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Urinary IncontinenceNCT05970796

A Telehealth-delivered Physical Therapy Program for Postmenopausal Women with Urinary Incontinence

A study testing Pelvic floor muscle training in people with Urinary Incontinence, run by National Taiwan University at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Postmenopausal women frequently report physical (hot flushes, night sweat, insomnia, vaginal dryness, sexual dysfunction, urinary incontinence, reduced fitness level, osteoporotic symptoms, sarcopenia, decreased fat free mass, etc.) and psychological (depression, anxiety, cognitive decline, etc.) symptoms. Read more about this study

Who is it for?
Ages 40 to 85 years, women only
Conditions the study is for
Urinary Incontinence
What is being tested?
Pelvic floor muscle training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteTaiwan
Study dates
1 Dec 2023to 31 Oct 2024
Phase
Interventional
Are there results?
None posted in the registry

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 40 to 85 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • women aged over 40 years
  • postmenopausal women: amenorrhea for longer than 12 months
  • having symptomatic UI (defined as having the Questionnaire for Urinary Incontinence Diagnosis score > 0 point)
  • being able to answer the questionnaire correctly (no language barrier or cognitive problems)
  • having no other physical or psychological problem that would interfere participation in the study
  • having access to a mobile video conference device with internet access

Who cannot join

  • women aged over 85 years old
  • receiving hormone therapy
  • having neurological conditions, malignancy for pelvic organ, overflow incontinence or voiding dysfunction
  • had received radical surgery for pelvis, sling or prolapse surgery

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • National Taiwan University

    Taipei, Taipei, 100

Other trials in Taiwan

About this study

Official title: The Feasibility and Effects of a Telehealth-delivered Physical Therapy Program for Postmenopausal Women with Urinary Incontinence

Postmenopausal women frequently report physical (hot flushes, night sweat, insomnia, vaginal dryness, sexual dysfunction, urinary incontinence, reduced fitness level, osteoporotic symptoms, sarcopenia, decreased fat free mass, etc.) and psychological (depression, anxiety, cognitive decline, etc.) symptoms. Among these symptoms, urinary incontinence is one of the most common manifestations of pelvic floor dysfunction and may significantly impact on women's quality of life. Urinary incontinence is highly prevalent (30%) in postmenopausal women and is primarily attributed to the decreased level of estrogen. Other potential risk factors for urinary incontinence after menopause include age, parity, genetic factors, pregnancy, overweight/obesity, low physical activity levels, diabetes, urinary tract infection, etc. International guidelines recommend lifestyle and behavioral change, pelvic floor muscle training and bladder training as first-line treatments for urinary incontinence in postmenopausal women. During the COVID-19 pandemic, access to and utilization of healthcare services is reduced. As travel distance has been reported as one of the strong barriers to healthcare among patients with incontinence, research has been conducted to investigate the applications and effects of telehealth. While telehealth rehabilitation may improve urinary incontinence symptoms, the field is still emerging and more studies are needed to elucidate how physical therapists can perform telehealth pelvic floor muscle training for urinary incontinence.

The objectives of this three-year study are:

  1. to investigate the feasibility of a telehealth-delivered physical therapy program for postmenopausal women with urinary incontinence
  2. to explore the effects of a telehealth-delivered physical therapy program on urinary incontinence symptoms, pelvic floor muscle function and quality of life in postmenopausal women with urinary incontinence
  3. to compare the effectiveness of telehealth physical therapy program with face-to-face physical therapy in this population
  4. to compare body composition, physical activity levels, functional capacity, grip strength, urinary incontinence symptoms, and pelvic floor muscles function in women at early versus late stage of post-menopause
  5. to evaluate the relationships between duration after menopause and body composition, physical activity levels, functional capacity, grip strength, urinary incontinence symptoms, and pelvic floor muscles function
Read the detailed description

