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Urinary IncontinenceNCT05182632

Tele-rehabilitation Group Program for Urinary Incontinence in Older Women

A study testing Group pelvic floor telerehabilitation in people with Urinary Incontinence and Urinary Stress Incontinence, run by Université de Montréal at 1 site in Canada.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The recommended treatment for urinary incontinence (UI) in women is individualized pelvic floor muscle training (PFMT), a costly and resource-intensive approach; one Canada is currently unable to meet. Read more about this study

Who is it for?
Ages 65 years and older, women only
What is being tested?
Group pelvic floor telerehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 siteCanada
Study dates
6 Mar 2021to 6 Apr 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • Women only
  • No healthy volunteers
  • Older adult

Who may be able to join

  • 65 or older, as older women will show a particular genitourinary profile compared with younger women, notably due to menopause. This age cut-off was used in other studies in UI;
  • Ambulatory (able to walk, move about safely and autonomously without any mobility device);
  • Describe a pattern of stress/mixed UI, confirmed using the Questionnaire for Incontinence Diagnosis (QUID);
  • Have at least three urinary leakage per week, persisting for 3 months or more;
  • Understand French or English instructions;
  • Report no important cognitive deficit (determined with a Mini-Mental State Evaluation (MMSE) score of 24/30 or more);
  • Have an internet access; and
  • Able to give informed consent and complete a gynecological examination and fill 7-day bladder diaries and questionnaires.

Who cannot join

  • Present risk factors known to interfere with the effects of PFMT or with the PFM evaluation, including chronic constipation (as defined by the International Working Committee for Chronic Constipation), important pelvic organ prolapse (Baden-Walker score > stage 2), or any other comorbidities with a potential impact on the treatment (i.e. cognitive impairment, diabetes, active cancer, respiratory or cardiovascular conditions, etc);
  • Currently taking medication for UI or medications affecting skeletal muscles;
  • Considered obese with a body mass index (BMI) over 35;
  • Had an active urinary or vaginal infection in the past 3 months;
  • Underwent a change in hormonal replacement therapy in the past 6 months;
  • Received pelvic floor physiotherapy treatment or surgery for UI or pelvic organ prolapse in the past year

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM)

    Montreal, Quebec, H3W 1W4

Other trials in Canada

About this study

Official title: Feasibility, Acceptability and Effects of a Tele-rehabilitation Pelvic Floor Muscle Training Group Program for Urinary Incontinence in Older Women

The recommended treatment for urinary incontinence (UI) in women is individualized pelvic floor muscle training (PFMT), a costly and resource-intensive approach; one Canada is currently unable to meet.

A recent non-inferiority randomized controlled trial just confirmed that group-based PFMT is equally effective but less resource-intensive (more cost-effective) than individual PFMT to treat UI in older women (ClinicalTrials.gov Identifier: NCT02039830). In times of COVID-19 however, with the Quebec, Canada's public health authorities preventing gatherings to stop the virus' spread, the potential of in-person group approaches is temporarily limited. It is thus important to develop innovative ways to deliver this first-line treatment remotely, particularly for those confined at home for whom UI can have a detrimental impact on physical health and quality of life. Ensuring an online option for group-based PFMT would also allow to increase the accessibility of UI treatment for women living in rural or remote areas in Canada, where pelvic floor rehabilitation services are not available or scarce.

To this end, this study will assess the feasibility, acceptability and effects of a tele-rehabilitation PFMT group program for UI in older women.

Being tested
Group pelvic floor telerehabilitation
Keywords
female, aging, physiotherapy, physical therapy, pelvic floor, rehabilitation, telerehabilitation
Medical subject headings
Urinary Incontinence, Urinary Incontinence, Stress

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group pelvic floor telerehabilitationBehavioural

    Multimodal group physiotherapy: 12 weeks of weekly group physiotherapy treatments including education and pelvic floor muscle exercises delivered online + home exercise program

Study groups in NCT05182632
Study groupRoleWhat they receive
Group pelvic floor tele-rehabilitationExperimental12 weekly treatment online sessions + daily home exercise program
Receives: Behavioral: Group pelvic floor telerehabilitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. number of UI episodes

    number of UI episodes, evaluated with a 7-day bladder diary

    Measured: at recruitment (PRE1)

  2. number of UI episodes

    number of UI episodes, evaluated with a 7-day bladder diary

    Measured: just before the intervention (PRE2)

  3. number of UI episodes

    number of UI episodes, evaluated with a 7-day bladder diary

    Measured: immediately after the 12-week intervention (POST)

