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Urinary IncontinenceFIRE-WOMENNCT06839040

Effects of a Multidisciplinary Intervention on Fall Risk and Urinary Incontinence in Older Women

A study testing Group 1: ExVerbPsy, Group 2: ExVerb and Group 3: Ex in people with Urinary Incontinence and Frailty, run by Fundación Universidad Católica de Valencia San Vicente Mártir at 1 site in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This will be a quantitative, quasi-experimental, and longitudinal study spanning 18 weeks of intervention, followed by a 24-week follow-up, scheduled to begin in January 2025. The primary objective of this study is to evaluate the effects of a multidisciplinary intervention comprising physiotherapy, physical exercise… Read more about this study

Who is it for?
Ages 60 to 80 years, women onlyHealthy volunteers can take part
Conditions the study is for
Urinary Incontinence, Frailty, Balance Impairment
What is being tested?
Group 1: ExVerbPsy, Group 2: ExVerb and Group 3: Ex
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteSpain
Study dates
3 Feb 2025to 28 Dec 2025
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 60 to 80 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Woman, aged between 60 and 80 years.
  • Not having done physical exercise in the last 3 months.
  • Present UI (SUI, UUI or MUI) after clinical diagnosis.
  • Score greater than 90 on the Barthel Scale.
  • Not present pathologies or functional alterations that limit the practice of physical exercise.
  • Not present severe cognitive alterations or mild cognitive deficit (Global Deterioration Scale less than or equal to 2 or Mini Mental State Examination greater than or equal to 25 points).
  • Maintain walking without support products.
  • Carry out 80% of the total sessions

Who cannot join

  • Intake of medication that could affect the performance of the exercise or alter the variables studied.
  • Present grade II-IV uterine prolapses.
  • Clinical disease or syndrome (chronic or acute cardiovascular, neurological, respiratory or musculoskeletal disorders) that may interfere with the performance of the intervention and evaluation.
  • Present visual and/or auditory alterations that make it difficult to carry out the intervention and evaluation.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

ESTHER RAMOS CASTELLANO contact

+34672425826

esther.ramos@ucv.es

Spain1 site, 1 recruiting
  • Escuela de Doctorado. Universidad Católica de Valencia San Vicente Mártir. (Doctoral School. Catholic University of ValenciaSan Vicente Mártir)

    Valencia, Valencia, 46001

    Pedro Gargallo Bayo, Full professor, pedro.gargallo@uv.es

    ESTHER RAMOS CASTELLANO, +34672425826, esther.ramos@ucv.es

    Recruiting

Other trials in Spain

About this study

This will be a quantitative, quasi-experimental, and longitudinal study spanning 18 weeks of intervention, followed by a 24-week follow-up, scheduled to begin in January 2025.

The primary objective of this study is to evaluate the effects of a multidisciplinary intervention comprising physiotherapy, physical exercise, and psychoeducation on fall risk and urinary incontinence in non-institutionalized older adult women aged 60 to 80 years. Participants will be randomly assigned to one of four groups:

Read more
  1. A multicomponent exercise group with verbal instructions for pelvic floor exercises.
  2. A multicomponent exercise group with verbal instructions for pelvic floor exercises and psychoeducation.
  3. A multicomponent exercise group without verbal instructions for pelvic floor exercises.
  4. A control group.

Multicomponent exercise sessions will be conducted twice a week, while the psychoeducation group will participate in five group therapy sessions throughout the program. The variables to be analyzed include balance, strength, power, pelvic floor function, quality of life, and self-esteem.

Read the detailed description

The aging process can lead to the development of major geriatric syndromes, such as falls and urinary incontinence. Although there are studies demonstrating the effectiveness of physical exercise and education in addressing these conditions, there is currently very limited evidence on the combined effects of both therapies on these syndromes.

The primary objective of this study is to evaluate the effects of a multidisciplinary intervention consisting of physiotherapy, physical exercise, and psychoeducation on the risk of falls and urinary incontinence in older adult women.

Methods: This will be a quantitative, quasi-experimental, and longitudinal study with 18 weeks of intervention and a 24-week follow-up period. The study is scheduled to begin in January 2025. The sample will consist of non-institutionalized older adult women aged between 60 and 80 years, who will be randomly assigned to one of four groups:

  1. A multicomponent exercise group with verbal instructions targeting the pelvic floor.
  2. A multicomponent exercise group with verbal instructions targeting the pelvic floor and psychoeducation.
  3. A multicomponent exercise group without verbal instructions targeting the pelvic floor.
  4. A control group.

