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CompletedNCT00729144ABBIUpdated Jan 11, 2011

Adaptive Behaviors Among Women With Bowel Incontinence: The ABBI Trial

An observational study in Fecal Incontinence, sponsored by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Completed at 8 sites in United States. Open to female participants. Per ClinicalTrials.gov, last updated 2011-01-11.

Sponsored by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
133
Sex
Female
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Study summary

This study focuses on the validation of the Adaptation Index instrument as a measurement of adaptive behaviors used to reduce symptoms of FI and to describe the use of adaptive behaviors among women with FI.

Read the detailed description

It is common knowledge that women with pelvic floor dysfunction will develop, initiate and adopt behaviors which mitigate their symptoms or impairment. For some women, this involves wearing a pad and for others, knowledge of restroom locations. Little is known about the role of such behaviors in helping women adapt to urinary incontinence (UI), pelvic organ prolapse (POP), or fecal incontinence (FI). Additionally, there are no studies that address the persistence of these behaviors following treatment as measured by traditional outcomes. Results of a pilot study that assessed quality of life (QOL) in women with pelvic floor disorders (PFD) indicated that women relied heavily on behavioral adaptation in order to cope with PFD symptoms. Subsequently, a draft Adaptation Index was developed with input from investigators of the Pelvic Floor Disorders Network (PFDN). This measure was further refined by focus groups as part of the 1J06 protocol. The 1J06 study is investigating the properties of this tool in subjects with UI and POP. This study focuses on the validation of this instrument as a measurement of adaptive behaviors used to reduce symptoms of FI and to describe the use of adaptive behaviors among women with FI.

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Conditions studied

  • Fecal Incontinence

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Keywords

  • fecal incontinence
  • bowel incontinence
  • pelvic floor disorder
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In context

Fecal Incontinence

312 studies on the registry are indexed under Fecal Incontinence; 57 are open to participants now.

This study's enrollment of 133 is above the median of 100 across 79 observational studies indexed under Fecal Incontinence.

Browse Fecal Incontinence studies →

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) is the lead sponsor of 416 studies on the registry; 25 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 10 (77%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

women with a primary complaint of FI (with or without UI or POP) who are seeking treatment

Inclusion criteria

  • Primary complaint of FI with liquid, solid stool, or mucous incontinence, occurring at least monthly for 3 consecutive months. These women are planning to have treatment for FI.
  • Women with prior treatment, including surgery for their FI, UI, and/or POP may be included if they now have a primary complaint of FI as defined above and are planning to have additional or new treatment for FI.

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of interstitial cystitis, , bladder or colo-rectal malignancy or inflammatory bowel disease
  • Refusal or inability to provide written consent
  • Inability to complete telephone interviews conducted in English or Spanish
  • Prior pelvic irradiation
  • Incontinence only to flatus
  • Prior removal of any portion of the colon or rectum
  • Current or history of rectovaginal fistula(e)
  • Rectal prolapse
  • Neurologic disorders known to affect continence, including Multiple Sclerosis, Spinal Cord Injury, Debilitating Stroke, and Parkinson's Disease
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
133 participants (actual)
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What researchers measure

Primary outcomes

  1. Adaptation Index and domains

    Time frame: baseline, 2 wk, 3 mo, 12 mo

Secondary outcomes

  1. Fecal Incontinence Severity Index (FISI)

    Time frame: baseline, 2 wk, 3 mo, 12 mo

  2. Medical Outcome Study Short-Form (SF-12)

    Time frame: baseline, 3 mo, 12 mo

  3. Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ)

    Time frame: baseline, 3 mo, 12 mo

  4. Modified Manchester Health Questionnaire

    Time frame: baseline, 3 mo, 12 mo

  5. Patient Global Impression of Improvement (PGI-I)

    Time frame: 3 mo, 12 mo

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Study locations

8 sites
  • The University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
  • University of California, San Diego Medical Center
    La Jolla, California 92037, United States
  • Kaiser Permanente
    San Diego, California 92120, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Duke University
    Durham, North Carolina 27710, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
  • University of Utah
    Salt Lake City, Utah 84132, United States
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References and documents

Publications

  • Jelovsek JE, Chen Z, Markland AD, Brubaker L, Dyer KY, Meikle S, Rahn DD, Siddiqui NY, Tuteja A, Barber MD. Minimum important differences for scales assessing symptom severity and quality of life in patients with fecal incontinence. Female Pelvic Med Reconstr Surg. 2014 Nov-Dec;20(6):342-8. doi: 10.1097/SPV.0000000000000078. PubMed 25185630 ↗
  • Barber MD, Chen Z, Lukacz E, Markland A, Wai C, Brubaker L, Nygaard I, Weidner A, Janz NK, Spino C. Further validation of the short form versions of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ). Neurourol Urodyn. 2011 Apr;30(4):541-6. doi: 10.1002/nau.20934. Epub 2011 Feb 22. PubMed 21344495 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00729144
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborators
Office of Research on Women's Health (ORWH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
First posted
Aug 7, 2008
Start date
Jun 2008
Primary completion
Jul 2010
Completion
Jul 2010
Last update
Jan 11, 2011

Study contacts

Holly E Richter, PhD, MD
study chair · The University of Alabama at Birmingham
Alayne Markland, MD
study chair · The University of Alabama at Birmingham

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2010. You cannot join it, but the record below documents what was studied.

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