Developing and Testing KOKU Bladder A Digital Program to Improve Bladder Health for Adults Aged 50 to 100

What this Trial Is About

Researchers are evaluating a digital health program designed to improve bladder health and manage urinary incontinence in adults aged 50 and over. This study involves co-creating a new module within the approved Keep-on-Keep-up KOKU app, developed with input from users, health professionals, and experts. The research includes a randomized controlled trial to test the programs feasibility and acceptability using behavior change techniques and addressing active and healthy aging policies. The study is organized into several phases, starting with protocol preparation and expert consultations, followed by multiple focus groups in Lithuania, Spain, and the UK to co-create the app module. After development, a 12-week intervention will be conducted with at least 120 participants across three countries, randomly assigned to either the KOKU Bladder app group or a control group receiving recommendations for self-managing urinary symptoms. Both groups will be assessed using qualitative and quantitative methods. Participants will engage in the trial for up to three years, during which their urinary incontinence symptoms, life impact, satisfaction with treatment, and bladder health will be regularly evaluated using questionnaires and tests such as the Incontinence Impact Questionnaire-7 and the International Prostate Symptom Score. Data collection includes thematic analysis of qualitative feedback and measurement of symptom severity and patient impressions. Safety and ethical considerations are integrated throughout, with plans for open communication and dissemination of results.

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