ClinicalTrials.gg
CompletedNCT04237753PRACTICALUpdated Jul 30, 2025

Remote Access to Urinary Incontinence Treatment for Women Veterans

An interventional study of VA Video Connect and MyHealtheBladder in Urinary Incontinence, sponsored by VA Office of Research and Development. Completed at 3 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-30.

Sponsored by VA Office of Research and Development · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
286
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

This study is about assessing the helpfulness of two treatment delivery methods for bladder leakage or urinary incontinence. It is being funded by the Department of Veterans Affairs. By doing this study, the investigators hope to learn which treatment method is the most helpful remote delivery method for treating bladder leakage. The total participation time in this research is 6 months. During the first 8 -12 weeks of the study, you will receive standard of care from an online educational program (MyHealtheBladder) or a video visit with a provider through VA Video Connect. You will be selected by chance to receive MyHealtheBladder or VA Video Connect. About half-way through the study, the investigators will ask you about your bladder symptoms. If your bladder symptoms are not better, you will be selected by chance to continue the previous treatment or receive an initial or booster video session with a provider. Throughout the study, you will be asked to answer questions related to your health, bladder leakage, costs due to bladder leakage, and track your behavioral training.

Read the detailed description

This study represents a unique opportunity to improve access to treatments for urine leakage for women Veterans. This research study will examine the effects of two mobile health technologies on improving bladder symptoms, as part of a randomized clinical trial. The study includes 260 women Veterans recruited from 3 sites: the Birmingham VAMC, the Atlanta VAHCS, and the Durham VAMC (86 per site). Women will receive first-line treatments for urine leakage through randomization to one of two delivery methods for direct treatment: (1) a web-based mobile health application that delivers content daily for 8 weeks compared to (2) a single video session delivered by VA Video Connect. At 8-weeks, women who do not have improved symptoms will have the ability to continue the treatment or receive an initial or booster video session. The investigators will measure bladder symptoms (3 questions by self-report over the phone or via survey) at baseline, 8-weeks, 12-weeks, and 6-months. Additionally, the investigators will interview 54 women Veterans and 12 providers to learn about their experiences with the technologies using 1:1 telephone interviews at 12-weeks. The findings from this study will inform the best technology to improve access for bladder leakage among women Veterans across a wider array of VHA facilities.

02

Conditions studied

  • Urinary Incontinence

Keywords

  • women's health
  • Veterans
  • telemedicine
  • urinary incontinence
  • overactive urinary bladder
  • urinary bladder diseases
  • stress urinary incontinence
  • urge urinary incontinence
  • health education
03

In context

Urinary Incontinence

983 studies on the registry are indexed under Urinary Incontinence; 180 are open to participants now.

This study's enrollment of 286 is above the median of 66 across 739 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

VA Office of Research and Development is the lead sponsor of 1,771 studies on the registry; 392 are open to participants now.

Of its 213 completed or terminated interventional studies of FDA-regulated products, 185 (87%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women Veterans
  • Urinary incontinence occurring at least monthly for 3 months
  • Able to access daily internet via computer or mobile device
  • Access to personal email for MyHealtheBladder and VA Video Connect visit initiation and reminder

Exclusion criteria

Exclusion Criteria:

  • Unstable medical conditions that could contribute to incontinence (e.g., recent major hospitalization, planned major surgery, conditions that affect urine volume - of 9.0, chronic kidney disease with planned dialysis within 3 months, as assessed by PI or Site PI)
  • Unstable psychiatric conditions (e.g., psychosis, suicidal, active alcohol/substance abuse based on history and medical records)
  • Unstable housing situation
  • Genitourinary cancer undergoing active treatment with chemotherapy or radiation
  • Neurologic conditions known to contribute to incontinence (Multiple Sclerosis, Parkinson's Disease, TBI, Dementia, and Stroke Survivors with limited mobility)
  • New treatments for incontinence started in the prior 3 months or planned during the 6-month study duration, includes medications and/or surgery
  • Three months post-partum
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
286 participants (actual)

Study arms

  • Active comparator
    MyHealthebladder

    Daily mobile health education with information on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage

    Behavioral: MyHealtheBladder

  • Active comparator
    VA Video Connect

    Remote telehealth visits with continence care provider who will provide education on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage

    Behavioral: VA Video Connect

Interventions

  • BehavioralVA Video Connect

    Remote telehealth visits with continence care provider who will provide education on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage

    Also known as: Telehealth visit with Continence Provider

  • BehavioralMyHealtheBladder

    Daily mobile health education with information on bladder anatomy and function, pelvic floor muscle exercises with behavioral strategies, and self-monitoring tools for urine leakage

    Also known as: Mobile health bladder education

06

What researchers measure

Primary outcomes

  1. Change in International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF)

    Urinary incontinence severity questionnaire, range 0-21, higher scores represent greater symptom severity

