Study of At-Home Transcutaneous Tibial Nerve Stimulation for Treating Overactive Bladder in Rural Women

What this Trial Is About

Researchers are evaluating a new self-implemented at-home treatment called Transcutaneous Tibial Nerve Stimulation TTNS for women living in rural areas who have not previously been treated for overactive bladder OAB. This study takes place in three rural communities in Oregon and involves both an interventional treatment and patient interviews to understand participant experiences. The goal is to assess how feasible and effective this device-based therapy is for managing OAB symptoms in this population. Participants will use a transcutaneous electrical nerve stimulation TENS device to stimulate the tibial nerve on one ankle during 30-minute sessions, three times per week, over a 12-week period. The device, including electrodes and batteries, will be mailed to each participant along with detailed written and video instructions. The stimulation intensity is personalized to be just above the perception threshold but not painful. Researchers will contact participants regularly to monitor adherence and provide support. During the study, participants will complete questionnaires, keep a 3-day voiding diary, and may take part in interviews after finishing the intervention to share their experiences. The primary outcomes measured include quality of life related to OAB, symptom bother, and urinary frequency before and after the 12-week treatment. Communication and study materials are offered in English or Spanish, and participants safety and compliance will be closely monitored throughout the study.

At-Home Transcutaneous Tibial Nerve Stimulation for Overactive Bladder in Rural Women