Implementing a Mobile Health Application for Women Veterans With Urinary Incontinence: MyHealtheBladder in Function QUERI 3.0 (QUE 25-008)
VA Office of Research and Development
Summary
Implementing a Mobile Health Application for Women Veterans with Urinary Incontinence (MyHealtheBladder): Function QUERI 3.0 aims to compare implementation approaches while also gathering information on clinical effects of the Evidence-Based Program (EBP) in its new context and focusing on equitable reach (extent to which the program serves all members of its intended audience). The overall goal is to implement, evaluate, and sustain MyHealtheBladder in 20 VA facilities using a type III effectiveness-implementation hybrid study framework and parallel cluster randomized trial (CRT) design.
Description
Background/Purpose. Urinary incontinence (UI) is a highly prevalent condition among women, especially as they age, and can directly impair quality of life, daily function, and long-term independence. Evidence-based behavioral management approaches are first-line treatment for UI; these include treatments such as pelvic floor muscle training, fluid management, and bladder control and voiding strategies. Despite being prevalent and burdensome, UI is often unrecognized and undertreated. MyHealtheBladder (MHB) is an interactive mobile health application designed to deliver evidence-based behavior…
Eligibility
- Age range
- Not specified
- Sex
- Female
- Healthy volunteers
- No
Inclusion Criteria: Site Inclusion Criteria: * Facility is part of the U.S. Department of Veterans Affairs (VA) health system. * Clinic serves at least 100 Women Veterans annually. * Clinic is located 25 miles from the nearest other VA clinic participating in the program. * Identified site champion (e.g., clinician or staff member) who is willing to assume required program responsibilities for implementation. Patient Inclusion Criteria: * Women Veterans * Have any type of Urinary Incontinence existing for at least 3 months Exclusion Criteria: Site Exclusion Criteria: * Clinic has alread…
Interventions
- OtherImplementation Strategy: Foundational Arm
The Foundational Arm includes the following activities: Program sign up, toolkit, kickoff call, SharePoint, TEAMS channel, office hours calls, and site specific data reports.
- OtherImplementation Strategy: REACH Arm
The REACH Arm includes everything in the Foundational Arm, plus additional components: targeted data reports, a data dashboard, and external facilitation.
Location
- Durham VA Medical Center, Durham, NCDurham, North Carolina