Improving Primary Care Access to Urinary Incontinence Treatment for Women Veterans

Description

The PURSUIT project aims to improve access to evidence-based nonsurgical UI treatment for women Veterans in the Southeast region of the United States using the most effective remote delivery modality. Using cluster randomization, the study will compare two models at the practice level: (1) the use of a practice facilitation toolkit with a mHealth UI modality alone and (2) the practice facilitation toolkit with a mHealth UI model combined with education on clinical pathways for consultation. Patient level outcomes related to UI symptom improvement will be compared. Patient and provider perceptions of factors that could influence future remote UI treatment scalability will also be assessed. All primary care practices will receive practice facilitation with a PURSUIT toolkit that includes (1) 1-2 visits with a practice facilitator; (2) mobile-health or mHealth application training (MAT); 3) online resource hub; and (4) health information technology (HIT) assistance. PURSUIT's future goal is to disseminate the most effective modality for delivering nonsurgical UI treatment for women Veterans nationally within the VHA.

Conditions

Urinary Incontinence

Study Overview

Study Details

Study overview

The PURSUIT project aims to improve access to evidence-based nonsurgical UI treatment for women Veterans in the Southeast region of the United States using the most effective remote delivery modality. Using cluster randomization, the study will compare two models at the practice level: (1) the use of a practice facilitation toolkit with a mHealth UI modality alone and (2) the practice facilitation toolkit with a mHealth UI model combined with education on clinical pathways for consultation. Patient level outcomes related to UI symptom improvement will be compared. Patient and provider perceptions of factors that could influence future remote UI treatment scalability will also be assessed. All primary care practices will receive practice facilitation with a PURSUIT toolkit that includes (1) 1-2 visits with a practice facilitator; (2) mobile-health or mHealth application training (MAT); 3) online resource hub; and (4) health information technology (HIT) assistance. PURSUIT's future goal is to disseminate the most effective modality for delivering nonsurgical UI treatment for women Veterans nationally within the VHA.

Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment

Improving Primary Care Access to Urinary Incontinence Treatment for Women Veterans

Condition
Urinary Incontinence
Intervention / Treatment

-

Contacts and Locations

Birmingham

Birmingham VA Healthcare System, Birmingham, Alabama, United States, 35233

Decatur

Atlanta VA Health Care System, Decatur, Georgia, United States, 30033

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Veteran
  • * English-speaking, community-dwelling women Veterans
  • * Diagnosis of UI (all types)
  • * Access to the internet via a mobile device or computer
  • * Women Veterans who are currently pregnant or less than 12 weeks postpartum

Ages Eligible for Study

20 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Alabama at Birmingham,

Alayne D Markland, DO, MSc, PRINCIPAL_INVESTIGATOR, UNIVERSITY OF ALABAMA AT BIRMINGHAM, BIRMINGHAM , AL

Study Record Dates

2025-12