allows patients to describe their symptoms.
|
Baseline
|
|
International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF)
Time Frame: After the 12-week intervention
|
The total score of the scale ranges from 0 to 21, with higher scores indicating more severe symptoms.
It measures the frequency, severity, and impact of OAB through three main questions.
An additional open-ended question allows patients to describe their symptoms.
|
After the 12-week intervention
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Global Rating Change (GRC)
Time Frame: After the 12-week intervention
|
The GRC comprised seven responses, ranging from 1 to 5, indicating "very much better," "slightly better," "no change," "slightly worse," and "very much worse," respectively.
|
After the 12-week intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Zeynep Yıldız Kızkın, Artvin Çoruh University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30. doi: 10.1002/nau.20041.
- Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline Amendment 2019. J Urol. 2019 Sep;202(3):558-563. doi: 10.1097/JU.0000000000000309. Epub 2019 Aug 8.
- Ramirez-Garcia I, Blanco-Ratto L, Kauffmann S, Carralero-Martinez A, Sanchez E. Efficacy of transcutaneous stimulation of the posterior tibial nerve compared to percutaneous stimulation in idiopathic overactive bladder syndrome: Randomized control trial. Neurourol Urodyn. 2019 Jan;38(1):261-268. doi: 10.1002/nau.23843. Epub 2018 Oct 12.
- Coyne KS, Zyczynski T, Margolis MK, Elinoff V, Roberts RG. Validation of an overactive bladder awareness tool for use in primary care settings. Adv Ther. 2005 Jul-Aug;22(4):381-94. doi: 10.1007/BF02850085.
- Reynolds WS, Fowke J, Dmochowski R. The Burden of Overactive Bladder on US Public Health. Curr Bladder Dysfunct Rep. 2016 Mar;11(1):8-13. doi: 10.1007/s11884-016-0344-9. Epub 2016 Jan 23.
- Frawley H, Shelly B, Morin M, Bernard S, Bo K, Digesu GA, Dickinson T, Goonewardene S, McClurg D, Rahnama'i MS, Schizas A, Slieker-Ten Hove M, Takahashi S, Voelkl Guevara J. An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment. Neurourol Urodyn. 2021 Jun;40(5):1217-1260. doi: 10.1002/nau.24658. Epub 2021 Apr 12.
- Hu JS, Pierre EF. Urinary Incontinence in Women: Evaluation and Management. Am Fam Physician. 2019 Sep 15;100(6):339-348.
- Yang DY, Zhao LN, Qiu MX. Treatment for overactive bladder: A meta-analysis of transcutaneous tibial nerve stimulation versus percutaneous tibial nerve stimulation. Medicine (Baltimore). 2021 May 21;100(20):e25941. doi: 10.1097/MD.0000000000025941.
- Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000 May;53(5):459-68. doi: 10.1016/s0895-4356(99)00206-1.
- Greco NJ, Anderson AF, Mann BJ, Cole BJ, Farr J, Nissen CW, Irrgang JJ. Responsiveness of the International Knee Documentation Committee Subjective Knee Form in comparison to the Western Ontario and McMaster Universities Osteoarthritis Index, modified Cincinnati Knee Rating System, and Short Form 36 in patients with focal articular cartilage defects. Am J Sports Med. 2010 May;38(5):891-902. doi: 10.1177/0363546509354163. Epub 2009 Dec 31.
- Lehman LA, Velozo CA. Ability to detect change in patient function: responsiveness designs and methods of calculation. J Hand Ther. 2010 Oct-Dec;23(4):361-70; quiz 371. doi: 10.1016/j.jht.2010.05.003. Epub 2010 Jul 17.
- Chiengthong K, Bunyavejchevin S. Efficacy of Erbium YAG laser treatment in overactive bladder syndrome: a randomized controlled trial. Menopause. 2023 Apr 1;30(4):414-420. doi: 10.1097/GME.0000000000002159. Epub 2023 Feb 27.
- Abrams P, Smith AP, Cotterill N. The impact of urinary incontinence on health-related quality of life (HRQoL) in a real-world population of women aged 45-60 years: results from a survey in France, Germany, the UK and the USA. BJU Int. 2015 Jan;115(1):143-52. doi: 10.1111/bju.12852. Epub 2014 Aug 16.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2026
Primary Completion (Estimated)
May 30, 2026
Study Completion (Estimated)
June 30, 2026
Study Registration Dates
First Submitted
September 6, 2025
First Submitted That Met QC Criteria
September 6, 2025
First Posted (Actual)
September 12, 2025
Study Record Updates
Last Update Posted (Actual)
March 17, 2026
Last Update Submitted That Met QC Criteria
March 14, 2026
Last Verified
March 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urinary Bladder Diseases
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Incontinence
- Urinary Bladder, Overactive
- Psychotherapy
- Behavioral Disciplines and Activities
- Behavior Therapy
Other Study ID Numbers
- MCID-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Overactive Bladder Syndrome
-
Ankara Yildirim Beyazıt UniversityCompletedOveractive Bladder | Overactive Detrusor | Overactive Bladder SyndromeTurkey
-
Taipei Veterans General Hospital, TaiwanRecruitingOveractive Bladder SyndromeTaiwan
-
Buddhist Tzu Chi General HospitalUnknownOveractive Bladder SyndromeTaiwan
-
Radboud University Medical CenterWithdrawn
-
PfizerCompleted
-
PfizerCompletedOveractive Bladder SyndromeGermany
-
Hospital Italiano de Buenos AiresRecruitingOveractive Bladder SyndromeArgentina
-
Far Eastern Memorial HospitalRecruitingOveractive Bladder SyndromeTaiwan
-
Far Eastern Memorial HospitalRecruitingOveractive Bladder SyndromeTaiwan
-
Maastricht University Medical CenterUniversity Hospital, Antwerp; Zuyderland HospitalUnknownOveractive Bladder | Overactive Bladder SyndromeNetherlands
Clinical Trials on Behavioral therapy and transcutaneous posterior tibial nerve stimulation
-
London North West Healthcare NHS TrustUroplasty, IncUnknown
-
Boston Medical GroupCompleted
-
Glasgow Caledonian UniversityNational Institute for Health Research, United KingdomUnknownUrinary IncontinenceUnited Kingdom
-
Cairo UniversityDepartment of Andrology & STDs Kasr AlAiny Cairo UniversityCompletedPremature Ejaculation | Transcutaneous Electrical Nerve StimulationEgypt
-
Hospital de Clinicas de Porto AlegreUnknownOveractive Bladder | Urinary Urge IncontinenceBrazil
-
Istanbul Medipol University HospitalCompleted
-
Hadassah Medical OrganizationRecruitingConstipation | Constipation - FunctionalIsrael
-
Bakirkoy Dr. Sadi Konuk Research and Training HospitalRecruitingMultiple Sclerosis | Lower Urinary Tract SymptomsTurkey
-
Innovacion en Cirugía VigoRecruitingLow Anterior Resection Syndrome | Rectal Disorders | Low Anterior ResectionSpain
-
Hospital Universitari Vall d'Hebron Research InstituteInstituto de Salud Carlos IIICompletedColorectal SurgerySpain