Multicomponent exercise sessions will be conducted twice a week and will include exercises focused on balance, strength/power using elastic bands, aerobic capacity, and coordination. The verbal instructions for the pelvic floor will involve performing fast and slow contractions during the general exercises. Participants in the psychoeducation group will attend five group therapy sessions throughout the program.

The study will analyze variables related to balance (Timed Up and Go test, functional reach test, and posturography), lower limb strength/power (isometric strength tests and jump performance), and pelvic floor function (using the PERFECT scale and electromyography). Additionally, physical, psychological, and social well-being variables will be assessed using instruments such as the SF-36, ICIQ-SF, and Rosenberg self-esteem scale.

Results/Conclusion: It is anticipated that differences will emerge between the study groups, with the trimodal intervention group (multicomponent exercise + specific verbal instructions for the pelvic floor + psychoeducation) showing greater improvements in certain parameters.

Being tested
Group 1: ExVerbPsy, Group 2: ExVerb, Group 3: Ex
Keywords
older women, pelvic floor, balance, multicomponent exercise, urinary incontinence, phsychoeducation
Medical subject headings
Urinary Incontinence, Frailty

What participants receive

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

  • Group 1: ExVerbPsyOther

    A multidisciplinary intervention will be carried out, consisting of an initial phase of individual physiotherapy based on specific active muscle training of the pelvic floor (EMSP). This will be followed by a group-based multi-component physical exercise program with instructions on pelvic floor contraction during the exercises, and psychoeducation sessions to help cope with the fear of increased likelihood of falls and urinary incontinence as a result of aging.

  • Group 2: ExVerbOther

    The same procedure as experimental group 1 ExVerbPsy will be performed except for the psychoeducation sessions.

  • Group 3: ExOther

    The same procedure as experimental group 1 ExVerbPsy will be performed but without verbal instructions and psychoeducation sessions.

Study groups in NCT06839040
Study groupRoleWhat they receive
Multi-component exercise group with verbal instructions for the pelvic floor and psychoeducationExperimentalA multidisciplinary intervention will be carried out, consisting of an initial phase of individual physiotherapy based on specific active muscle training of the pelvic floor (EMSP). This will be followed by a group-based multi-component physical exercise program with instructions on pelvic floor contraction during the exercises, and psychoeducation sessions to help cope with the fear of increased likelihood of falls and urinary incontinence as a result of aging.
Receives: Other: Group 1: ExVerbPsy
Multi-component exercise group with verbal instructions for the pelvic floorActive comparatorThe same procedure as experimental group 1 (exercise + verbal instructions + psychoeducation) will be performed except for the psychoeducation sessions.
Receives: Other: Group 2: ExVerb
Multicomponent exercise group without verbal instructions for the pelvic floorActive comparatorThe same procedure as experimental group 1 (exercise + verbal instructions + psychoeducation) will be performed but without verbal instructions and psychoeducation sessions.
Receives: Other: Group 3: Ex
Control groupNo interventionThey will receive information sessions on the prevention of geriatric syndromes and will be asked to maintain their normal activity level. At the end of the interventions, this group will have the option of receiving the appropriate intervention that was not carried out in the initial process.

What is being measured

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

  1. Pelvic floor

    PERFECT Scale:

    Power (P): with Oxford scale 0 to 5 points Endurence (E): 0 to 10 points Repetitions (R): 0 to 10 points Fast (F): 0 to 10 points

    Measured: From enrollment to the end of treatment at 18 weeks

  2. Pelvic floor

    Intracavitary electromyography: maximum and average contraction. Outcome measure in microvolts.

    Measured: From enrollment to the end of treatment at 18 weeks.

  3. Pelvic floor

    Manometric perineometer: maximum contraction. Outcome measure in millimeters of mercury.

    Measured: From enrollment to the end of treatment at 18 weeks.

  4. Abdominal muscle tone

    Abdominal ultrasound of rectus and transverse abdominis: in relaxation and activation with diaphragmatic breathing. Outcome measure in milimeters.

    Measured: From enrollment to the end of treatment at 18 weeks.

  5. Dynamic balance

    Timed Up and Go: the time it takes for the person to get up from a chair, walk 3 meters, turn on a cone, return to the chair and sit down. Outcome measure in seconds. Less than 10 seconds: low risk of falling. Between 10 and 20 seconds: frailty (medium risk of falling). More than 20 seconds: high risk of falling and disability.

