Remote Access to Urinary Incontinence Treatment for Women Veterans (PRACTICAL)
Urinary Incontinence
About this trial
This is an interventional treatment trial for Urinary Incontinence focused on measuring women's health, Veterans, telemedicine, urinary incontinence, overactive urinary bladder, urinary bladder diseases, stress urinary incontinence, urge urinary incontinence, health education
Eligibility Criteria
Inclusion Criteria:
- Women Veterans
- Urinary incontinence occurring at least monthly for 3 months
- Able to access daily internet via computer or mobile device
- Access to personal email for MyHealtheBladder and VA Video Connect visit initiation and reminder
Exclusion Criteria:
- Unstable medical conditions that could contribute to incontinence (e.g., recent major hospitalization, planned major surgery, conditions that affect urine volume - hemoglobin A1c of 9.0, chronic kidney disease with planned dialysis within 3 months, as assessed by PI or Site PI)
- Unstable psychiatric conditions (e.g., psychosis, suicidal, active alcohol/substance abuse based on history and medical records)
- Unstable housing situation
- Genitourinary cancer undergoing active treatment with chemotherapy or radiation
- Neurologic conditions known to contribute to incontinence (Multiple Sclerosis, Parkinson's Disease, TBI, Dementia, and Stroke Survivors with limited mobility)
- New treatments for incontinence started in the prior 3 months or planned during the 6-month study duration, includes medications and/or surgery
- Three months post-partum
Sites / Locations
- Birmingham VA Medical Center, Birmingham, AL
- Atlanta VA Medical and Rehab Center, Decatur, GA
- Durham VA Medical Center, Durham, NC
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
MyHealthebladder
VA Video Connect
Daily mobile health education with information on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage
Remote telehealth visits with continence care provider who will provide education on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage