Continence Across Continents to Upend Stigma and Dependency

Phase 3 Cluster Randomised Trial Testing the Efficacy of a Continence Promotion Intervention to Improve Urinary Symptoms and Quality of Life, and Reduce Stigma and Falls in Older Community-dwelling Women With Untreated Incontinence

To determine whether women exposed to the continence promotion intervention will report improved urinary symptoms and quality of life, and lower incontinence-related stigma and falls than women who receive a control intervention at one-year post-intervention.

This is a cluster-randomized 4-site intervention study testing the effect of a continence-promotion intervention on:

1. Improved urinary symptoms and quality of life
2. Reduction in falls
3. Reduction in stigma

A cost-effectiveness component will also be included

Inclusion Criteria:

• Women
• 65 years and older
• Urinary incontinence at least once weekly

Exclusion Criteria:

• Living in residential or long-term care
• Received treatment for incontinence within the past year
• Dementia or other neurological conditions that preclude the ability to provide -Informed consent