Tailoring Online Continence Promotion for Women

为女性量身定制在线节制促销

• 批准号: 10576355
• 负责人: Heidi Wendell Brown
• 金额: $ 31.1万
• 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 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10576355
• 关键词: Address; Adopted; Adoption; Affect; Age; Behavior; Behavior Therapy; Bladder; Bladder Control; Clinical Trials; Cluster Analysis; Collaborations; Control Groups; Data; Diabetes Mellitus; Digestive System Disorders; Discipline; Disease; Electronic Mail; Electronics; 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; Mental Depression; Mind; Mission; National Institute of Diabetes and Digestive and Kidney Diseases; Outcome; Output; Participant; Pattern; Pelvic Floor Muscle; Performance; Persons; Population; Postmenopause; Prevalence; Privacy; Process; Productivity; 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 group; behavior change; communication theory; community setting; coronavirus pandemic; cost; digital; dissemination science; eHealth; effectiveness trial; empowerment; 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; population based; prevent; programs; 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.

项目总结 大小便失禁在女性中很常见，成本很高，而且治疗严重不足。尿液和肠道 大小便失禁经常在绝经后同时发生并影响超过一半的女性， 医疗保健成本每年超过300亿美元。建议首先改变生活方式- 一线治疗，但大多数女性并不知道这些策略，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女性，并 授权他们做出这些行为改变有可能改善症状， 影响生活质量，降低数百万女性的医疗成本。我们的团队开发了 精神胜过物质的测试：健康的肠道，健康的膀胱(妈妈)，小群体行为 改变干预措施，改善50岁及以上女性的尿失禁和大便失禁。 这一计划的创新之处在于它包含了改善膀胱和肠道功能的策略 大小便失禁；然而，它的覆盖范围有限，因为它是在社区中提供给小团体的 设置。我们之前的研究表明，只有不到20%的大小便失禁女性 参加像妈妈这样的项目，而超过60%的人会参加在线控制 推广计划。因此，我们的团队获得了试点资金，以使母亲适应在线 平台，与面对面计划(&gt；4,000)相比表现出巨大的影响力 3个月的用户数量与12个月的300个用户数量相比)。然而，大多数与会者 只访问了该项目一次，没有采取行为改变。其他学科已经使用了 定制，处理来自特定用户的输入以生成 个性化产出，以加强与电子健康促进的接触。裁剪有 尽管NIDDK认识到患者的个体化，但在控制促进方面尚未得到广泛研究 尿失禁的治疗是一个重要的研究重点。我们提出了一个随机化的 对照试验测试裁剪的影响(与计划的主动控制组相比 关于与在线母亲的互动和采用健康行为的数字提醒) 改善节制。我们假设那些有量身定做经验的人会使用这个程序 越多越有可能做出行为改变。在最终目标中，我们探索了机制 裁剪通过它影响行为的改变。我们的团队正在改善可控性 从跨学科的角度(心理学、人为因素工程学、健康)促进 沟通理论和泌尿外科)，并提出了一项有可能显著 增进我们对如何对大小便失禁进行个性化行为治疗的理解。