Effects of a Multimodal and Multidimensional Intervention on Urinary Incontinence in Young Nulliparous Female Athletes. (PELVICATHLE)
Effects of a Multimodal and Multidimensional Intervention on Urinary Incontinence in Young Nulliparous Female Athletes. Single-Center Randomized Controlled Stepped-Wedge Trial
A prevalence of urinary incontinence ranging from 5.7% to 80% has been observed in young nulliparous athletes during their activity.
The usual recommendations for managing adult women do not seem to be transferable.
Young nulliparous athletes need specific educational and behavioral interventions and an alternative to pelvic floor muscle strengthening.
A multimodal and multidimensional intervention for athletes and coaches combining specific pelvic health education and strengthening of lumbopelvic-abdominal stability appears to be an innovative and optimal solution for reducing the symptoms of urinary incontinence in young nulliparous women who participate in athletics.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Pascal EDOUARD, PHD
- Telefonnummer: +33 (0)477127985
- E-mail: pascal.edouard@univ-st-etienne.fr
Undersøgelse Kontakt Backup
- Navn: Céline PEURIERE, CDP
- Telefonnummer: +33 (0)477120285
- E-mail: Celine.Peuriere@chu-st-etienne.fr
Studiesteder
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Saint-Etienne, Frankrig, 42055
- CHU de Saint-Etienne
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Ledende efterforsker:
- Pascal EDOUARD, PHD
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Kontakt:
- Pascal EDOUARD, PHD
- Telefonnummer: +33 (0)477127985
- E-mail: pascal.edouard@univ-st-etienne.fr
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria :
- Female subject, nulliparous
- Member of an athletics club affiliated with the French Athletics Federation (FFA)
- At least 15 years old at the start of the study and belonging to the U16/U18/U20/U23 categories (born between January 1, 2005, and September 1, 2011)
- Having internet access
- Having access to a digital device (computer, tablet, mobile phone)
- Affiliated with or covered by a social security scheme
- Having freely given their express consent, as well as the express consent of both parents for minor participants
Exclusion Criteria :
- Any individual deprived of their liberty or subject to legal protection (guardianship, curatorship, or protective supervision).
- A pregnant woman, a woman who has been pregnant, or a woman planning a pregnancy within the last nine months.
- Any individual unable to understand the purpose and conditions of the study.
- Any individual unable to give their consent.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Aktiv komparator: Control condition
Usual activities
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Collection of data on routine activities
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Eksperimentel: Interventional condition
Combined pelvic health education and lumbar-pelvic-abdominal stability strengthening program.
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The intervention will consist of participants: i) reviewing educational content (8 educational videos online) ii) participating in two in-person sessions at the athletics club and performing lumbar-pelvic-abdominal stability exercises iii) learning and implementing recommendations for empowering themselves in pelvic health management. iv) complete reports in 6 questionnaires during follow-up. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Urinary incontinence symptoms
Tidsramme: Week 1, 7, 13, 19, 25, 31
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Severity of urinary incontinence symptoms as measured by the ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire - Short Form for Urinary Incontinence).
Scores typically range from 0 to 21.
The higher the score, the more severe the urinary incontinence.
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Week 1, 7, 13, 19, 25, 31
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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The program's effects on the prevalence of urinary incontinence
Tidsramme: Week 1, 7, 13, 19, 25, 31
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The program's effects on the prevalence of urinary incontinence will be measured using the ICIQ-UI-SF questionnaire, with a dichotomous interpretation of the score: 0 = continent, ≥1 = incontinent.
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Week 1, 7, 13, 19, 25, 31
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Effects of the intervention on athletes' knowledge of the pelvic-perineal region
Tidsramme: Week 1, 31
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A questionnaire we have developed will measure the effects of the intervention on athletes' knowledge of the pelvic and perineal region.
It will consist of 10 questions.
This outcome will be assessed by comparing the mean number of correct answers (on a scale of 0 to 10) within and between groups.
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Week 1, 31
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The program's effects on associated pelvic and perineal symptoms
Tidsramme: Week 1, 31
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The ODS-S questionnaires measure associated pelvic and perineal symptoms.
This criterion will be assessed by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
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Week 1, 31
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The program's effects on urinary dysfunction.
Tidsramme: Week 1, 31
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Section C of the LURN-SI29 questionnaire, which assesses urinary dysfunction.
This criterion will be evaluated by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
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Week 1, 31
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Number of educational contents viewed
Tidsramme: Week 13, 19, 25
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Measured by tracking content views at the end of the session.
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Week 13, 19, 25
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Practicing lower back, pelvic, and abdominal stability exercises
Tidsramme: Week 1, 7, 13, 19, 25, 31
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Measured by collecting the frequency of implementation.
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Week 1, 7, 13, 19, 25, 31
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The dose-response effect related to adherence
Tidsramme: Week 1, 7, 13, 19, 25, 31
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Assessed by measuring the effects on the ICIQ-UI-SF score based on the frequency of exercise implementation.
Scores typically range from 0 to 21.
The higher the score, the more severe the urinary incontinence.
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Week 1, 7, 13, 19, 25, 31
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Program satisfaction
Tidsramme: Week 31
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Assessed using a questionnaire.
This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10).
A score of "10" indicates high satisfaction and a strong recommendation.
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Week 31
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Trends in Top Athletic Performance
Tidsramme: Week 1, 7, 13, 19, 25, 31
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Measured by the best performance (time/distance) in the most common track and field event. Time is measured in seconds and minutes. Distance is measured in meters. |
Week 1, 7, 13, 19, 25, 31
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Number of educational contents viewed by coaches
Tidsramme: Week 13, 19, 25
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Measured by tracking content views at the end of the session
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Week 13, 19, 25
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Coaches' level of knowledge regarding the pelvic-perineal region
Tidsramme: Week 1, 31
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Assessed using a 10-question questionnaire.
This criterion will be expressed through an intra-group and inter-group comparison of the average number of correct answers (on a scale of 0 to 10).
|
Week 1, 31
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Practicing lumbar-pelvic-abdominal stability exercises
Tidsramme: Week 1, 7, 13, 19, 25, 31
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Measured by collecting the frequency as specified in a questionnaire
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Week 1, 7, 13, 19, 25, 31
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Coaches' satisfaction with the program
Tidsramme: Week 31
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Assessed using a questionnaire.
This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10).
A score of "10" indicates high satisfaction and a strong recommendation.
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Week 31
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Pascal EDOUARD, PHD, CHU de Saint-Etienne
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Mandlige urogenitale sygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Vandladningsforstyrrelser
- Nedre urinvejssymptomer
- Urologiske manifestationer
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Ufrivillig vandladning
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 26CH163
- ANSM (Anden identifikator: 2024-A02435-42)
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