Defeating Urinary Incontinence With Exercise Training (DUET) Feasibility Study

University of Minnesota (UMN)

Status: Completed

Conditions: Toileting Disability; Functional Urinary Incontinence

Treatments: Behavioral: Defeating Urinary Incontinence with Exercise Training

Study type: Interventional

Funder types: Other

Identifiers

NCT02206958

1112S07944

Details and patient eligibility

About

Pilot study to determine the feasibility and possible treatment effect of a multi-component intervention combining non-drug treatments for urinary incontinence and physical activity to improve urinary incontinence, toileting skills, physical function, and quality of life in frail older women without dementia living in senior housing facilities.

Full description

This was a single blinded, two-arm pilot randomized controlled trial designed to test the feasibility and potential treatment effects of a multi-component intervention that combined behavioral urinary incontinence treatments with physical activity to improve urinary incontinence, toileting skills, quality of life, and physical function in frail older women without dementia living in senior apartment buildings.The intervention included a 12-week program of tailored behavioral UI treatments delivered by a nurse practitioner during 4 home visits, 150 minutes of weekly walking, and twice weekly strength training classes.

Enrollment: 42 patients

Sex: Female

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female
• Age 60 years or older
• Have urinary incontinence
• Not currently meeting national recommendations for physical activity (150 minutes of weekly moderate intensity aerobic exercise and twice weekly strength building exercise.
• At risk for functional decline per the Vulnerable Elders Survey (score of 3+)
• Free of dementia (pass mini-cog screening)

Exclusion criteria

• Cognitive impairment
• Grade 4 vaginal prolapse or pessary use
• Orthopedic surgery in past year
• Urinary retention (catheter use)
• Neurological cause for urinary incontinence (i.e. Parkinson's Disease, MS)
• Bladder cancer
• Bladder or incontinence surgery in past year
• Recipient of hospice or palliative care
• Ostomy
• New prescription or dosage change in past three months for anti-incontinence medication

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

No treatment control group

Other group

Description:

No treatment control group

Treatment:

Behavioral: Defeating Urinary Incontinence with Exercise Training

Behavioral Urinary Incontinence Treatment

Experimental group

Description:

12 week program combining behavioral treatments for urinary incontinence and physical activity

Treatment:

Behavioral: Defeating Urinary Incontinence with Exercise Training