Tailoring Online Continence Promotion

Tailoring Online Continence Promotion for Women

This project seeks to understand whether, and how, tailoring an online continence intervention can increase engagement and uptake of health behaviors known to improve bladder and bowel symptoms.

The investigators will conduct a two-arm, parallel, randomized, controlled trial (RCT) comparing an online continence promotion program with standard weekly reminders (control arm) to an online continence promotion program with tailoring (treatment arm) to determine the impact of tailoring on program engagement. Women in the treatment arm will receive tailored content and digital reminders for 24 weeks based on their individual characteristics, symptoms, and behaviors assessed at baseline, with reassessment of key inputs every 2 weeks resulting in re-tailored outputs. Participants will complete electronic surveys at enrollment, 4, 12, and 24 weeks. To contextualize the findings from all 3 aims, a subset of participants will be invited to complete semi-structured qualitative interviews about their engagement with the program, their adoption of health behaviors, and their perceived barriers to and facilitators of engagement and behavior change.

Inclusion Criteria:

• Female
• 50 years or older
• Can read & write English
• Can use email
• Has access to an Internet-connected device to use the online program

Exclusion Criteria:

• Dementia
• Neurologic or musculoskeletal conditions in which pelvic floor muscle exercises are contraindicated
• Hematuria or bloody stools within last 6 months that has not been evaluated by a medical professional