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An overactive bladder online self-management program with embedded avatars: a randomized controlled trial of efficacy
Allen D Andrade1, Ramanakumar Anam2, Chandana Karanam2
1Laboratory of E-Learning and Multimedia Research, Bruce W. Carter Miami Veterans Affairs Geriatric Research Education and Clinical Center (GRECC), Miami, FL; Division of Geriatrics and Palliative Medicine, Department of Medicine, University of Miami, Miller School of Medicine, Miami, FL.
An online program using avatars significantly improved overactive bladder (OAB) symptoms and quality of life in women over 55. This digital approach offers an effective alternative for OAB self-management.
Area of Science:
- Urology
- Digital Health
- Behavioral Science
Background:
- Overactive bladder (OAB) is a common condition affecting quality of life.
- Behavioral interventions are effective for OAB symptom management.
- Online programs offer accessible self-management education for OAB.
Purpose of the Study:
- To evaluate an avatar-based online self-management program for women with OAB.
- To assess the impact of digital avatars on patient motivation and behavior change in OAB management.
Main Methods:
- A 12-week randomized controlled trial involving women aged over 55 with OAB symptoms.
- Comparison of an online program with avatar coaches versus voice-only delivery.
- Data collection included daily bladder diaries and OAB-specific outcome measures.
Main Results:
- The avatar-based intervention group showed significant improvements in OAB quality of life (P = .02).
- Significant reductions in 24-hour frequency (P <.001), night-time urination (P <.001), and urgency (P <.001) were observed.
- Urge incontinence symptoms also significantly improved in the avatar group (P <.001).
Conclusions:
- Avatar-based online self-management programs are effective for improving OAB symptoms.
- This digital intervention enhances health-related quality of life for women with OAB.
- Avatars may enhance engagement and effectiveness in online behavioral health programs.