  4. number of UI episodes

    number of UI episodes, evaluated with a 7-day bladder diary

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  5. percentage reduction (%) in the number of UI episodes

    percentage reduction (%) in the number of UI episodes, evaluated with a 7-day bladder diary

    Measured: at recruitment (PRE1), just before the intervention (PRE2), immediately after the 12-week intervention (POST), 6 months after the end of the 12-week intervention (FOLLOW-UP)

Secondary outcomes (38)
  1. urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome

    urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome, evaluated using the International Consultation on Incontinence Questionnaire module on UI symptoms (ICIQ-UI) short form (0-21 overall score, with higher scores indicating more sever symptoms)

    Measured: at recruitment (PRE1)

  2. urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome

    urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome, evaluated using the International Consultation on Incontinence Questionnaire module on UI symptoms (ICIQ-UI) short form (0-21 overall score, with higher scores indicating more sever symptoms)

    Measured: just before the intervention (PRE2)

  3. urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome

    urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome, evaluated using the International Consultation on Incontinence Questionnaire module on UI symptoms (ICIQ-UI) short form (0-21 overall score, with higher scores indicating more sever symptoms)

    Measured: immediately after the 12-week intervention (POST)

  4. urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome

    urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome, evaluated using the International Consultation on Incontinence Questionnaire module on UI symptoms (ICIQ-UI) short form (0-21 overall score, with higher scores indicating more sever symptoms)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  5. Changes in urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome

    urinary symptoms and degree to which UI-associated symptoms are troubling or bothersome, evaluated using the International Consultation on Incontinence Questionnaire module on UI symptoms (ICIQ-UI) short form (0-21 overall score, with higher scores indicating more sever symptoms)

    Measured: at recruitment (PRE1), just before the intervention (PRE2), immediately after the 12-week intervention (POST), 6 months after the end of the 12-week intervention (FOLLOW-UP)

  6. bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome

    bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome, evaluated using the Australian Pelvic Floor Questionnaire (APFQ) (0-45 score for bladder symptoms, 0-34 score for bowel symptoms, 0-15 score for pelvic organ prolapse symptoms, and 0-21 score for sexual function symptoms, with higher scores indicating more severe symptoms)

    Measured: at recruitment (PRE1)

  7. bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome

    bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome, evaluated using the Australian Pelvic Floor Questionnaire (APFQ) (0-45 score for bladder symptoms, 0-34 score for bowel symptoms, 0-15 score for pelvic organ prolapse symptoms, and 0-21 score for sexual function symptoms, with higher scores indicating more severe symptoms)

    Measured: just before the intervention (PRE2)

  8. bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome

    bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome, evaluated using the Australian Pelvic Floor Questionnaire (APFQ) (0-45 score for bladder symptoms, 0-34 score for bowel symptoms, 0-15 score for pelvic organ prolapse symptoms, and 0-21 score for sexual function symptoms, with higher scores indicating more severe symptoms)

    Measured: immediately after the 12-week intervention (POST)

  9. bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome

    bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome, evaluated using the Australian Pelvic Floor Questionnaire (APFQ) (0-45 score for bladder symptoms, 0-34 score for bowel symptoms, 0-15 score for pelvic organ prolapse symptoms, and 0-21 score for sexual function symptoms, with higher scores indicating more severe symptoms)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  10. Changes in bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome

    bladder, bowel, pelvic organ prolapse and sexual function symptoms and degree to which these symptoms are troubling or bothersome, evaluated using the Australian Pelvic Floor Questionnaire (APFQ) (0-45 score for bladder symptoms, 0-34 score for bowel symptoms, 0-15 score for pelvic organ prolapse symptoms, and 0-21 score for sexual function symptoms, with higher scores indicating more severe symptoms)

    Measured: at recruitment (PRE1), just before the intervention (PRE2), immediately after the 12-week intervention (POST), 6 months after the end of the 12-week intervention (FOLLOW-UP)

  11. UI-related quality of life

    UI-related quality of life, evaluated using the International Consultation on Incontinence Questionnaire module on Lower Urinary Tract Symptoms quality of life (ICIQ-LUTS QoL) (19-76 overall score with greater values indicating increased impact on quality of life)

    Measured: at recruitment (PRE1)

  12. UI-related quality of life

    UI-related quality of life, evaluated using the International Consultation on Incontinence Questionnaire module on Lower Urinary Tract Symptoms quality of life (ICIQ-LUTS QoL) (19-76 overall score with greater values indicating increased impact on quality of life)

    Measured: just before the intervention (PRE2)

