Keep On Keep Up Bladder Health: Co-creating and Testing a Self-management Technological Solution for Ageing Well

Summary

KOKU Bladder aims to develop and test an evidence based digital health program with behavior change techniques to improve bladder health of adults aged 50 and over. A novel module embedded in the approved app "Keep-on-Keep-up" (KOKU) will be co-created with end-users, researchers, health professionals, and stakeholders through a participatory and appreciative action and reflection methodology. After a comprehensive literature review and consultation with 4-6 experts, 6 focus groups will be undertaken in Kaunas(Lithuanian), Catalonia (Spain) and Manchester (UK) to co-create the contents of the module. Data will be analyzed using thematic analysis. Gamification and the Honeycomb model for user experience will be followed to achieve an appropriate technological solution that will be tested through a randomized controlled trial with at least 120 individuals. A mixed methods approach (quantitative/qualitative analysis) will be used to assess the feasibility and acceptability of the program. Open data and science, gender and ethical aspects, as well as a risk management plan are considered. A plan for communication, dissemination, exploitation of results will be considered. KOKU Bladder will be highly scalable and will have wide reach and impact. This proposal is in line with EU policy initiatives on Active and Healthy Ageing (bladder health and continence will be promoted), targeting aspects such as eHealth, Innovation and Digital Care Transformation, by supporting users to demand more responsive and integrated care programs for chronic conditions and enhancing self-management strategies, independence and health intelligence.

Conditions

• Urinary Incontinence in Old Age

Interventions

BEHAVIORAL

KOKU Bladder

In this intervention the participants will receive treatment with the KOKU app ( based digital health program with behavior change techniques to improve bladder health ) for 12 weeks. After the intervention we will collect the results with a mixed (qualitative and quantitative) approach. Qualitative information will be recorded and analysed through thematic analysis, and quantitative data will be collected with tests and questionnaires.

BEHAVIORAL

recommendations

In this intervention the participants will receive recommendations for self- managing urinary symptoms, which they must follow for 12 weeks. After the intervention we will collect the results with a mixed (qualitative and quantitative) approach. Qualitative information will be recorded and analysed through thematic analysis, and quantitative data will be collected with tests and questionnaires.

Sponsors & Collaborators

• Hospital Universitari Santa Maria de Lleida (GSS)

  collaborator UNKNOWN

• Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central (IRIS)

  collaborator UNKNOWN

• University of Manchester

  collaborator OTHER

• Research Council of Lithuania

  collaborator OTHER

• Lithuanian Sports University

  collaborator OTHER

• Agencia Gestió Ajuts Universitaris i Recerca

  collaborator UNKNOWN

• Consorci Hospitalari de Vic (CHV)

  collaborator UNKNOWN

• University of Vic - Central University of Catalonia

  lead OTHER

Principal Investigators

• Jerez-Roig, PhD · University of Vic-Central University of Catalonia; Lithuanian Sports University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

50 Years

Max Age

100 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-03-24

Primary Completion

2027-08-31

Completion

2028-10-01

Countries

• Lithuania
• Spain
• United Kingdom

Study Locations