Migliorare l'assistenza alle donne con incontinenza urinaria (EMPOWER)
Empowering Women and Providers for Improved Care of Urinary Incontinence (UI) [Studio EMPOWER]
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Nello studio, i pazienti saranno sottoposti a screening negli uffici di assistenza primaria per i sintomi dell'incontinenza urinaria. Alle donne con risultati positivi allo screening verrà chiesto se sono interessate a partecipare a uno studio di implementazione in cui le donne verranno assegnate a uno dei tre seguenti gruppi:
- Cure abituali più opportunità educative per il paziente - L'incontinenza urinaria del paziente sarà gestita utilizzando il trattamento standard di cura dal fornitore di cure primarie del paziente. Ai pazienti verranno offerte opportunità educative sull'incontinenza urinaria.
- Navigazione infermiere - Insieme al trattamento descritto per "Assistenza abituale più opportunità educative per il paziente", un navigatore infermiere lavorerà con il paziente per implementare cambiamenti comportamentali e fornire opzioni educative e di terapia fisica. Inoltre, il navigatore sarà disponibile per rispondere tempestivamente alle domande del paziente e aiutare il paziente a muoversi nel percorso assistenziale.
- Navigazione infermiere e ChatBot - Insieme al trattamento descritto per "Assistenza abituale più opportunità educative per il paziente" e "Navigazione infermiere", questo gruppo includerà una funzione ChatBot che consentirà a un paziente di comunicare direttamente e privatamente con un ChatBot basato su intelligenza artificiale, noto anche come "agente conversazionale", che fornirà istruzione e aiuterà il paziente a navigare nel percorso di cura.
Tutti i partecipanti completeranno i questionari durante la loro iscrizione e i dati saranno raccolti dalle cartelle cliniche. Il team dello studio analizzerà i dati sei mesi dopo l'appuntamento/l'iscrizione allo studio originale, valuterà l'aderenza alla terapia e in che modo la terapia ha influito sui risultati che il team spera di migliorare, come il miglioramento dei sintomi. Lo studio sarà implementato in tre periodi di tempo successivi denominati Wave 1, Wave 2 e Wave 3 con le pratiche di assistenza primaria di due regioni geografiche coinvolte in ciascuna ondata (6 regioni in totale). I partecipanti a Wave 1 saranno seguiti per un totale di 18 mesi, mentre i partecipanti a Wave 2 saranno seguiti per un totale di 12 mesi e i partecipanti a Wave 3 saranno seguiti per 6 mesi. Agli operatori di cure primarie di tutti gli ambulatori partecipanti verranno offerte opportunità educative relative all'incontinenza urinaria.
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Ellen Divoky
- Numero di telefono: (216) 844-8092
- Email: Ellen.Divoky@UHhospitals.org
Backup dei contatti dello studio
- Nome: Elisar Khawam
- Numero di telefono: (216) 844-2493
- Email: Elisar.Khawam@UHhospitals.org
Luoghi di studio
-
-
Ohio
-
Cleveland, Ohio, Stati Uniti, 44106
- University Hospitals Cleveland Medical Center
-
-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Descrizione
Criterio di inclusione:
- Paziente di sesso femminile che riceve una visita da un fornitore di cure primarie presso gli ospedali universitari (UH) Cleveland Primary Care Institute (PCI)
- ≥ 18 anni
- Punteggio 1 o superiore nel questionario di consultazione internazionale sull'incontinenza-modulo breve sull'incontinenza urinaria (ICIQ-SF)
Criteri di esclusione:
Nessuno
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: Braccio 1
Educazione del paziente
|
Ai pazienti verranno fornite opportunità educative.
Altri nomi:
|
|
Sperimentale: Braccio 2
Educazione del paziente + Navigazione dell'infermiere
|
Ai pazienti verranno fornite opportunità educative.
Altri nomi:
Un navigatore infermiere lavorerà con i partecipanti per aiutarli a navigare nel percorso di cura.
Il navigatore fornirà istruzione e raccomandazioni per le opzioni di trattamento.
|
|
Sperimentale: Braccio 3
Educazione del paziente + Navigazione per gli infermieri + ChatBot
|
Ai pazienti verranno fornite opportunità educative.
Altri nomi:
Un navigatore infermiere lavorerà con i partecipanti per aiutarli a navigare nel percorso di cura.
Il navigatore fornirà istruzione e raccomandazioni per le opzioni di trattamento.
Un ChatBot consentirà ai partecipanti di comunicare direttamente e privatamente attraverso uno smartphone (o altro dispositivo) con un ChatBot basato sull'intelligenza artificiale, noto anche come "agente conversazionale", che fornirà educazione e incoraggiamento a gestire i loro sintomi.
