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A Group-Based Therapeutic Yoga Intervention for Urinary Incontinence in Ambulatory Older Women

A Randomized Controlled Trial of a Group-Based Therapeutic Yoga Intervention for Urinary Incontinence in Ambulatory Older Women

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03672461
Enrollment
240
Registered
2018-09-14
Start date
2019-03-06
Completion date
2022-12-31
Last updated
2025-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stress Incontinence, Stress Incontinence, Female, Stress Incontinence, Urinary, Urge Incontinence, Urgency Urinary, Urinary Incontinence, Stress, Urinary Stress Incontinence

Brief summary

The investigators will conduct a randomized controlled trial to evaluate the efficacy of a group-based yoga intervention to decrease the frequency and impact of urinary incontinence in ambulatory middle-aged and older women and explore potential mediators of improvement in outcomes. Women aged 45 years and older who report daily or more frequent stress-, urgency-, or mixed-type incontinence, are not already engaged in formal yoga or muscle stretching/strengthening programs, are willing to temporarily forgo other clinical treatments for incontinence, are able to walk to and use the bathroom without assistance, and meet other eligibility criteria will be recruited from multiple locations surrounding the San Francisco Bay area.

Interventions

The 3-month yoga intervention will provide instruction and practice in a variety of yoga postures and techniques that have been selected by the study yoga expert consultants for their potential to improve bladder control and safety and feasibility for the target population.

The 3-month muscle stretching/strengthening intervention program (also referred to as the physical conditioning program) has been designed by the study physical therapist consultants.

Sponsors

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
CollaboratorNIH
Stanford University
CollaboratorOTHER
University of California, San Francisco
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
45 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Women aged 45 years or older who report urinary incontinence starting at least 3 months prior to screening * Self-report an average of at least one incontinence episode per day on a validated voiding diary * Self-report urgency-predominant (i.e., at least half of incontinence episodes being urgency-type), stress-predominant (i.e., at least half of episodes being stress-type), or mixed-type (i.e., an equal number of stress- and urgency-type episodes) incontinence on the screening voiding diary * Willing to refrain from initiating medical treatments that may affect their incontinence or voiding pattern during the study intervention period

Exclusion criteria

* Current participation in organized yoga classes or workshops, or any prior organized yoga training directed specifically at improving incontinence * Current participation in organized physical conditioning classes involving muscle strengthening exercises (e.g., Pilates) * Current urinary tract infection or hematuria detected by urinalysis at screening visit (women can re-present after evaluation and treatment through their usual care) * Currently pregnant (by self-report or screening urine pregnancy test), gave birth within the past 3 months, or planning pregnancy during the study period * Report use of medical devices (i.e. pessary) for incontinence within the past month (participants may stop use of device and re-present for study) * Report use of bladder botox, electrostimulation, formal bladder training, or formal pelvic floor exercise training (with certified practitioners) in the past 3 months * Report any history of prior anti-incontinence or urethral surgery (not including urethral dilation), pelvic cancer, or pelvic irradiation * Report other surgery to the pelvis (hysterectomy, oophorectomy, vaginal surgery, bladder surgery, colon surgery) within the past 3 months * Unable to walk 2 blocks on level ground without assistance (functional capacity \< 4 metabolic equivalents) * Unable to get up from a supine to a standing position without assistance (assessed during the screening visit) * Report history of interstitial cystitis, bladder or rectal fistula, or congenital defect causing urinary incontinence * Report incontinence caused by a major neurologic conditions such as multiple sclerosis, spinal cord injury, or Parkinson's disease * Report use of medications with strong effects on urination (anticholinergic bladder medications, beta-3 agonists, tricyclic antidepressants, mirabegron, loop diuretics) within the past month * Report starting, stopping, or changing the dose of a medication with the potential to affect anxiety or depression symptoms (i.e., selective serotonin reuptake inhibitors, anxiolytics/sedatives, antipsychotics) within the past 1 month, or plans to start, stop, or change to dose of such a medication during the study period * Participation in another research study that involves investigational drugs or devices that could potentially confound the results of this study * Unable to understand study procedures, complete study interviews, or and provide informed consent in English * Report conditions that, in the judgment of the investigators, render potential participants unlikely to follow the protocol, including plans to move, substance abuse, significant psychiatric problems, or dementia

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Total Urinary Incontinence EpisodesRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points.