This is a non-inferiority randomized controlled trial with a nested cross-sectional study and a nested qualitative interview study. Sixty community-dwelling postmenopausal women with urinary incontinence, aged >40 years, will be recruited and randomly allocated to two groups, telehealth group or face-to-face group. All groups will receive a 12-week pelvic floor muscle training. The face-to-face group will be supervised by a female physical therapist who will provide pelvic floor muscle training twice a week. The training will be adjusted according to the performance of the participant. The telehealth group will receive eight sessions of individualized pelvic floor muscle training provided by a physical therapist via telehealth in addition to a weekly telephone coaching. The baseline, post-intervention, and 3-month follow-up assessments will include feasibility outcomes, measurements of anthropometry, body composition (body composition monitor), hand grip strength (dynamometer), functional exercise capacity (six minute walk test), and pelvic floor muscle function (vaginal manometry, transperineal ultrasound and digital palpation) and two questionnaires about symptom severity of urinary incontinence and physical activity levels. This study will provide evidence of effectiveness of different delivery modes of physical therapy program for postmenopausal women with urinary incontinence and health-care professionals working with this population in clinical practice.

Being tested
Pelvic floor muscle training
Medical subject headings
Urinary Incontinence

What participants receive

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

  • Pelvic floor muscle trainingBehavioural

    The pelvic floor muscle training program will be provided via an intra-vaginal biofeedback device - Smart Kegel Trainer, which will be connected to the product application installed on the mobile phone or tablet so the participants can monitor their pelvic floor contractions in real time and directly in the application. Participants will be asked to complete three sets of 8 to 12 maximal pelvic floor muscle contractions and three to ten fast contractions per training session. The home program will be tailored to each participant and include "pelvic floor safe" exercises recommended by the Continence Foundation of Australia.

Study groups in NCT05970796
Study groupRoleWhat they receive
Telehealth groupExperimentalThe telehealth group will receive eight sessions of individualized pelvic floor muscle training provided by a physical therapist via telehealth in 12 weeks.
Receives: Behavioral: Pelvic floor muscle training
Face-to-face groupActive comparatorThe face-to-face group will be supervised by a female physical therapist who will provide pelvic floor muscle training twice a week for 12 weeks.
Receives: Behavioral: Pelvic floor muscle training

What is being measured

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

  1. Number of participants consented to participate

    Consent rate: number of participants enrolled will be divided by number of eligible patients approached

    Measured: absolute values at baseline

  2. Number of intervention sessions attended

    Attendance rate: number of sessions attended will be divided by the total number of expected sessions within each treatment arm

    Measured: absolute values at 12 weeks

  3. Number of participants who remain in the study 3 months after baseline assessment

    Retention rate: number of participants who remain in the study at 3-month follow-up as a proportion of the total number of participants recruited at the baseline assessment

    Measured: absolute values at 3 months

  4. Number of participants who withdrew from the trial

    Withdrawal rate: number of participants who withdraw from the trial after consenting divided by the number of participants who initially consent to the trial

    Measured: absolute values at 12 weeks and 3 months

  5. Number of completed training sessions in relation to the scheduled sessions

    Adherence rate: the total number of exercise sessions completed as a proportion of that prescribed each week from baseline to 12 week.

    Measured: absolute values at 12 weeks

  6. Number of participants with intervention-related adverse events as assessed by CTCAE v4.0

    Adverse events: the number of adverse or serious adverse events throughout the 12-week intervention period. Participants will be asked about any symptoms (such as pain, bleeding or itching) at each training session.

    Measured: absolute values at 12 weeks

  7. Satisfaction scale

    Satisfaction will be was assessed using a five-point Likert-scale ranging from '1 = very dissatisfied' to '5 = very satisfied'.

    Measured: absolute values at 12 weeks

  8. Acceptability scale

    Acceptability will be was assessed using a five-point Likert-scale ranging from '1 = very dissatisfied' to '5 = very satisfied'.

    Measured: absolute values at 12 weeks

Secondary outcomes (14)
  1. Weight

    Weight in kilograms will be measured using a Full Body Sensor Body Composition Monitor.

    Measured: absolute values at 12 weeks and 3 months

  2. Height

    Height in meters will be measured using a measuring tape.

    Measured: absolute values at 12 weeks and 3 months

  3. Body mass index

    Weight and height will be combined to report body mass index in kg/m^2

    Measured: absolute values at 12 weeks and 3 months

  4. Body fat percentage

    Body fat percentage will be measured using a Full Body Sensor Body Composition Monitor. Body fat percentage will be classified as 5.0 to 19.9% (low), 20.0 to 29.9% (normal), 30.0 to 34.9% (high), and 35.0% and above (very high).

