Examining Bladder Control Using Mindful Based Approach
- Conditions
- Urinary Urgency Incontinence
- Interventions
- Other: Mindfulness Based Stress Reduction Course
- Registration Number
- NCT01843543
- Lead Sponsor
- Oregon Health and Science University
- Brief Summary
Urgency Incontinence (where the bladder muscles contract suddenly, causing an immediate urge to urinate that is difficult to prevent) is commonly experienced in patients with overactive bladder. New findings have discovered that urgency incontinence may be connected to the interactions of certain regions of the brain and the bladder. Although this is a common problem, researched still do not know how these interactions impact the process of urgency incontinence. Furthermore, there is preliminary data to suggest that interventions such as Mindful-Based Stress Reduction (MBSR) can potentially be used as therapy for UI. The purpose of this study is to determine the impact MBSR training on UI symptoms, quality of life, and anxiety measures.
- Detailed Description
Urgency Incontinence (where the bladder muscles contract suddenly, causing an immediate urge to urinate that is difficult to prevent) is commonly experienced in patients with overactive bladder. New findings have discovered that urgency incontinence may be connected to the interactions of certain regions of the brain and the bladder. Although this is a common problem, researched still do not know how these interactions impact the process of urgency incontinence. Furthermore, there is preliminary data to suggest that interventions such as Mindful-Based Stress Reduction (MBSR) can potentially be used as therapy for UI. The purpose of this study is to determine the impact MBSR training on UI symptoms, quality of life, and anxiety measures.
To determine the impact of MBSR training on Urinary Incontinence(UI) symptoms, quality of life and anxiety measures in women affected with UI. We hypothesize that participants will have significant improvement in UI and anxiety related symptoms and quality of life measures.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 12
- Female participants with urinary urgency incontinence
- 40-85 years of age without a history of incontinence surgery
- current overactive bladder symptoms including urgency and urgency incontinence daily for the previous three months
- willing and able to complete all study related measures
- medical contraindications for MRI scanning
- past or present overt neurological disease
- history of pelvic irradiation or bladder cancer
- current urinary tract infection
- current pelvic pain or painful bladder disorder
- symptomatic pelvic organ prolapse
- anticholinergic medication use within 2 weeks of baseline assessments
- past nonpharmacologic treatment for UI
- history of structured mindfulness based course or therapy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MBSR participants Mindfulness Based Stress Reduction Course Subjects in this arm will participate in an 8 week Mindfulness Based Stress Reduction Course
- Primary Outcome Measures
Name Time Method Change in Functional Magnetic Resonance Imaging (fMRI) Administered before and within 6 weeks after participation in the MBSR course To use advanced brain imaging techniques, namely functional MRI (fMRI) to determine whether change in Urinary Incontinence and anxiety symptoms after a Mindfulness Based Stress Reduction course are associated with changes in activation patterns in the brain.
- Secondary Outcome Measures
Name Time Method Change in Beck Anxiety Inventory Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention A self-report questionnaire for anxiety consisting of 21 items with items describing physical, physiological and cognitive aspects of anxiety
Change in Urinary Incontinence Episodes in 3-Day Period Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention Subjects will be asked to keep a diary that tracks their bladder and urinary habits for 3 days
Change in Perceived Stress Scale Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention A 10 item self report questionnaire aimed to tap experiences of distress related to 'how unpredictable, uncontrollable, and overloaded respondents find their lives
Change in Patient Global Impression of Severity and Improvement Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention single-question global indexes for Urinary Incontinence severity and improvement
Change in Mindfulness Attention Awareness Scale Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention A 15 item trait measure of the tendency to attend to present moment experiences in everyday activities
Change in Overactive Bladder Symptom and Quality of Life Short Form Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention A questionnaire validated for overactive bladder patients that includes symptom bother and health-related quality-of-life questions
Change in Urogenital Distress Inventory - Short Form Administered before and within 6 weeks after participation in the MBSR course. Repeated between 6-8 months post intervention A 6 item self report questionnaire with items assessing life quality and symptom distress for urinary incontinence
Change in Resting State Functional Connectivity Magnetic Resonance Imaging (rs-fcMRI) Administered before and within 6 weeks after participation in the MBSR course To use advanced brain imaging techniques, namely functional connectivity MRI to determine whether change in Urinary Incontinence and anxiety symptoms after a Mindfulness Based Stress Reduction course are associated with changes functional connectivity patterns in the brain.
Change in Diffusion Tensor Imaging (DTI) Administered before and within 6 weeks after participation in the MBSR course To use advanced brain imaging techniques, namely diffusion tensor Imaging(DTI) to assess white matter integrity and fiber tracking.
Trial Locations
- Locations (1)
Oregon Health Science University
🇺🇸Portland, Oregon, United States