    Measured: From enrollment to the end of treatment at 18 weeks

  6. Static balance

    Romberg test with feet together, semi-tandem and tandem in 10 seconds. Static one-leg standing balance test with open and closed eyes in 30 seconds. Outcome measure in seconds.

    Measured: From enrollment to the end of treatment at 18 weeks.

  7. Static balance

    Posturography with and without balance foam: anteroposterior and lateral axis oscillation, and degree of shift of the center of gravity (COP). Outcome measure in milimeters.

    Measured: From enrollment to the end of treatment at 18 weeks.

  8. Static balance

    Functional reach: distance traveled in anterior displacement with arms outstretched and feet together. Outcome measure in centimeters.

    Measured: From enrollment to the end of treatment at 18 weeks.

  9. Gait

    Six minutes gait with Runscribe sensors on feet and four meters gait (normal and fast speed)

    Measured: From enrollment to the end of treatment at 18 weeks

  10. Power

    Jumps (CMJ and ABK), leg extension and squad. Outcome measure in wats.

    Measured: From enrollment to the end of treatment at 18 weeks

  11. Power and strenght

    Five sit to stand, thirty sit to stand and arm curl. Outcome measure in number of repetitions in 30 seconds.

    Measured: From enrollment to the end of treatment at 18 weeks

  12. Strenght and endurance

    Isometries of leg extension, hip extension, hip abduction, hip adduction, spine extension and hand grip. Outcome measure in newtons.

    Measured: From enrollment to the end of treatment at 18 weeks

  13. Health impact and quality of life

    International Consultation on Incontinence Questionnaire (ICIQ-SF): 0 to 21 points from urinary incontinence impact. Outcome measure in units on a scale.

    Measured: From enrollment to the end of treatment at 18 weeks.

  14. Psychological and social well-being

    Falls efficacy scale: 16 to 64 points from least to most worry about falling. Outcome measure in units on a scale.

    Measured: From enrollment to the end of treatment at 18 weeks.

Secondary outcomes (4)
  1. Quality of live

    Quality of live with questionnaire Short Form (SF36): this questionnaire evalues in 36 questions the physical function, physical role, body pain, general health, vitality, social function, emotional role, and mental health. 0 to 100 points. Outcome measure in units on a scale.

    Measured: From enrollment to the end of treatment at 18 weeks

  2. Psychological and social well-being

    Self-esteem questionnaire of Rosenberg: 10 points low self-esteem to 40 points high self-esteem. Outcome measure in units on a scale.

    Measured: From enrollment to the end of treatment at 18 weeks.

  3. Weight

    Kilograms and information on percentage of lean mass and fat mass.

    Measured: From enrollment to the end of treatment at 18 weeks

  4. Height

    Stadiometer. Outcome measure in centimeters

    Measured: From enrollment to the end of treatment at 18 weeks

Timeline

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

  1. First posted21 Feb 2025
  2. Study start3 Feb 2025
  3. Primary completion2 Dec 2025 (estimated)
  4. Study completion28 Dec 2025 (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
Randomised
Intervention model
Parallel groups
Model description
This will be a double blind (investigator-evaluator/data analyst), four arm experimental, parallel and longitudinal study.
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06839040
Sponsor's protocol ID
UCV/2022-2023/123
Acronym
FIRE-WOMEN
Status last verified
Feb 2025
First submitted
4 Feb 2025
Last updated
21 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Ramos-Castellano E, Mayordomo-Rodriguez T, Chulvi-Medrano I, Guillamo-Minguez C, Gargallo-Bayo P. Power-Based Multicomponent Training, Pelvic Floor Muscle Activation Instructions, and Psychoeducation for Urinary Incontinence, Balance and Fear of Falling in Older Women (FIRE-WOMEN): Study Protocol for a Randomized Controlled Trial. Healthcare (Basel). 2026 Aug 10;14(16):2467. doi: 10.3390/healthcare14162467.

    PubMed 42651237

Questions about this trial

What is this clinical trial studying?

A study testing Group 1: ExVerbPsy, Group 2: ExVerb and Group 3: Ex in people with Urinary Incontinence and Frailty, run by Fundación Universidad Católica de Valencia San Vicente Mártir at 1 site in Spain.

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 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: looking for participants now, as of the sponsor's last update on 21 Feb 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 Spain. 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?

Contact ESTHER RAMOS CASTELLANO (+34672425826, esther.ramos@ucv.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pelvic floor (time frame: From enrollment to the end of treatment at 18 weeks). The study lists 14 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 NCT06839040, which also lists 1 linked publication.

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 21 Feb 2025.

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