Altri nomi:
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Change in Patients' UI Symptoms as Measured by International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)
Lasso di tempo: Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each wave
|
The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) assess frequency, severity and impact on quality of life (QoL) of patients' urinary incontinence symptoms.
The result of the ICIQ-UI SF is a composite score ranging from 0 to 21, with higher scores indicating more severe incontinence.
|
Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each wave
|
|
Patients' UI Symptoms as Measured by International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) assess frequency, severity and impact on quality of life (QoL) of patients' urinary incontinence symptoms.
The result of the ICIQ-UI SF is a composite score ranging from 0 to 21, with higher scores indicating more severe incontinence.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Patients' UI Symptoms as Measured by International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) assess frequency, severity and impact on quality of life (QoL) of patients' urinary incontinence symptoms.
The result of the ICIQ-UI SF is a composite score ranging from 0 to 21, with higher scores indicating more severe incontinence.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
|
Change in Patients' Perceived Self-efficacy for UI Communication as Measured by the PEPPI
Lasso di tempo: Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
Patients' perceived confidence in their ability to communicate their health concerns around UI will be assessed by the Patient-Perceived Self-Efficacy in Patient-Physician Interactions (PEPPI) Questionnaire modified for UI.
The PEPPI total score ranges from 0 to 50, with higher scores indicating greater self-efficacy.
|
Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
|
Patients' Perceived Self-efficacy for UI Communication as Measured by the PEPPI
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only lasted 6 months, not 12)
|
Patients' perceived confidence in their ability to communicate their health concerns around UI will be assessed by the Patient- Perceived Self-Efficacy in Patient-Physician Interactions (PEPPI) Questionnaire modified for UI.
The PEPPI total score ranges from 0 to 50, with higher scores indicating greater self-efficacy.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only lasted 6 months, not 12)
|
|
Patients' Perceived Self-efficacy for UI Communication as Measured by the PEPPI
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
Patients' perceived confidence in their ability to communicate their health concerns around UI will be assessed by the Patient- Perceived Self-Efficacy in Patient-Physician Interactions (PEPPI) Questionnaire modified for UI.
The PEPPI total score ranges from 0 to 50, with higher scores indicating greater self-efficacy.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
|
Patient Empowerment as Measured by Number of Participants That Answered Yes to Speaking With Their Provider About UI.
Lasso di tempo: Baseline (immediately prior to start of intervention) in all Waves
|
Patient empowerment will be measured by a patient survey to measure with percentage of patients answering yes to speaking with their provider about UI.
|
Baseline (immediately prior to start of intervention) in all Waves
|
|
Change in Overactive Bladder Symptom Severity as Measured by the OABSS
Lasso di tempo: Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
Patients' overactive bladder symptom severity will be assessed by the Overactive Bladder Symptom Score (OABSS).
The OABSS total score ranges from 0 to 15, with higher scores indicating more severe symptoms.
|
Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
|
Overactive Bladder Symptom Severity as Measured by the OABSS
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participant only last 6 months, not 12)
|
Patients' overactive bladder symptom severity will be assessed by the Overactive Bladder Symptom Score (OABSS).
The OABSS total score ranges from 0 to 15, with higher scores indicating more severe symptoms.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participant only last 6 months, not 12)
|
|
Overactive Bladder Symptom Severity as Measured by the OABSS
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 and 3 participants)
|
Overactive bladder symptom severity will be assessed by the Overactive Bladder Symptom Score (OABSS).
The OABSS total score ranges from 0 to 15, with higher scores indicating more severe symptoms.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 and 3 participants)
|
|
Change in Urinary Symptoms as Measured by the UDI-6
Lasso di tempo: Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
How bothersome a patient's urinary symptoms are will be assessed by the Urinary Distress Inventory (UDI-6).
The UDI-6 total score ranges from 0 to 100, with higher scores indicating more bothersome symptoms.
|
Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
|
Urinary Symptoms as Measured by the UDI-6
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only lasted 6 months, not 12)
|
How bothersome a patient's urinary symptoms are will be assessed by the Urinary Distress Inventory (UDI-6).
The UDI-6 total score ranges from 0 to 100, with higher scores indicating more bothersome symptoms.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only lasted 6 months, not 12)
|
|
Urinary Symptoms as Measured by the UDI-6
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
How bothersome a patient's urinary symptoms are will be assessed by the Urinary Distress Inventory (UDI-6).
The UDI-6 total score ranges from 0 to 100, with higher scores indicating more bothersome symptoms.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
|
Change in Impact of UI on Patients' Quality of Life as Measured by the ICIQ-LUTSqol
Lasso di tempo: Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
The impact of urinary incontinence on quality of life will be assessed by the Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSqol).
