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Goode PS, Johnson TM, Newman DK, Vaughan CP, Echt KV, Markland AD, Kennedy R, Van Arsdalen KN, Rais-Bahrami S, Issa MM, Barnacastle S, Wright KC, McCabe P, Malone MP, Redden DT, Burgio KL. Perioperative Mobile Telehealth Program for Post-Prostatectomy Incontinence: A Randomized Clinical Trial. J Urol 2022; 208:379-387. [DOI: 10.1097/ju.0000000000002697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Patricia S. Goode
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Theodore M. Johnson
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- Emory University School of Medicine, Atlanta, Georgia
| | - Diane K. Newman
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania
- Corporal Michael J. Crescenz VA Medical Center, Department of Veterans Affairs, Philadelphia, Pennsylvania
| | - Camille P. Vaughan
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- Emory University School of Medicine, Atlanta, Georgia
| | - Katharina V. Echt
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
- Emory University School of Medicine, Atlanta, Georgia
| | - Alayne D. Markland
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Richard Kennedy
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Keith N. Van Arsdalen
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania
- Corporal Michael J. Crescenz VA Medical Center, Department of Veterans Affairs, Philadelphia, Pennsylvania
| | - Soroush Rais-Bahrami
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Muta M. Issa
- Emory University School of Medicine, Atlanta, Georgia
- Department of Veterans Affairs, Atlanta, Georgia
| | - Susan Barnacastle
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Kate Clark Wright
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | | | - Matthew P. Malone
- The University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, Arkansas
| | - David T. Redden
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
| | - Kathryn L. Burgio
- Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia
- University of Alabama at Birmingham, Birmingham, Alabama
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Goode PS, Markland AD, Echt KV, Slay L, Barnacastle S, Hale G, Wright MK, Lane TR, Burgio KL. A mobile telehealth program for behavioral treatment of urinary incontinence in women veterans: Development and pilot evaluation of MyHealtheBladder. Neurourol Urodyn 2019; 39:432-439. [PMID: 31774200 DOI: 10.1002/nau.24226] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 11/05/2019] [Indexed: 12/31/2022]
Abstract
AIM To develop and pilot test an interactive mobile telehealth program (mHealth) for behavioral treatment of women veterans with urinary incontinence (UI). METHODS We developed an evidence-based 8-week behavioral mHealth program, MyHealtheBladder, with input from women veterans, behavioral medicine and health education experts, and clinical providers treating UI in the VA system. The program was story-based and included pelvic floor muscle exercises, bladder control strategies, fluid management, risk factor reduction, and self-monitoring. Participants were women veterans seeking outpatient treatment for UI occurring at least twice weekly. The primary efficacy estimate was the change in UI frequency, volume and impact on the quality of life as measured by the validated International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF; range: 0-21, 2.5 points for minimal clinically important difference [MCID]). RESULTS We enrolled 29 women veterans (ages 29-77 years; mean = 54.4 ± 10.4), including 15 (52%) African-American women, 13 (45%) women with high school education, and 16 (55%) with a college degree. Twenty of 29 women (69%) completed all 8 weeks of the intervention with a 97% adherence rate to the daily sessions among completers. We found reductions in ICIQ-SF scores from a mean 12.6 ± 3.9 at baseline to 10.4 ± 4.11 at 5 weeks, to 8.7 ± 4.0 at the end of the 8-week intervention. CONCLUSIONS Women veterans using an 8-week behavioral mHealth program for the treatment of UI had symptom improvements that exceeded the MCID for the ICIQ-SF. Our next step involves comparing the effectiveness of MyHealtheBladder to usual care in a larger clinical trial.
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Affiliation(s)
- Patricia S Goode
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Alayne D Markland
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Katharina V Echt
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.,Department of Medicine, Emory University, Atlanta, Georgia
| | - Laurie Slay
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Susan Barnacastle
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Galen Hale
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - M Kate Wright
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - T Renea Lane
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama
| | - Kathryn L Burgio
- Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham, Alabama.,Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama
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