Secondary

MeasureTime frameDescription
Change From Baseline in Urgency-Type Urinary Incontinence EpisodesRepeated change from baseline to 6 and 12 weeksChange was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points
Change From Baseline in Incontinence Impact Questionnaire (IIQ)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-400, Higher score indicates lower quality of life
Change From Baseline in Urogenital Distress Inventory-6 Score (UDI)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-100, Higher score indicates lower quality of life
Change From Baseline in Patient Perception of Bladder Condition (PPBC)Repeated change from baseline to 6 and 12 weeksChange was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range 1-6, Higher score indicates lower quality of life
Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-60, Higher score indicates lower quality of life
Change From Baseline in State/Trait Anxiety Inventory (STAI)--TraitRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 20-80, Higher score indicates lower quality of life
Change From Baseline in Hospital Anxiety & Depression (HADS)--Anxiety ScoreRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-21, Higher score indicates lower quality of life
Change From Baseline in Perceived Stress Scale (PSS) ScoreRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-40, Higher score indicates lower quality of life
Change From Baseline in PROMIS Physical Function Short Form 8B, T-ScoreRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points (Mean 50, Std Dev 10) no widely accepted thresholds have been published. Higher score indicates better quality of life
Change From Baseline in One-legged Balance Test (Winsorized)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates better quality of life.
Change From Baseline in Chair Stands (in 30 Seconds)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Higher score indicates better quality of life
Change From Baseline in 2-Minute Step TestRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Higher score indicates better quality of life
Change From Baseline in Wake After Sleep Onset (Winsorized)Repeated change from baseline to 6 and 12 weeksChange was calculated as the follow-up value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates lower quality of life.
Change From Baseline in Stress-Type Urinary Incontinence EpisodesRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points
Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Total ScoreRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points. Range of 0-21, higher score indicates lower quality of life.
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Impact on Sexual QualityRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Specific Reason for Not Being ActiveRepeated change from baseline to 6 and 12 weeksChange was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Global QualityRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Partner Related Reasons for Not Being ActiveRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Arousal, OrgasmRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specific Impact on Sexual QualityRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specifc Impacts on ActivityRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Summary ScoreRepeated change from baseline to 6 and 12 weeksChange was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of DesireRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Global QualityRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Assessment of Partner Related Impacts (Winsorized)Repeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life
Change From Baseline in Total Sleep TimeRepeated change from baseline to 6 and 12 weeksChange was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates better quality of life.

Countries

United States

Participant flow

Participants by arm

ArmCount
Yoga Practice Program
The 3-month yoga intervention will provide instruction and practice in a variety of yoga postures and techniques that have been selected by the study yoga expert consultants for their potential to improve bladder control and safety and feasibility for the target population. The study will feature a therapeutic program based primarily on Iyengar yoga, a form of Hatha yoga that is known for its potential therapeutic applications. Yoga Practice Program: The 3-month yoga intervention will provide instruction and practice in a variety of yoga postures and techniques that have been selected by the study yoga expert consultants for their potential to improve bladder control and safety and feasibility for the target population.
121
Physical Conditioning Program
The 3-month muscle stretching/strengthening intervention program (also referred to as the physical conditioning program) has been designed by the study physical therapist consultants. Similar to postures in the yoga intervention program, the exercises in the stretching/strengthening program have been selected for their potential to be performed safely by women across a range of ages and flexibility levels. Physical Conditioning Program: The 3-month muscle stretching/strengthening intervention program (also referred to as the physical conditioning program) has been designed by the study physical therapist consultants.
119
Total240

