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.

项目概要 尿失禁在女性中很常见、成本高昂且治疗严重不足。泌尿和肠道 尿失禁经常同时发生，并影响超过一半的绝经后女性，其中 每年医疗费用超过 300 亿美元。建议首先改变生活方式—— 一线治疗，但大多数女性不知道这些策略，因为她们不寻求 关心。向医疗机构之外的女性提供有关这些解决方案的信息， 赋予他们做出这些行为改变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费用。我们的团队开发了 并测试了 Mind Over Matter：健康肠道、健康膀胱 (MOM)，这是一种小组行为 改变干预措施，改善 50 岁及以上女性的尿失禁和肠失禁。 该计划的创新之处在于包含了改善膀胱和肠道的策略 失禁;然而，它的影响范围有限，因为它是提供给社区中的小群体的 设置。我们之前的研究表明，只有不到 20% 的失禁女性会 参加 MOM 等计划，而超过 60% 的人会参加在线节制 促销计划。因此，我们的团队获得了试点资金，使 MOM 适应在线 与现场项目相比，该平台展现了巨大的影响力（>4,000 3 个月内的用户数与 12 个月内的用户数 <300 名）。然而，大多数参与者 只访问过该计划一次并且没有采取行为改变。其他学科也曾使用过 剪裁，一个过程，通过该过程处理来自特定用户的输入以生成 个性化产出，以加强对电子健康促进的参与。剪裁有 尽管 NIDDK 认识到个体化，但在节制促进方面尚未得到广泛研究 尿失禁的治疗作为一个重要的研究重点。我们提出一个随机 对照试验测试定制的影响（与具有预定计划的积极对照组相比） 数字提醒）关于与在线妈妈的互动以及采取健康行为 改善失禁。我们假设那些有定制经验的人会使用该程序 更多并且更有可能改变行为。我们最终的目标是探索机制 通过剪裁影响行为改变。我们的团队致力于改善失禁 从跨学科角度（心理学、人因工程、健康 沟通理论和泌尿妇科）并提出了一项具有显着潜力的研究 增进我们对如何个性化失禁行为治疗的理解。