The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale
Abstract Background Urgency urinary incontinence (UUI), a risk factor for falls, affects 40% of women over the age of 70 years. Multicomponent interventions have the potential to decrease the risk of falls and urinary symptoms in women. We previously designed and conducted a pilot study of a multico...
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BMC
2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05552-7 |
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| author | Uduak U. Andy Diane K. Newman Jean F. Wyman Heather Klusaritz Wendy Walsh Haochang Shou Nathanael Koepler Kathryn H. Schmitz Simone Reaves Lily Arya Rebecca T. Brown |
| author_facet | Uduak U. Andy Diane K. Newman Jean F. Wyman Heather Klusaritz Wendy Walsh Haochang Shou Nathanael Koepler Kathryn H. Schmitz Simone Reaves Lily Arya Rebecca T. Brown |
| author_sort | Uduak U. Andy |
| collection | DOAJ |
| description | Abstract Background Urgency urinary incontinence (UUI), a risk factor for falls, affects 40% of women over the age of 70 years. Multicomponent interventions have the potential to decrease the risk of falls and urinary symptoms in women. We previously designed and conducted a pilot study of a multicomponent, theory-driven intervention in women with UUI. The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) Trial will assess the efficacy of this intervention to decrease falls and urinary incontinence in community-dwelling older women. Methods In the MoVEonUp Trial, 314 women ages ≥ 70 years with UUI will be randomized to the intervention group or an attention control group. Women randomized to the intervention will participate in a home-based multicomponent program consisting of strength and balance training, bladder training with urge suppression strategies, and a home hazard assessment by an occupational therapist. Women in the control group will receive an educational booklet on falls prevention and behavioral treatment for urinary incontinence. Outcomes of falls, urinary incontinence, physical function, functional limitations, and mobility will be measured at 3, 6, 9, and 12 months. Discussion This study will determine if a home-based multicomponent program reduces the risk of falls and improves incontinence among older women with UUI. If the intervention is efficacious, it will help address the critical need to reduce falls in this population via an intervention that can be implemented in the home setting. Clinical trial registration NCT05375344 |
| format | Article |
| id | doaj-art-aa141638bbc04a928841d90b8c0e3c22 |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-aa141638bbc04a928841d90b8c0e3c222024-12-08T12:45:37ZengBMCBMC Geriatrics1471-23182024-12-0124111210.1186/s12877-024-05552-7The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationaleUduak U. Andy0Diane K. Newman1Jean F. Wyman2Heather Klusaritz3Wendy Walsh4Haochang Shou5Nathanael Koepler6Kathryn H. Schmitz7Simone Reaves8Lily Arya9Rebecca T. Brown10Department of Obstetrics and Gynecology, University of PennsylvaniaDepartment of Surgery, University of PennsylvaniaSchool of Nursing, University of MinnesotaDepartment of Family Medicine and Community Health, University of PennsylvaniaDepartment of Occupational Therapy, Saint Joseph’s UniversityDepartment of Biostatistics, Epidemiology and Informatics, University of PennsylvaniaDepartment of Obstetrics and Gynecology, University of PennsylvaniaDepartment of Medicine, University of PittsburghDepartment of Obstetrics and Gynecology, University of PennsylvaniaDepartment of Obstetrics and Gynecology, University of PennsylvaniaDivision of Geriatric Medicine, University of PennsylvaniaAbstract Background Urgency urinary incontinence (UUI), a risk factor for falls, affects 40% of women over the age of 70 years. Multicomponent interventions have the potential to decrease the risk of falls and urinary symptoms in women. We previously designed and conducted a pilot study of a multicomponent, theory-driven intervention in women with UUI. The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) Trial will assess the efficacy of this intervention to decrease falls and urinary incontinence in community-dwelling older women. Methods In the MoVEonUp Trial, 314 women ages ≥ 70 years with UUI will be randomized to the intervention group or an attention control group. Women randomized to the intervention will participate in a home-based multicomponent program consisting of strength and balance training, bladder training with urge suppression strategies, and a home hazard assessment by an occupational therapist. Women in the control group will receive an educational booklet on falls prevention and behavioral treatment for urinary incontinence. Outcomes of falls, urinary incontinence, physical function, functional limitations, and mobility will be measured at 3, 6, 9, and 12 months. Discussion This study will determine if a home-based multicomponent program reduces the risk of falls and improves incontinence among older women with UUI. If the intervention is efficacious, it will help address the critical need to reduce falls in this population via an intervention that can be implemented in the home setting. Clinical trial registration NCT05375344https://doi.org/10.1186/s12877-024-05552-7FallsFall preventionMulticomponent intervention |
| spellingShingle | Uduak U. Andy Diane K. Newman Jean F. Wyman Heather Klusaritz Wendy Walsh Haochang Shou Nathanael Koepler Kathryn H. Schmitz Simone Reaves Lily Arya Rebecca T. Brown The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale BMC Geriatrics Falls Fall prevention Multicomponent intervention |
| title | The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale |
| title_full | The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale |
| title_fullStr | The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale |
| title_full_unstemmed | The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale |
| title_short | The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial: study protocol and rationale |
| title_sort | mobility and voiding exercises in older women with urinary incontinence moveonup randomized controlled trial study protocol and rationale |
| topic | Falls Fall prevention Multicomponent intervention |
| url | https://doi.org/10.1186/s12877-024-05552-7 |
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