PMID- 31774200
OWN - NLM
STAT- MEDLINE
DCOM- 20201007
LR  - 20201007
IS  - 1520-6777 (Electronic)
IS  - 0733-2467 (Linking)
VI  - 39
IP  - 1
DP  - 2020 Jan
TI  - A mobile telehealth program for behavioral treatment of urinary incontinence in 
      women veterans: Development and pilot evaluation of MyHealtheBladder.
PG  - 432-439
LID - 10.1002/nau.24226 [doi]
AB  - AIM: To develop and pilot test an interactive mobile telehealth program (mHealth) 
      for behavioral treatment of women veterans with urinary incontinence (UI). 
      METHODS: We developed an evidence-based 8-week behavioral mHealth program, 
      MyHealtheBladder, with input from women veterans, behavioral medicine and health 
      education experts, and clinical providers treating UI in the VA system. The 
      program was story-based and included pelvic floor muscle exercises, bladder 
      control strategies, fluid management, risk factor reduction, and self-monitoring. 
      Participants were women veterans seeking outpatient treatment for UI occurring at 
      least twice weekly. The primary efficacy estimate was the change in UI frequency, 
      volume and impact on the quality of life as measured by the validated 
      International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF; 
      range: 0-21, 2.5 points for minimal clinically important difference [MCID]). 
      RESULTS: We enrolled 29 women veterans (ages 29-77 years; mean = 54.4 +/- 10.4), 
      including 15 (52%) African-American women, 13 (45%) women with high school 
      education, and 16 (55%) with a college degree. Twenty of 29 women (69%) completed 
      all 8 weeks of the intervention with a 97% adherence rate to the daily sessions 
      among completers. We found reductions in ICIQ-SF scores from a mean 12.6 +/- 3.9 at 
      baseline to 10.4 +/- 4.11 at 5 weeks, to 8.7 +/- 4.0 at the end of the 8-week 
      intervention. CONCLUSIONS: Women veterans using an 8-week behavioral mHealth 
      program for the treatment of UI had symptom improvements that exceeded the MCID 
      for the ICIQ-SF. Our next step involves comparing the effectiveness of 
      MyHealtheBladder to usual care in a larger clinical trial.
CI  - (c) 2019 Wiley Periodicals, Inc.
FAU - Goode, Patricia S
AU  - Goode PS
AUID- ORCID: 0000-0001-6416-4547
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Markland, Alayne D
AU  - Markland AD
AUID- ORCID: 0000-0002-6567-6744
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Echt, Katharina V
AU  - Echt KV
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
AD  - Department of Medicine, Emory University, Atlanta, Georgia.
FAU - Slay, Laurie
AU  - Slay L
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Barnacastle, Susan
AU  - Barnacastle S
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Hale, Galen
AU  - Hale G
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Wright, M Kate
AU  - Wright MK
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
FAU - Lane, T Renea
AU  - Lane TR
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
FAU - Burgio, Kathryn L
AU  - Burgio KL
AD  - Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, 
      and Clinical Center (GRECC), Birmingham, Alabama.
AD  - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20191127
PL  - United States
TA  - Neurourol Urodyn
JT  - Neurourology and urodynamics
JID - 8303326
SB  - IM
MH  - Adult
MH  - Aged
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Health Education
MH  - Humans
MH  - Middle Aged
MH  - Pelvic Floor/physiopathology
MH  - Pilot Projects
MH  - Quality of Life
MH  - Surveys and Questionnaires
MH  - *Telemedicine
MH  - Treatment Outcome
MH  - Urinary Incontinence/*therapy
MH  - *Veterans
OTO - NOTNLM
OT  - behavioral therapy
OT  - mobile health
OT  - pilot study
OT  - telehealth
OT  - urinary incontinence
OT  - women veterans
EDAT- 2019/11/28 06:00
MHDA- 2020/10/08 06:00
CRDT- 2019/11/28 06:00
PHST- 2019/06/06 00:00 [received]
PHST- 2019/11/05 00:00 [accepted]
PHST- 2019/11/28 06:00 [pubmed]
PHST- 2020/10/08 06:00 [medline]
PHST- 2019/11/28 06:00 [entrez]
AID - 10.1002/nau.24226 [doi]
PST - ppublish
SO  - Neurourol Urodyn. 2020 Jan;39(1):432-439. doi: 10.1002/nau.24226. Epub 2019 Nov 
      27.