    Time frame: baseline to 12 weeks

Secondary outcomes

  1. Change International Consultation on Incontinence Modular Questionnaire (ICIQ)-Overactive Bladder (OAB)

    Overactive bladder symptom severity questionnaire, range 0-12, higher scores represent greater symptoms severity

    Time frame: baseline to 12-weeks

  2. Global Rating of Patient Satisfaction

    Patient satisfaction question (PSQ) - 3 categories of response (highly satisfied, satisfied, not satisfied)

    Time frame: 12-weeks

  3. Self-reported Pelvic floor muscle exercise adherence

    Adherence to pelvic floor muscle exercises reported as exercises per day completed over each week. Adherence defined as 80% of days with exercises completed over 12-week intervention period.

    Time frame: 12-weeks

  4. Change in International Consultation on Incontinence Modular Questionnaire (ICIQ)- Urinary Incontinence Short Form (ICIQ-UI SF)

    Urinary incontinence severity questionnaire, range 0-21, higher scores represent greater symptom severity, longer term outcome

    Time frame: baseline to 24-weeks

Other outcomes

  1. Miles saved

    Mean miles saved from home location to specialty care clinic location over 12-week intervention

    Time frame: 12-weeks

07

Study locations

3 sites
  • Birmingham VA Medical Center, Birmingham, AL
    Birmingham, Alabama 35233-1927, United States
  • Atlanta VA Medical and Rehab Center, Decatur, GA
    Decatur, Georgia 30033, United States
  • Durham VA Medical Center, Durham, NC
    Durham, North Carolina 27705, United States
08

References and documents

Publications

  • Markland AD, Goldstein KM, Beasley TM, Boyd EM, Zubkoff L, Kelly UA, Burgio KL, Vaughan CP. Remote Access to Urinary Incontinence Treatments for Women Veterans: The PRACTICAL Randomized Clinical Trial. JAMA Netw Open. 2025 Sep 2;8(9):e2532111. doi: 10.1001/jamanetworkopen.2025.32111. PubMed 40956581 ↗
  • Hay-Smith EJC, Starzec-Proserpio M, Moller B, Aldabe D, Cacciari L, Pitangui ACR, Vesentini G, Woodley SJ, Dumoulin C, Frawley HC, Jorge CH, Morin M, Wallace SA, Weatherall M. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2024 Dec 20;12(12):CD009508. doi: 10.1002/14651858.CD009508.pub2. PubMed 39704322 ↗
  • Funada S, Yoshioka T, Luo Y, Sato A, Akamatsu S, Watanabe N. Bladder training for treating overactive bladder in adults. Cochrane Database Syst Rev. 2023 Oct 9;10(10):CD013571. doi: 10.1002/14651858.CD013571.pub2. PubMed 37811598 ↗
  • Markland AD, Vaughan CP, Goldstein KM, Hastings SN, Kelly U, Beasley TM, Boyd EM, Zubkoff L, Burgio KL. Optimizing remote access to urinary incontinence treatments for women veterans (PRACTICAL): Study protocol for a pragmatic clinical trial comparing two virtual care options. Contemp Clin Trials. 2023 Oct;133:107328. doi: 10.1016/j.cct.2023.107328. Epub 2023 Sep 1. PubMed 37659594 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — For purposes of this study, all data will be stripped of all patient identifiers and each participant will be given a unique identifier for the study. Participant records will be stored in a locked cabinet in a locked office and will be accessible only to the Principal Investigator, Nurse Practitioner delivering the intervention, Research Coordinator, and Site PI's (Markland, Vaughan, and Goldstein) and co-investigators per site-PI's guidance. Computer-based records will be maintained through the Veteran's Administration Computerized Patient Record System (CPRS), a secure network with password protection. A separate tracking database with participant identifiers that provide a link to the unique study IDs will be stored on a secure VA research server at each study site. Only deidentified data will be entered into the Redcap database by study personnel who are credentialed at the Birmingham VAMC through the research office.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data will become available 1-year following the reporting of the primary and secondary outcome analyses.

Access criteria: By study team permission

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2025, 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
NCT04237753
Responsible party
Sponsor
First posted
Jan 23, 2020
Start date
Apr 6, 2020
Primary completion
Jun 30, 2025
Completion
Jun 30, 2025
Last update
Jul 30, 2025

Study contacts

Alayne D Markland, DO MSc
principal investigator · Birmingham VA Medical Center, Birmingham, AL
Elizabeth Camille Vaughan, MD MS
principal investigator · Atlanta VA Medical and Rehab Center, Decatur, GA
Susan N. Hastings, MD MHSc
principal investigator · Durham VA Medical Center, Durham, NC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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