Implementing a Mobile Health Application for Women Veterans with Urinary Incontinence (MyHealtheBladder): Function QUERI 3.0 aims to compare implementation approaches while also gathering information on clinical effects of the Evidence-Based Program (EBP) in its new context and focusing on equitable reach (extent to which the program serves all members of its intended audience). The overall goal is to implement, evaluate, and sustain MyHealtheBladder in 20 VA facilities using a type III effectiveness-implementation hybrid study framework and parallel cluster randomized trial (CRT) design.
Facility is part of the U.S. Department of Veterans Affairs (VA) health system
Clinic serves at least 100 Women Veterans annually
Identified site champion (e.g., clinician or staff member) who is willing to assume required program responsibilities for implementation
Women Veterans
Clinic has already implemented the MyHealtheBladder program through the PURSUIT trial
No access to computer or mobile device
No email account
Institutionalized
Parallel
Implementation Strategy: Foundational Arm
Other interventionThe Foundational Arm includes the following activities: Program sign up, toolkit, kickoff call, SharePoint, TEAMS channel, office hours calls, and site specific data reports.
Implementation Strategy: REACH Arm
Other interventionThe REACH Arm includes everything in the Foundational Arm, plus additional components: targeted data reports, a data dashboard, and external facilitation.
Reach
Reach will be defined as the percentage of Women Veterans that accessed (logged into) the MyHealtheBladder (MHB) app.
Reach
Reach will be defined as the percentage of Women Veterans that accessed (logged into) the MyHealtheBladder (MHB) app.
Patient Engagement
Patient engagement will be defined as the proportion of MyHealtheBladder sessions completed by Women Veterans at each clinic, among those who completed at least one session.
Patient Engagement
Patient engagement will be defined as the proportion of MyHealtheBladder sessions completed by Women Veterans at each clinic, among those who completed at least one session.
Time to Adoption
Time to Adoption will be defined as the time from baseline to the time at which a site crosses the adoption threshold (5 or more Women Veterans who have accessed the app). This will be computed for each site meeting the adoption criteria.
Click on the lead sponsor to view all of their trials.