    Measured: absolute values at 12 weeks and 3 months

  5. Visceral fat level

    Visceral fat level will be measured using a Full Body Sensor Body Composition Monitor. Visceral fat level will be classified as 1 to 9 (normal), 10 to 14 (high), and 15 to 30 (very high).

    Measured: absolute values at 12 weeks and 3 months

  6. Skeletal muscle percentage

    Skeletal muscle percentage will be measured using a Full Body Sensor Body Composition Monitor. Skeletal muscle percentage will be classified as 5.0 to 25.8% (low), 25.9 to 37.9% (normal), 28.0 to 29.0% (high), and 29.1 to 60.0% (very high).

    Measured: absolute values at 12 weeks and 3 months

  7. Handgrip strength

    The grip strength of dominant hand will be measured in kilograms using a Jamar Plus+ Dynamometer.

    Measured: absolute values at 12 weeks and 3 months

  8. Functional exercise capacity

    Functional exercise capacity will be assessed using six-minute walk test. The distance covered over a time of 6 minutes will be recorded in meters.

    Measured: absolute values at 12 weeks and 3 months

  9. Pelvic floor muscle strength

    Pelvic floor muscle strength will be measured using digital palpation. The results will be recorded using the modified Oxford Grading scale, which quantifies pelvic floor muscle strength as: 0, no contraction; 1, flicker; 2, weak; 3, moderate; 4, good; and 5, strong.

    Measured: absolute values at 12 weeks and 3 months

  10. Bladder neck descent

    Bladder neck descent will be measured in centimeters using a transperineal ultrasound at rest and during maximal voluntary contraction.

    Measured: absolute values at 12 weeks and 3 months

  11. Anteroposterior diameter of the urogenital levator hiatus

    Anteroposterior diameter of the urogenital levator hiatus will be measured in centimeters using a transperineal ultrasound at rest and during maximal voluntary contraction.

    Measured: absolute values at 12 weeks and 3 months

  12. Anorectal angle

    Anorectal angle will be measured using a transperineal ultrasound. The anorectal angle between the anal canal longitudinal axis and the posterior rectal line will be measured in degrees at rest and during maximal voluntary contraction.

    Measured: absolute values at 12 weeks and 3 months

  13. Severity of urinary incontinence

    The severity of urinary incontinence will be measured using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. The total score ranges from 0-21 with a higher score indicating greater severity of symptoms.

    Measured: absolute values at 12 weeks and 3 months

  14. Physical activity levels

    The International Physical Activity Questionnaire - Short Form will be used to measure total physical activity levels in MET minutes a week with a higher score corresponding to a higher physical activity level.

    Measured: absolute values at 12 weeks and 3 months

Timeline

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

  1. First posted1 Aug 2023
  2. Study start1 Dec 2023
  3. Primary completion31 Oct 2024
  4. Study completion31 Oct 2024

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05970796
Sponsor's protocol ID
NSTC 112-2314-B-002-315-
Status last verified
Nov 2024
First submitted
21 Jul 2023
Last updated
14 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Lin KY, Chen CY, Wu PC, Huang MH, Ou YC, Kao YL, Lin KH. The feasibility and effects of a telehealth-delivered physical therapy program for postmenopausal women with urinary incontinence: A pilot mixed-methods study. Maturitas. 2025 Jun;197:108376. doi: 10.1016/j.maturitas.2025.108376. Epub 2025 Apr 23.

    PubMed 40286562
  • Hay-Smith EJC, Starzec-Proserpio M, Moller B, Aldabe D, Cacciari L, Pitangui ACR, Vesentini G, Woodley SJ, Dumoulin C, Frawley HC, Jorge CH, Morin M, Wallace SA, Weatherall M. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2024 Dec 20;12(12):CD009508. doi: 10.1002/14651858.CD009508.pub2.

    PubMed 39704322

Questions about this trial

What is this clinical trial studying?

A study testing Pelvic floor muscle training in people with Urinary Incontinence, run by National Taiwan University at 1 site in Taiwan.

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 6 inclusion and 4 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: finished, as of the sponsor's last update on 14 Nov 2024. 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 Taiwan. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 participants consented to participate (time frame: absolute values at baseline). The study lists 8 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 NCT05970796, which also lists 2 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 14 Nov 2024.

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