WI-INTUIT: Bridging Community Based Continence Promotion and Primary Care

Medical College of Wisconsin

Status: Active, not recruiting

Conditions: Urinary Incontinence

Treatments: Other: Partnership Building; Behavioral: UI-Assist

Study type: Interventional

Funder types: Other; Other U.S. Federal agency; Industry

Identifiers

NCT05664451

PRO00042157 (Other Identifier)

1U18HS028738-01 (U.S. AHRQ Grant/Contract)

2021-1477

Details and patient eligibility

About

This project seeks to determine whether primary care practices that receive supplemental partnership building implement UI-Assist with higher fidelity than practices that receive streamlined practice facilitation alone.

Full description

This quality improvement research project is one of five across the country funded by the Agency for Healthcare Research and Quality (AHRQ) through the EvidenceNOW Managing Urinary Incontinence initiative titled: "Improving Nonsurgical Treatment of Urinary Incontinence among women in Primary Care." The purpose of this national initiative is to identify implementation strategies that best support primary care practices in delivering high quality care for urinary incontinence. Components of high-quality care including screening, diagnosing, and offering non-surgical first-line treatments for urinary incontinence in women, all of which already occur in primary care.

The WI-INTUIT quality improvement project compares two implementation strategies to implement UI-Assist, an intervention to support primary care practices in increasing their rates of screening, diagnosing, and treating urinary incontinence in their adult female patients: (1) streamlined practice facilitation (SPF) and (2) streamlined practice facilitation in combination with partnership building (SPF+PB).

Enrollment: 40 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

This is an organizational intervention. Outcomes will be evaluated at the population-level by facility.

Primary Care practices in Wisconsin serving female adults:

Inclusion Criteria:

• Patients must be 18 years or older and be assigned female at birth
• Practices must have and be willing to provide key data from electronic health records
• Practices willing to participate in partnership building activities (randomly allocated)
• Practices willing to work with a practice facilitator to implement UI-Assist in their practice

Exclusion Criteria:

• No additional exclusion criteria

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Streamlined Practice Facilitation (SPF) implementation of UI-Assist

Active Comparator group

Description:

Streamlined practice facilitation encompasses multiple well-established strategies from the Expert Recommendations for Implementing Change (ERIC) as field-tested in and updated after EvidenceNOW. To ensure the interventions and tools offered are consistent across practices, practice facilitators will receive training and support on UI-Assist, milestones, tracking tools for documenting changes made by sites, etc. according to a Practice Facilitation Training Manual and toolkit that will be built based on ones used for prior EvidenceNOW initiatives.

Treatment:

Behavioral: UI-Assist

Streamlined Practice Facilitation (SPF) + Partnership Building (PB) implementation of UI-Assist

Experimental group

Description:

In addition to streamlined practice facilitation, those practices allocated to Streamlined Practice Facilitation plus Partnership Building (SPF+PB) will have facilitation and configurable solutions that engage community resources and enable coalition building. In addition to a MetaStar practice facilitator, a partnership facilitator from the Wisconsin Institute for Healthy Aging (WIHA) will identify existing local community resources with which the practice may choose to partner.

Treatment:

Behavioral: UI-Assist

Other: Partnership Building