Remote Access to Urinary Incontinence Treatments for Women Veterans

What is the comparative effectiveness of evidence-based urinary incontinence (UI) behavioral treatment with or without booster visits delivered through 2 remote modalities?In this randomized clinical trial of 286 women veterans with UI, participants who received behavioral UI treatment through a mobile health app reported earlier UI symptom reductions compared with through a video visit; however, the difference in symptom reductions between modalities was not clinically meaningful. Addition of a booster video visit did not further improve UI symptoms.These findings suggested that receiving remote behavioral UI treatment through either a mobile health app or video visit improved UI symptoms among women veterans, without clinically meaningful differences between modalities.

Corresponding Author: Alayne D. Markland, DO, MSc, Birmingham VA Health Care System, Birmingham/Atlanta GRECC, 700 19th St S, Birmingham, AL 35233 (alayne.markland@va.gov; alayne.markland@hsc.utah.edu).

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