ClinicalTrials.gg
RecruitingNCT06094543Updated Jul 21, 2026

Improving Overactive Bladder Treatment Access and Adherence

An interventional study of Patient Engagement Tool in Overactive Bladder Syndrome and Urinary Incontinence, sponsored by Stanford University. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Overactive bladder (OAB) and urinary incontinence (UI) are chronic debilitating and embarrassing conditions that affect 33 million Americans. Yet, both are underdiagnosed and undertreated with significant financial and health-related consequences. OAB syndrome is characterized by urinary urgency, with and without urinary incontinence, urinary frequency, and nocturia. Evidence-based treatments are available, including behavioral therapy, pharmacotherapy, and minimally invasive procedures. Diagnosis and treatment are also associated with improvement in urinary symptoms and overall quality of life (QOL).3 However, 70-80% of treated patients will discontinue use of therapy in the first year due to one of several factors (e.g., cost, tolerability, inadequate effect). In addition, only 4.7% progress to advanced therapies suggesting undertreatment for those that need it most. Vulnerable populations are especially at risk, as therapy utilization are lowest among older, lower income, and/or minority groups. Poor access, insufficient patient education regarding disease chronicity, expected outcomes, costs, and potential side effects lead to unrealistic patient perceptions about therapy. This leads to suboptimal therapy duration, poor treatment efficacy, adherence, and undertreatment. The study aims to evaluate a tailored patient-centered tool to begin the treatment process.

02

Conditions studied

  • Overactive Bladder Syndrome
  • Urinary Incontinence

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03

In context

Urinary Incontinence

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

This study's planned enrollment of 30 is below the median of 66 across 739 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Stanford University is the lead sponsor of 2,168 studies on the registry; 431 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 207 (78%) 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
Yes

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

  • Female aged 18 years or older
  • OAB symptoms for at least 3 months
  • English/Spanish language skills and cognitive status sufficient to complete all study related materials
  • Behavioral treatment naïve patients
  • Previously treated OAB patients without supervised pelvic floor physical therapy or pharmacotherapy within 1 year

Exclusion criteria

Exclusion Criteria:

  • Post void residual urine > 150ml
  • Confirmed diagnosis of Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS)
  • Pregnant or breastfeeding patients
  • Patients residing in a nursing home
  • Comorbid neurological conditions, including spinal cord injury, progressive neurologic illnesses (e.g. Multiple Sclerosis, Parkinson's disease) or central nervous system disease (e.g. brain tumor, stroke)
  • Stage 2 or greater pelvic organ prolapse
  • Any history of urethral stricture
  • Any history of pelvic irradiation
  • Any history of bladder
  • Current symptomatic urinary tract infection (UTI), unresolved by the time of enrollment
  • Hematuria without a clinical evaluation
  • History or current use of indwelling urinary foley catheterization, suprapubic tube or intermittent catheterization
  • Patients with UI treated with onabotulinumtoxinA, sacral neuromodulation, or percutaneous tibial nerve stimulation ( therapies)
Terms in these criteria, in plain language(2)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

05

Study design

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

Study arms

  • Experimental
    Patient Engagement Tool (PET)

    Participants will use the PET weekly for 12 weeks

    Behavioral: Patient Engagement Tool

  • No intervention
    Usual Care

    Usual Clinic Follow up every 6 weeks for 12 weeks

Interventions

  • BehavioralPatient Engagement Tool

    8 week daily patient education and engagement tool

06

What researchers measure

Primary outcomes

  1. Systems Usability Scale (SUS)

    Usability, engagement, Patient engagement tool reliability/accessibility (technical issues)

    Time frame: 12 weeks

  2. Bladder Health Knowledge, Attitudes, and Beliefs (KAB)

    Will assess knowledge about bladder health 1. Knowledge: Awareness and understanding of normal bladder function, signs and symptoms of dysfunction (e.g., incontinence, urgency), and available treatment or prevention strategies. 2. Attitudes: Perceptions and feelings toward bladder health, such as embarrassment, stigma, or normalization of symptoms like leakage or urgency. 3. Beliefs: Individual or cultural beliefs about the causes, severity, and treatability of bladder problems, which may influence care-seeking behavior.

    Time frame: 12 weeks

Secondary outcomes

  1. Therapy adherence

    Time frame: 12 weeks

  2. Global Perceptions and Satisfaction with Treatment (LURN)

    OAB management satisfaction

    Time frame: 12 weeks

  3. ICIQ-UI & ICIQ-OAB Combined Questionnaire

    Will be used to assess change in symptom severity from baseline, 4 weeks and at 12 weeks

    Time frame: 12 weeks

  4. Self-Efficacy for Managing Chronic Conditions Questionnaire (PROMIS)

    A validated patient-reported outcome measure developed by the NIH PROMIS initiative. The Self-Efficacy for Managing Chronic Conditions - Managing Symptoms subdomain was modified to assess a patient's confidence in their ability to monitor and manage bothersome symptoms related to chronic urinary incontinence and overactive bladder (OAB). It evaluates perceived ability to recognize symptom triggers, implement behavioral or lifestyle adjustments, and manage urinary urgency, frequency, or leakage in daily life. Higher scores indicate stronger self-efficacy, which has been associated with better adherence to treatment strategies, such as bladder training, fluid management, and pelvic floor exercises, in patients with OAB and incontinence. Each item is scored on a 5-point Likert scale with higher scores indicating greater self-efficacy. It is widely used in both clinical and research settings to assess readiness for self-management and tailor interventions accordingly.

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Stanford Pelvic Health Center
    Redwood City, California 94062, United States
    Recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06094543
Responsible party
Ekene Enemchukwu (Associate Professor, Stanford University) — Principal investigator
First posted
Oct 23, 2023
Start date
Nov 1, 2024
Primary completion
Aug 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jul 21, 2026

Oversight

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

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