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March 27, 2026TrialsOpen Access

Optimizing Primary Care Tools for Incontinence MAnagement (OPTIMA): protocol for a cluster randomized controlled trial

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Authors

MMMaxwell B. MooreKOKyle OkamuroCBCatherine Bresee

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Overview

This trial optimizes urinary incontinence management in primary care, showing the potential for improved patient outcomes.

Key Points

  • The study aims to enhance the management of urinary incontinence by improving primary care practices through targeted interventions.
  • Conducted as a cluster randomized controlled trial across four healthcare systems in Southern California.
  • Randomized 24 offices to either receive an incontinence intervention or continue with routine care.
  • Implemented interventions including physician education, clinical decision support, and electronic referral services.
  • Measured outcomes include adherence to quality indicators and patient-reported outcomes over 6 months.
  • Expected improvement in quality of urinary incontinence care as assessed by quality indicators.
  • Increased specialty referral rates and better disease-specific knowledge among providers and patients.
  • Patient-reported improvement in UI severity and shared decision-making experiences.

Cite This Study

Moore et al. (2026) studied this question.

synapsesocial.com/papers/69c620ab15a0a509bde19389https://doi.org/10.1186/s13063-026-09427-7
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