  13. UI-related quality of life

    UI-related quality of life, evaluated using the International Consultation on Incontinence Questionnaire module on Lower Urinary Tract Symptoms quality of life (ICIQ-LUTS QoL) (19-76 overall score with greater values indicating increased impact on quality of life)

    Measured: immediately after the 12-week intervention (POST)

  14. UI-related quality of life

    UI-related quality of life, evaluated using the International Consultation on Incontinence Questionnaire module on Lower Urinary Tract Symptoms quality of life (ICIQ-LUTS QoL) (19-76 overall score with greater values indicating increased impact on quality of life)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  15. Changes in UI-related quality of life

    UI-related quality of life, evaluated using the International Consultation on Incontinence Questionnaire module on Lower Urinary Tract Symptoms quality of life (ICIQ-LUTS QoL) (19-76 overall score with greater values indicating increased impact on quality of life)

    Measured: at recruitment (PRE1), just before the intervention (PRE2), immediately after the 12-week intervention (POST), 6 months after the end of the 12-week intervention (FOLLOW-UP)

  16. UI-associated costs

    UI-associated costs, using the adapted Dowell-Bryant Incontinence Cost Index (DBICI) questionnaire

    Measured: at recruitment (PRE1)

  17. UI-associated costs

    UI-associated costs, using the adapted Dowell-Bryant Incontinence Cost Index (DBICI) questionnaire

    Measured: immediately after the 12-week intervention (POST)

  18. UI-associated costs

    UI-associated costs, using the adapted Dowell-Bryant Incontinence Cost Index (DBICI) questionnaire

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  19. technology self-efficacy

    technology self-efficacy, evaluated using the Online Technologies Self-efficacy Scale (OTSES) questionnaire (30-120 overall score, with higher scores indicating lower level of technology self-efficacy)

    Measured: at recruitment (PRE1)

  20. technology self-efficacy

    technology self-efficacy, evaluated using the Online Technologies Self-efficacy Scale (OTSES) questionnaire (30-120 overall score, with higher scores indicating lower level of technology self-efficacy)

    Measured: immediately after the 12-week intervention (POST)

  21. technology self-efficacy

    technology self-efficacy, evaluated using the Online Technologies Self-efficacy Scale (OTSES) questionnaire (30-120 overall score, with higher scores indicating lower level of technology self-efficacy)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  22. UI related self-efficacy

    UI related self-efficacy, evaluated using the geriatric self-efficacy scale (GES) (0-120 overall score, with higher scores indicating higher level of self-efficacy related to urinary incontinence)

    Measured: at recruitment (PRE1)

  23. UI related self-efficacy

    UI related self-efficacy, evaluated using the geriatric self-efficacy scale (GES) (0-120 overall score, with higher scores indicating higher level of self-efficacy related to urinary incontinence)

    Measured: immediately after the 12-week intervention (POST)

  24. UI related self-efficacy

    UI related self-efficacy, evaluated using the geriatric self-efficacy scale (GES) (0-120 overall score, with higher scores indicating higher level of self-efficacy related to urinary incontinence)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  25. Pelvic floor muscles related self-efficacy

    Pelvic floor muscles related self-efficacy, evaluated using the Broome's self-efficacy scale (14 items with responses ranging 0-100 for part A and 9 items with responses ranging 0-100 for part B; an overall mean self-efficacy score is calculated, also ranging 0-100)

    Measured: at recruitment (PRE1)

  26. Pelvic floor muscles related self-efficacy

    Pelvic floor muscles related self-efficacy, evaluated using the Broome's self-efficacy scale (14 items with responses ranging 0-100 for part A and 9 items with responses ranging 0-100 for part B; an overall mean self-efficacy score is calculated, also ranging 0-100)

    Measured: immediately after the 12-week intervention (POST)

  27. Pelvic floor muscles related self-efficacy

    Pelvic floor muscles related self-efficacy, evaluated using the Broome's self-efficacy scale (14 items with responses ranging 0-100 for part A and 9 items with responses ranging 0-100 for part B; an overall mean self-efficacy score is calculated, also ranging 0-100)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  28. Vaginal atrophy symptoms

    Vaginal atrophy symptoms, evaluated using the Atrophy Symptom Questionnaire (ASQ) (0-15 overall score, with higher scores indicating higher severity of vaginal atrophy symptoms)

    Measured: at recruitment (PRE1)

  29. Vaginal atrophy symptoms

    Vaginal atrophy symptoms, evaluated using the Atrophy Symptom Questionnaire (ASQ) (0-15 overall score, with higher scores indicating higher severity of vaginal atrophy symptoms)