The ICIQ-LUTSqol total score ranges from 19 to 76, with higher scores indicating increased impact on quality of life.
|
Baseline (immediately prior to start of intervention) and Months 2 and 6 post start of intervention in each Wave
|
|
Impact of UI on Patients' Quality of Life as Measured by the ICIQ-LUTSqol
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
The impact of urinary incontinence on quality of life will be assessed by the Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSqol).
The ICIQ-LUTSqol total score ranges from 19 to 76, with higher scores indicating increased impact on quality of life.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
|
Impact of UI on Patients' Quality of Life as Measured by the ICIQ-LUTSqol
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
The impact of urinary incontinence on quality of life will be assessed by the Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSqol).
The ICIQ-LUTSqol total score ranges from 19 to 76, with higher scores indicating increased impact on quality of life.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
|
Change in Patients' Perceived Symptom Improvement as Measured by Number of Participants Who Chose 1-3 on the PGI-I Scale.
Lasso di tempo: Months 2 and 6 post start of intervention in each Wave
|
Patients' perceived improvement in UI symptoms will be assessed with the Patient Global Impression of Improvement (PGI-I).
PGI-I measures improvement on a scale of 1 "very much better" to 7 "very much worse."
Reported outcome measure is the number of participants that scored better (1, 2, or 3) at each time point.
For improvement it was calculated the number of participants who chose 1-3 only.
|
Months 2 and 6 post start of intervention in each Wave
|
|
Change in Patients' Perceived Symptom Improvement as Measured by Number of Participants Who Chose 1-3 on the PGI-I Scale.
Lasso di tempo: 12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
Patients' perceived improvement in UI symptoms will be assessed with the Patient Global Impression of Improvement (PGI-I).
PGI-I measures improvement on a scale of 1 "very much better" to 7 "very much worse."
Reported outcome measure is the number of participants that scored better (1, 2, or 3) at each time point.
For improvement it was calculated the number of participants who chose 1-3 only.
|
12 months post start of intervention in Waves 1 and 2 (no data collected for Wave 3 participants because participation only last 6 months, not 12)
|
|
Change in Patients' Perceived Symptom Improvement as Measured by Number of Participants Who Chose 1-3 on the PGI-I Scale.
Lasso di tempo: 18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
Patients' perceived improvement in UI symptoms will be assessed with the Patient Global Impression of Improvement (PGI-I).
PGI-I measures improvement on a scale of 1 "very much better" to 7 "very much worse."
Reported outcome measure is the number of participants that scored better (1, 2, or 3) at each time point.
For improvement it was calculated the number of participants who chose 1-3 only.
|
18 months post start of intervention in Wave 1 (no data collected for Wave 2 because participants only participated for 12 months, not 18. Also no data collected for wave 3 participants because they only participated for 6 months, not 18)
|
|
Number of Practices That Maintain a UI Management Intervention as Measured by the Practice Survey
Lasso di tempo: 1 month post completion of each Wave's enrollment period (7 months from beginning of screening period of each Wave)
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Maintenance of UI management intervention will be assessed by practice survey completed by participant at the practice with indication of continuation for each intervention component.
|
1 month post completion of each Wave's enrollment period (7 months from beginning of screening period of each Wave)
|
|
Number of Practices That Implement a UI Point Person as Measured by the Practice Survey
Lasso di tempo: 1 month post completion of each Wave's enrollment period (7 months from beginning of screening for each Wave)
|
Implementation of a UI point person will be measured as a percentage of sites answer yes on practice survey.
|
1 month post completion of each Wave's enrollment period (7 months from beginning of screening for each Wave)
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Goutham Rao, MD, University Hospitals Cleveland Medical Center
- Investigatore principale: Adonis Hijaz, MD, University Hospitals Cleveland Medical Center
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie urogenitali
- Malattie urogenitali maschili
- Malattie urologiche
- Malattie urogenitali femminili
- Malattie urogenitali femminili e complicanze della gravidanza
- Disturbi della minzione
- Sintomi del tratto urinario inferiore
- Manifestazioni urologiche
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Incontinenza urinaria
- Servizi sanitari
- Force di lavoro e servizi per le strutture sanitarie
- Servizi sanitari preventivi
- Fattori socioeconomici
- Caratteristiche della popolazione
- Educazione sanitaria
- Stato educativo
- Educazione al paziente come argomento
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- 20211420
- 5U18HS028742-03 (Sovvenzione/contratto AHRQ degli Stati Uniti)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .