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Trials
Published in: Trials 1/2011

Open Access 01-12-2011 | Study protocol

Study protocol: ICONS: Identifying continence options after stroke: A randomised trial

Authors: Lois H Thomas, Caroline L Watkins, Beverley French, Christopher Sutton, Denise Forshaw, Francine Cheater, Brenda Roe, Michael J Leathley, Christopher Burton, Elaine McColl, Jo Booth, The ICONS Project Team and the ICONS Patient, Public and Carer Involvement Groups

Published in: Trials | Issue 1/2011

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Abstract

Background

Urinary incontinence following acute stroke is common, affecting between 40%-60% of people in hospital after a stroke. Despite the availability of clinical guidelines for urinary incontinence and urinary incontinence after stroke, national audit data suggest incontinence is often poorly managed. Conservative interventions (e.g. bladder training, pelvic floor muscle training and prompted voiding) have been shown to have some effect with participants in Cochrane systematic reviews, but have not had their effectiveness demonstrated with stroke patients.

Methods/Design

A cluster randomised controlled pilot trial designed to assess the feasibility of a full-scale cluster randomised trial and to provide preliminary evidence of the effectiveness and cost-effectiveness of a systematic voiding programme for the management of continence after stroke. Stroke services will be randomised to receive the systematic voiding programme, the systematic voiding programme plus supported implementation, or usual care. The trial aims to recruit at least 780 participants in 12 stroke services (4 per arm). The primary outcome is presence/absence of incontinence at six weeks post-stroke. Secondary outcomes include frequency and severity of incontinence, quality of life and cost-utility. Outcomes will be measured at six weeks, three months and (for participants recruited in the first three months) twelve months after stroke. Process data will include rates of recruitment and retention and fidelity of intervention delivery. An integrated qualitative evaluation will be conducted in order to describe implementation and assist in explaining the potential mediators and modifiers of the process.

Trial Registration

ISRCTN: ISRCTN08609907
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Metadata
Title
Study protocol: ICONS: Identifying continence options after stroke: A randomised trial
Authors
Lois H Thomas
Caroline L Watkins
Beverley French
Christopher Sutton
Denise Forshaw
Francine Cheater
Brenda Roe
Michael J Leathley
Christopher Burton
Elaine McColl
Jo Booth
The ICONS Project Team and the ICONS Patient, Public and Carer Involvement Groups
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Trials / Issue 1/2011
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-12-131

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