IRIS: Incontinence Research Intervention Study
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Purpose
The IRIS project stands for Incontinence Research Intervention Study. The purpose of this research project is to develop an effective behavioral therapy for urinary incontinence and specifically to test Knack therapy, a self-help treatment. The Knack therapy involves learning the skill of performing a pelvic muscle contraction simultaneously with an event known to trigger leakage, in order to stop that leakage.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Incontinence Urinary Incontinence, Stress |
Behavioral: Knack therapy |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Office for Research on Women's Health (ORWH): Specialized Centers of Research (SCOR) on Sex and Gender Factors Affecting Women's Health. Project 3: Selection Criteria For Muscle Therapy in SUI |
- The short-term outcome of "positive response" is defined as able to reduce leakage during coughing to under 2 ml or 50% decrease from baseline (whichever is more stringent). This will be evaluated immediately at 1 month.
- Long-term success (3-months and 1-year) is defined both by the paper towel test criteria and by documentation of at least 50% reduction of leakage in diary to reflect success at home.
| Estimated Enrollment: | 320 |
| Study Start Date: | January 2003 |
| Study Completion Date: | April 2008 |
This proposal aims to develop and test, in a general population of women with stress urinary incontinence (SUI), a model for predicting who will succeed in overcoming incontinence long-term (1-year) by simply using Knack therapy (thus avoiding invasive and costly surgery and time consuming Kegel's exercises). Specific Aims are to:
- develop a logistic regression model to predict success with the Knack;
- validate the model by determining the proportion of people who succeed according to who is predicted to succeed; and
- develop long-term effectiveness of the Knack (1-year).
The project will be implemented in three phases: model development (n=160 women), model validation (n~160), and long-term follow-up of women who demonstrate response. This will be evaluated immediately and at 1 month and at 3-months and 1-year.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Women who are incontinent
- Women who experience leakage with coughing, sneezing or exercising
- Women who are generally healthy
- Women who are over the age of eighteen
- Women who are not pregnant nor expecting to become pregnant within a year
Exclusion Criteria:
- No urine leakage when coughing, sneezing, or exercising
- Under the age of eighteen
- Pregnant or expecting to become pregnant
- Untreated urinary tract infection
- Pronounced pain or discomfort with pelvic exams
- History of neurologic conditions
Contacts and Locations| United States, Michigan | |
| University of Michigan, School of Nursing | |
| Ann Arbor, Michigan, United States, 48109 | |
| Principal Investigator: | Janis M Miller, PhD, APRN | University of Michigan, School of Nursing, Dept. Obstetrics & Gynecology |
| Study Director: | John OL DeLancey, MD | University of Michigan, Obstetrics & Gynecology |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00125177 History of Changes |
| Other Study ID Numbers: | P50 HD 044406, 1P50HD044406, IRBMED# 2002-0635 |
| Study First Received: | July 27, 2005 |
| Last Updated: | November 9, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Michigan:
|
pelvic muscle therapy urinary incontinence therapy stress incontinence intervention incontinence intervention |
Incontinence SUI Stress Incontinence |
Additional relevant MeSH terms:
|
Urinary Incontinence Urinary Incontinence, Stress Urination Disorders |
Urologic Diseases Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013