    Measured: immediately after the 12-week intervention (POST)

  30. Vaginal atrophy symptoms

    Vaginal atrophy symptoms, evaluated using the Atrophy Symptom Questionnaire (ASQ) (0-15 overall score, with higher scores indicating higher severity of vaginal atrophy symptoms)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  31. Patient reported improvement and satisfaction

    Patient reported improvement and satisfaction, evaluated using the patient global impression of improvement (PGI-I) index, a single-item tool to capture perceived satisfaction with treatment: "satisfied" (does not need other treatments); "unsatisfied" (would like another treatment for UI)

    Measured: immediately after the 12-week intervention (POST)

  32. Patient reported improvement and satisfaction

    Patient reported improvement and satisfaction, evaluated using the patient global impression of improvement (PGI-I) index, a single-item tool to capture perceived satisfaction with treatment: "satisfied" (does not need other treatments); "unsatisfied" (would like another treatment for UI)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  33. Feasibility/Acceptability (reach)

    Reach aspect of feasibility/acceptability, evaluated using attendance to weekly sessions

    Measured: through intervention completion, for 12 weeks

  34. Feasibility/Acceptability (fidelity)

    Fidelity aspect of feasibility/acceptability, evaluated using the integrity of the GROUP program elements delivered by the physiotherapist during each session (checklist)

    Measured: through intervention completion, for 12 weeks

  35. Feasibility/Acceptability (dose)

    Dose aspect feasibility/acceptability, evaluated using adherence to home exercises (exercises journal)

    Measured: through intervention completion, for 12 weeks

  36. Feasibility/Acceptability (perceived usability of the technology)

    Perceived usability of the technology from the patients' experience as an aspect of feasibility/acceptability, evaluated using the System Usability Scale (SUS) (0-100 overall score, with higher scores indicating a higher usability)

    Measured: immediately after the 12-week intervention (POST)

  37. Feasibility/Acceptability (perceived usability of the technology)

    Perceived usability of the technology from the patients' experience as an aspect of feasibility/acceptability, evaluated using the System Usability Scale (SUS) (0-100 overall score, with higher scores indicating a higher usability)

    Measured: 6 months after the end of the 12-week intervention (FOLLOW-UP)

  38. Potential challenges and satisfaction with the program from the patients' perspective

    Potential challenges and satisfaction with the program from the patients' perspective, evaluated during focus groups or interviews using an interview guide developed from the seven dimensions of the Theoretical Framework of Acceptability (TFA), three of the five Consolidated Framework for Implementation Research (CFIR) domains and additional open-ended questions on satisfaction

    Measured: immediately after the intervention (POST)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2022
  2. Study start6 Mar 2021
  3. Primary completion6 Apr 2022
  4. Study completion6 Apr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Feasibility pilot study
Masking
None (open label)
Enrolment
32 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05182632
Sponsor's protocol ID
CER VN 20-21-33
Status last verified
Apr 2025
First submitted
21 Sep 2021
Last updated
23 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data will be available on request to Prof Dumoulin for researchers whose proposed use of the data has been approved by ethics committee. Email: chantal.dumoulin@umontreal.ca

Publications

  • Le Berre M, Filiatrault J, Reichetzer B, Dumoulin C. Feasibility, acceptability and effects of a group pelvic floor muscle telerehabilitation program to treat urinary incontinence in older women. Digit Health. 2022 Oct 26;8:20552076221123720. doi: 10.1177/20552076221123720. eCollection 2022 Jan-Dec.

    PubMed 36325439
  • Le Berre M, Filiatrault J, Reichetzer B, Dumoulin C. Group-Based Pelvic Floor Telerehabilitation to Treat Urinary Incontinence in Older Women: A Feasibility Study. Int J Environ Res Public Health. 2023 May 11;20(10):5791. doi: 10.3390/ijerph20105791.

    PubMed 37239520
  • Le Berre M, Filiatrault J, Reichetzer B, Kairy D, Lachance C, Dumoulin C. Online Group-based Pelvic Floor Muscle Training for Urinary Incontinence in Older Women: a Pilot Study. Int Urogynecol J. 2024 Apr;35(4):811-822. doi: 10.1007/s00192-024-05728-0. Epub 2024 Feb 5.

    PubMed 38315227

Questions about this trial

What is this clinical trial studying?

A study testing Group pelvic floor telerehabilitation in people with Urinary Incontinence and Urinary Stress Incontinence, run by Université de Montréal at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 23 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

number of UI episodes (time frame: at recruitment (PRE1)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05182632, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Apr 2025.

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