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Study Title and Description

Comparison of mindfulness-based stress reduction versus yoga on urinary urge incontinence: a randomized pilot study. with 6-month and 1-year follow-up visits.



Key Questions Addressed
1 KQ 1: What are the benefits and harms of nonpharmacological treatments of UI in women, and how do they compare with each other? KQ 2: What are the benefits and harms of pharmacological treatments of UI in women, and how do they compare with each other? KQ 3: What are the comparative benefits and harms of nonpharmacological versus pharmacological treatments of UI in women? KQ 4: What are the benefits and harms of combined nonpharmacological and pharmacological treatment of UI in women?
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Primary Publication Information
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TitleData
Title Comparison of mindfulness-based stress reduction versus yoga on urinary urge incontinence: a randomized pilot study. with 6-month and 1-year follow-up visits.
Author Baker J., Costa D., Guarino JM., Nygaard I.
Country From the Departments of *Obstetrics and Gynecology, and †Department of Occupational Therapy, University of Utah School of Medicine, Salt Lake City, UT.
Year 2014
Numbers Pubmed ID: 24763155

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: All studies
Arms
Number Title Description Comments
1 Yoga
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2 MBSR mindfulness based stress reduction
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Design Details
Question... Follow Up Answer Follow-up Answer
Study type RCT
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Country/countries USA
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Funding source Explicitly not industry funded
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Inclusion criteria women >18yo, 5 or more UUI on 3 day bladder diary
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Exclusion criteria anticholinergic medication with the past 2 weeks, prior nonpharmacologic treatment of UUI such as supervised behavioral therapy, supervised or unsupervised physical therapy, supervised biofeedback transvaginal electrical stimulation, PTNS, Interstim, bladder botox, IC, neurological disorder.
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UI type 100
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Age 58
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medan
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22, 79
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Men included
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Special populations
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21
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70
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postmenopausal
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Race
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29
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96.6
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Notes
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Did participants fail previous treatment? ... Some ... had tried prior anticholinergics (~25% in each arm), ~10% had a prior midurethral sling
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Study years 2011-2012
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Baseline Characteristics
Question Yoga MBSR Total Comments
AnswerFollow-up AnswerFollow-up AnswerFollow-up
Participant flow 15 15 30
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9 12 21
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6 3 9
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4 did not complete the weekly sessions, 2 more were lost to followup 2 did not complete weekly sessions, 1 more was lost to followup described above
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Notes No data entered.



Results & Comparisons


Results Data
Outcome: Cure etc.      Population: All Participants
Time Point Measure Yoga MBSR


8 weeks

N Analyzed 11 13
Counts 0 6
P-Value
Outcome: Incontinence count/frequency (urgency)      Population: All Participants Between-Arm Comparisons
Time Point Measure Yoga MBSR Comparison Measure ERROR vs. ERROR


12 months

N Analyzed 15 15 0.08
Median -16.7 -66.7
25th Percentile -66.7 -85.7
75th Percentile 0.00 0.00


Quality Dimensions
Dimension Value Notes Comments
RCT:.....Adequate generation of a randomized sequence Low RoB
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RCT:.....Allocation concealment Low RoB
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RCT:.....Blinding of PATIENTS High RoB
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RCT.....Intention-to-treat-analysis Low RoB
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ALL.....Blinding of OUTCOME ASSESSORS (or "DOUBLE BLIND") Low RoB
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ALL.....Incomplete results data (attrition bias) Unclear RoB
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ALL....Group similarity at baseline (selection bias) Low RoB
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ALL.....Compliance with interventions Unclear RoB
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NRCS.....Patients in different intervention groups selected in an equivalent manner Not Applicable
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NRCS....Baseline differences between groups accounted for (Adjusted analysis)? Not Applicable
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ALL.....Other issues Not Applicable
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ALL....Were interventions adequately described?
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Quality Rating
No quality rating data was found.