Improving care for women with urinary incontinence
A Practice-Based Intervention to Improve Care for a Diverse Population of Women with Urinary Incontinence
This study is testing a new way to improve care for women with urinary incontinence by helping doctors in primary care offices provide better treatment without needing to send patients to specialists.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1600 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of California, San Diego Academic / other |
| Locations | 4 sites (La Jolla, California and 3 other locations) |
| Trial ID | NCT05534412 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to enhance the quality of care for urinary incontinence (UI) in adult women by implementing a practice-based intervention among primary care providers. The intervention includes academic detailing, clinical decision support tools, and electronic referrals, with the goal of reducing the need for specialist care while improving patient outcomes. A cluster randomized controlled trial will be conducted across four Southern California medical groups, where 60 offices will be randomized to either receive the intervention or serve as a control group. The effectiveness of the intervention will be measured through compliance with established quality indicators and patient-reported outcomes.
Who should consider this trial
Good fit: Ideal candidates for this study are adult women over 18 years old who are fluent in English or Spanish and have screened positive for urinary incontinence.
Not a fit: Patients under 18 years old, those who do not agree to participate, or those who have seen a specialist for urinary incontinence in the past two years may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could lead to improved management of urinary incontinence for women, enhancing their quality of life and reducing unnecessary specialist visits.
How similar studies have performed: Other studies have shown success with similar practice-based interventions aimed at improving care quality, suggesting a promising approach for this trial.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria of Primary Care Physicians: * Primary care physician belonging to a recruited office among one of four participating sites: Cedars-Sinai, Harbor-UCLA, UCLA, UCSD Inclusion Criteria of Patients * Age \>18 y/o * English or Spanish fluency * Female * Answers "yes" to incontinence screening tool and agrees to participate Exclusion Criteria of Primary Care Physicians: * Non-primary care specialty * Does not belong to one of the participating offices Exclusion Criteria of Patients * Age \<18 y/o * Answers "no" to incontinence screening tool and/or does not agree to participate * Patient seen by a urinary incontinence specialist (urologist/urogynecologist) for urinary incontinence in the past two years * Primary care provider (who reviews a list of patients that screen positive) deems patient ineligible due to pregnant, severe memory impairment, or psychiatric history preventing participation
Where this trial is running
La Jolla, California and 3 other locations
- University of California, San Diego — La Jolla, California, United States (Recruiting)
- Cedars-Sinai — Los Angeles, California, United States (Recruiting)
- University of California, Los Angeles — Los Angeles, California, United States (Recruiting)
- Harbor-UCLA Medical Center — Torrance, California, United States (Recruiting)
Study contacts
- Study coordinator: Jennifer Anger, MD
- Email: janger@health.ucsd.edu
- Phone: 3108479299
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.