Tailoring Online Continence Promotion for Women

为女性量身定制在线节制促销

• 批准号: 10184631
• 负责人: Heidi Wendell Brown
• 金额: $ 31.08万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10184631
• 关键词: Address; Adopted; Adoption; Affect; Age; Behavior; Behavior Therapy; Bladder; Bladder Control; Clinical Trials; Cluster Analysis; Collaborations; Control Groups; Coronavirus; Data; Diabetes Mellitus; Digestive System Disorders; Discipline; Disease; Dissemination and Implementation; Electronic Mail; Engineering; Exercise; Fecal Incontinence; Fiber; Funding; Health Care Costs; Health Promotion; Health behavior; Health behavior change; Human; Incontinence; Individual; Institutionalization; Intake; Intervention; Interview; Intestines; Life Style; Light; Liquid substance; Maintenance; Mediating; Mediator of activation protein; Menopause; Mental Depression; Mind; Mission; National Institute of Diabetes and Digestive and Kidney Diseases; Outcome; Output; Participant; Pattern; Pelvic Floor Muscle; Performance; Persons; Population; Prevalence; Privacy; Process; Psychology; Quality of life; Randomized Controlled Trials; Recommendation; Reporting; Research; Research Personnel; Research Priority; Risk; Schedule; Secure; Social Psychology; Structure; Surveys; Testing; Text; Time; Urinary Incontinence; Visit; Waiting Lists; Woman; Work; active control; behavior change; communication theory; community setting; cost; digital; effectiveness trial; empowered; experience; falls; forgetting; health care settings; health communication; healthy lifestyle; implementation science; improved; individualized medicine; innovation; interest; intervention effect; lifestyle intervention; older women; online version; pandemic disease; population based; prevent; programs; randomized trial; remote delivery; response; self-management program; symptomatic improvement; uptake

PROJECT SUMMARY Incontinence is common, costly, and vastly undertreated in women. Urinary and bowel incontinence often co-occur and impact more than half of women after menopause, with healthcare costs in excess of $30 billion per year. Lifestyle changes are recommended as first- line treatment but most women are not aware of these strategies because they do not seek care. Bringing information about these solutions to women outside the healthcare setting and empowering them to make these behavior changes has the potential to improve symptoms, impact quality of life, and decrease healthcare costs for millions of women. Our team developed and tested Mind Over Matter: Healthy Bowels, Healthy Bladder (MOM), a small-group behavior change intervention that improves urinary and bowel incontinence in women age 50 and older. This program is innovative in its inclusion of strategies to improve both bladder and bowel incontinence; its reach, however, is limited because it is delivered to small groups in community settings. Our prior research showed that less than 20% of women with incontinence would participate in a program like MOM, while over 60% would participate in an online continence promotion program. Our team therefore obtained pilot funding to adapt MOM to an online platform and demonstrated tremendous reach compared to the in-person program (>4,000 users in 3 months versus <300 users in 12 months). However, the majority of participants visited the program only once and did not adopt behavior changes. Other disciplines have used tailoring, a process through which inputs from a specific user are processed to generate individualized outputs, to enhance engagement with electronic health promotion. Tailoring has not been widely studied in continence promotion despite NIDDK recognizing individualization of treatment for urinary incontinence as a significant research priority. We propose a randomized controlled trial testing the impact of tailoring (versus an active control group with scheduled digital reminders) on engagement with online MOM and adoption of health behaviors that improve continence. We hypothesize that those with a tailored experience will use the program more and be more likely to make behavior changes. In the final aim, we explore mechanisms through which tailoring impacts behavior change. Our team approaches improving continence promotion from a transdisciplinary perspective (psychology, human factors engineering, health communication theory, and urogynecology) and proposes a study with potential to significantly advance our understanding of how to personalize behavioral treatment for incontinence.

项目摘要 尿失禁是常见的，昂贵的，并且在妇女中的治疗差不多。尿和肠 尿失禁经常同时发生并在更年期后影响一半以上的女性 医疗保健费用超过每年300亿美元。建议改变生活方式 线路治疗，但大多数女性不知道这些策略，因为她们不寻求 关心。将有关这些解决方案的信息带给医疗保健环境之外的妇女 赋予他们改变这些行为的能力有可能改善症状， 影响生活质量，并降低数百万妇女的医疗保健成本。我们的团队发展了 并在物质上进行了测试：健康的肠子，健康膀胱（妈妈），小组行为 改善50岁及以上妇女尿液和肠尿失禁的变化干预措施。 该计划在包括改善膀胱和肠道的策略方面具有创新性 失禁;但是，它的影响力是有限的，因为它已交付给社区中的小团体 设置。我们先前的研究表明，不到20％的尿失禁女性 参加像妈妈这样的计划，而超过60％的人将参加在线界限 促销计划。因此，我们的团队获得了飞行员资金，以适应妈妈在线 与面对面计划相比，平台并显示出巨大的影响力（> 4,000 3个月内的用户在12个月内与<300个用户）。但是，大多数参与者 仅访问了一次程序一次，但没有采用行为改变。其他学科使用了 剪裁，处理特定用户的输入以生成的过程 个性化产出，以增强对电子健康促进的参与。裁缝有 尽管NIDDK认识到个性化的 治疗尿失禁作为重要的研究优先级。我们提出了一个随机的 对照试验测试裁缝的影响（与计划的主动对照组相比 数字提醒）与在线妈妈交往和采用健康行为 改善延续性。我们假设那些拥有量身定制经验的人将使用该计划 更多，更有可能改变行为。在最终目标中，我们探索机制 裁缝会影响行为的变化。我们的团队正在改善进展 从跨学科的角度促进（心理学，人为因素工程，健康 沟通理论和泌尿媒体学）并提出了一项具有显着潜力的研究 促进我们对如何个性化行为治疗的尿失禁的理解。