Evidence map›Paper›PMID 41882689›Full record

ArticleTrials2026

Optimizing Primary Care Tools for Incontinence MAnagement (OPTIMA): protocol for a cluster randomized controlled trial.

Maxwell B Moore, Kyle Okamuro, Catherine Bresee, Ramy Eskander, Geneen T Gin, Tamara Grisales, Anthony Galvez, Kimberly Gregory, Jejo Koola, Emily S Lukacz and 14 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05534412 (A Practice-Based Intervention To Improve Care for a Diverse Population Of Women With Urinary Incontinence), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05534412 naactive not recruitingnot on this map

A Practice-Based Intervention To Improve Care for a Diverse Population Of Women With Urinary Incontinence

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2027Enrolled1,600ConditionsUrinary IncontinenceArmsAcademic Detailing, Electronic Clinical Decision Support, APP Co-management, Electronic Referral
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Maxwell B Moore *Department of Urology, UC San Diego Health, San Diego, CA, USA.
Kyle Okamuro *Department of Urology, UC San Diego Health, San Diego, CA, USA.
Catherine BreseeBiostatistics Shared Resources, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Ramy EskanderDepartment of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Los Angeles, CA, USA.
Geneen T GinDepartment of Family Medicine and Public Health, UC San Diego Health, San Diego, CA, USA.
Tamara GrisalesDepartment of Obstetrics and Gynecology, UCLA Health, Los Angeles, CA, USA.
Anthony GalvezDepartment of Urology, UC San Diego Health, San Diego, CA, USA.
Kimberly GregoryDepartment of Obstetrics & Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Jejo KoolaDepartment of Medicine, UC San Diego, San Diego, CA, USA.
Emily S LukaczDepartment of Obstetrics, Gynecology, and Reproductive Sciences, UC San Diego School of Medicine, San Diego, CA, USA.
Allison M MaysDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Teryl K NuckolsDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Chaztyn PangelinaDepartment of Urology, UC San Diego Health, San Diego, CA, USA.
Joshua PevnickDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
David B ReubenMulticampus Program in Geriatrics Medicine & Gerontology, UCLA Health, Los Angeles, CA, USA.
Jennifer SingerDepartment of Urology, UCLA Health, Los Angeles, CA, USA.
Ming Tai-SealeDepartment of Family Medicine, UC San Diego Health School of Medicine, San Diego, CA, USA.
Annie WangIris Cantor UCLA Women's Health Center, UCLA Health, Los Angeles, CA, USA.
Neil WengerDepartment of Medicine, UCLA Health, Los Angeles, CA, USA.
Shirley WuDepartment of Family Medicine, Harbor-UCLA Medical Center, Los Angeles, CA, USA.
Tajnoos YazdanyDepartment of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Los Angeles, CA, USA.
Xi ZhuDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Jennifer T AngerDepartment of Urology, UC San Diego Health, San Diego, CA, USA. janger@health.ucsd.edu.
INTUIT-PC Research Group

Funding

AHRQ HHS 5R18HS029299
6 · The paper itself

Abstract

backgroundThe burden of urinary incontinence (UI) on the American public is great. The impact of this condition will only continue to rise as the population ages, yet the quality of care provided at the primary care level has been inadequate to date. The Optimizing Primary Care Tools for Incontinence MAnagement (OPTIMA) study has been designed as a four-pronged, practice-based incontinence intervention aimed at improving the management of UI by primary care providers (PCP).

methodsIn this pragmatic cluster randomized controlled trial, providers across four Southern California healthcare systems are randomized at the office level to receive incontinence intervention (n = 24 offices; 72 providers) vs. a non-intervention routine primary care cohort (n = 24 offices; 72 providers). The intervention includes (i) academic detailing with physician education and individual performance feedback; (ii) clinical decision support with note templates, order sets, and pop-up EHR alerts; (iii) access to co-management with a dedicated advanced practice provider; and (iv) implementation of an electronic referral service in which a specialist screens referrals for appropriateness. To achieve adequate power, the study will require 720 patients (360 patients per arm, average of 15 patients per office). The primary provider outcome is the quality of UI care, as measured by adherence to a set of 13 quality indicators (QIs) on a 6-month chart review. Secondary provider outcomes include specialty referral rates (overall specialist referrals and presence of appropriate delay of referral) and disease-specific knowledge measured by the Pelvic Floor Awareness and Knowledge Survey (PFAKS). Patient self-reported outcomes include disease-specific knowledge measured by PFAKS, UI severity measured by the International Consultation on Incontinence Questionnaire (ICIQ-SF) and Urinary Distress Inventory (UDI-6), UI response to therapy measured by Patient Global Impression of Improvement (PGI-I), and patient-perceived shared decision making via the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Patient outcomes are measured at baseline, 3-, and 6-month timepoints post-appointment with the study provider. DISCUSSION: We expect this study to determine the efficacy and impact of comprehensive practice-based interventions on provider quality for UI care.

trial registrationThe study is registered at ClinicalTrials.gov (NCT05534412). Registered on August 1, 2022.

Indexed as

Primary Health CareUrinary IncontinenceCaliforniaHealth Knowledge, Attitudes, PracticeHumansMulticenter Studies as TopicPragmatic Clinical Trials as TopicQuality ImprovementRandomized Controlled Trials as TopicReferral and ConsultationResearch DesignTreatment OutcomeClinical decision supportPatient-centered outcomesPractice-based interventionPrimary careQuality of careUrinary incontinence

Identifiers

PMID41882689
PMCPMC13137733

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.