A Practice-Based Intervention to Improve Care for a Diverse Population of Women with Urinary Incontinence

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The main goal of this clinical trial is to improve the care for urinary incontinence (UI) provided to adult women by primary care providers. The main questions it aims to answer are: * Can a practice-based intervention involving primary care providers lead to improved quality of incontinence care? * Will this intervention reduce the utilization of specialist care for urinary incontinence? * What effect will this intervention have on patient outcomes, including disease-specific outcomes, symptom severity, quality of life, and patient knowledge? * Does our intervention reduce disparities in care? Provider participants will be randomized at the office level to either an intervention group or a delayed intervention (control) group. The intervention group will receive an intervention consisting of academic detailing, clinical decision support tools, electronic referral, and the ability to refer to an advanced practice provider for co-management. The delayed intervention group will provide usual care until the crossover phase of the study, at which point they will receive the same intervention as the intervention group. Patient participants will bring up urinary incontinence with their primary care provider and complete three electronic surveys. Researchers will compare the intervention group to the delayed intervention (control) group to see if the intervention results in increased adherence to evidence-based quality indicators.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• Primary care physician belonging to a recruited office among one of four participating sites: Cedars-Sinai, Harbor-UCLA, UCLA, UCSD

• Age \>18 y/o

• English or Spanish fluency

• Female

• Answers yes to incontinence screening tool and agrees to participate

Locations
United States
California
University of California, San Diego
RECRUITING
La Jolla
Cedars-Sinai
RECRUITING
Los Angeles
University of California, Los Angeles
RECRUITING
Los Angeles
Harbor-UCLA Medical Center
RECRUITING
Torrance
Contact Information
Primary
Jennifer Anger, MD
janger@health.ucsd.edu
3108479299
Backup
Maxwell B Moore, MS
mam096@health.ucsd.edu
3109639574
Time Frame
Start Date: 2022-09-07
Estimated Completion Date: 2026-02
Participants
Target number of participants: 1600
Treatments
Experimental: Practice-Based Intervention
The intervention will include physician education, electronic decision support, implementation of an electronic referral system, and patient education/co-management by an advance practice provider.
No_intervention: Control
Offices in this group will not receive the four-pronged intervention. However, after the study trial, there will be a validation phase in which the initial control group will then receive the intervention. This cross-over deign will then allow all 60 offices to receive the intervention. Data from the cross-over intervention group will be analyzed as a separate cohort to confirm improvements in patient care and outcomes as measured in the intervention group under the study trial can be duplicated.
Related Therapeutic Areas
Sponsors
Collaborators: Cedars-Sinai Medical Center, Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Agency for Healthcare Research and Quality (AHRQ), University of California, Los Angeles, RAND
Leads: University of California, San Diego

This content was sourced from clinicaltrials.gov