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event20
Overall StudyCannot tolerate intervention10
Overall StudyCOVID Related42
Overall StudyFamily22
Overall StudyIncomplete outcome data61
Overall StudyLost to Follow-up12
Overall StudyNo remote technology access01
Overall StudySerious Adverse Event01
Overall StudyToo Busy31
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicYoga Practice ProgramTotalPhysical Conditioning Program
2-Minute Step Test85.9 steps
STANDARD_DEVIATION 22.8
87.2 steps
STANDARD_DEVIATION 24.5
88.5 steps
STANDARD_DEVIATION 26.1
Age, Continuous62.7 years
STANDARD_DEVIATION 8.7
62.1 years
STANDARD_DEVIATION 8.7
61.4 years
STANDARD_DEVIATION 8.8
Center for Epidemiologic Studies Depression Scale (CES-D)10.1 units on a scale
STANDARD_DEVIATION 8.8
10.0 units on a scale
STANDARD_DEVIATION 8.4
10.0 units on a scale
STANDARD_DEVIATION 8.1
Chair Stands (in 30 seconds)12.6 chair stands
STANDARD_DEVIATION 3.9
12.9 chair stands
STANDARD_DEVIATION 4.1
13.1 chair stands
STANDARD_DEVIATION 4.2
Hospital Anxiety & Depression (HADS)--Anxiety score5.3 units on a scale
STANDARD_DEVIATION 3.8
5.3 units on a scale
STANDARD_DEVIATION 3.8
5.2 units on a scale
STANDARD_DEVIATION 3.7
Incontinence Impact Questionnaire (IIQ)100.4 units on a scale
STANDARD_DEVIATION 78.9
101.0 units on a scale
STANDARD_DEVIATION 72.7
101.6 units on a scale
STANDARD_DEVIATION 66.4
One-legged Balance Test24.4 seconds
STANDARD_DEVIATION 9.9
24.9 seconds
STANDARD_DEVIATION 9.4
25.5 seconds
STANDARD_DEVIATION 8.7
Patient Perception of Bladder Condition (PPBC)3.3 units on a scale
STANDARD_DEVIATION 1
3.4 units on a scale
STANDARD_DEVIATION 1
3.4 units on a scale
STANDARD_DEVIATION 1
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active, Assessment of Arousal, Orgasm
63.2 units on a scale
STANDARD_DEVIATION 12.8
63.3 units on a scale
STANDARD_DEVIATION 15.3
63.3 units on a scale
STANDARD_DEVIATION 17.3
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active, Assessment of Desire
48.6 units on a scale
STANDARD_DEVIATION 18.1
49.4 units on a scale
STANDARD_DEVIATION 18.2
50.1 units on a scale
STANDARD_DEVIATION 18.3
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active, Condition-specifc Impacts on Activity
86.2 units on a scale
STANDARD_DEVIATION 13.9
86.6 units on a scale
STANDARD_DEVIATION 13.3
87.0 units on a scale
STANDARD_DEVIATION 12.8
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active, Condition-specific Impact on Sexual Quality
81.4 units on a scale
STANDARD_DEVIATION 23.4
80.4 units on a scale
STANDARD_DEVIATION 21.8
79.4 units on a scale
STANDARD_DEVIATION 20.3
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active, Global Quality
62.2 units on a scale
STANDARD_DEVIATION 28.3
63.2 units on a scale
STANDARD_DEVIATION 28.1
64.0 units on a scale
STANDARD_DEVIATION 28.1
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active Interest, Assessment of Partner Related Impacts
77.2 units on a scale
STANDARD_DEVIATION 17.1
77.1 units on a scale
STANDARD_DEVIATION 18
77.0 units on a scale
STANDARD_DEVIATION 19
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Active Interest, Summary Score
68.8 units on a scale
STANDARD_DEVIATION 13.2
68.9 units on a scale
STANDARD_DEVIATION 13.5
68.9 units on a scale
STANDARD_DEVIATION 13.8
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Inactive, Condition Impact on Sexual Quality
21.6 units on a scale
STANDARD_DEVIATION 26.9
17.8 units on a scale
STANDARD_DEVIATION 24.7
13.6 units on a scale
STANDARD_DEVIATION 21.6
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Inactive, Condition Specific Reason for Not Being Active
24.8 units on a scale
STANDARD_DEVIATION 21.9
22.4 units on a scale
STANDARD_DEVIATION 22.1
19.6 units on a scale
STANDARD_DEVIATION 22.2
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Inactive, Global Quality
48.6 units on a scale
STANDARD_DEVIATION 29.6
49.1 units on a scale
STANDARD_DEVIATION 30.9
49.6 units on a scale
STANDARD_DEVIATION 32.5
Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)
PISQ-IR Sexually Inactive, Partner-Related Reasons for Not Being Active
56.8 units on a scale
STANDARD_DEVIATION 26
58.3 units on a scale
STANDARD_DEVIATION 24.8
60.0 units on a scale
STANDARD_DEVIATION 23.6
Perceived Stress Scale (PSS) score13.0 units on a scale
STANDARD_DEVIATION 7.2
13.2 units on a scale
STANDARD_DEVIATION 7
13.3 units on a scale
STANDARD_DEVIATION 6.8
Pittsburgh Sleep Quality Index (PSQI) total score6.2 units on a scale
STANDARD_DEVIATION 3.1
6.4 units on a scale
STANDARD_DEVIATION 3.1
6.6 units on a scale
STANDARD_DEVIATION 3.1
PROMIS Physical 8B, T-Score51.0 T-Score
STANDARD_DEVIATION 6.2
51.2 T-Score
STANDARD_DEVIATION 6.5
51.3 T-Score
STANDARD_DEVIATION 6.8
Race/Ethnicity, Customized
American Indian
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
20 Participants40 Participants20 Participants
Race/Ethnicity, Customized
Black
7 Participants19 Participants12 Participants
Race/Ethnicity, Customized
Hispanic
21 Participants32 Participants11 Participants
Race/Ethnicity, Customized
More than one race
11 Participants20 Participants9 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
83 Participants160 Participants77 Participants
Region of Enrollment
United States
121 Participants240 Participants119 Participants
Sex: Female, Male
Female
121 Participants240 Participants119 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants
State/Trait Anxiety Inventory (STAI)--Trait36.1 units on a scale
STANDARD_DEVIATION 11.2
36.1 units on a scale
STANDARD_DEVIATION 10.9
36.1 units on a scale
STANDARD_DEVIATION 10.5
Stress-Type Urinary Incontinence Episodes1.4 episodes per day
STANDARD_DEVIATION 1.8
1.4 episodes per day
STANDARD_DEVIATION 1.6
1.4 episodes per day
STANDARD_DEVIATION 1.5
Total sleep time7.1 Hours
STANDARD_DEVIATION 1.2
7.0 Hours
STANDARD_DEVIATION 1.1
7.0 Hours
STANDARD_DEVIATION 1
Total Urinary Incontinence Episodes3.6 episodes per day
STANDARD_DEVIATION 2.5
3.4 episodes per day
STANDARD_DEVIATION 2.2
3.2 episodes per day
STANDARD_DEVIATION 1.9
Urgency-Type Urinary Incontinence Episodes2.1 episodes per day
STANDARD_DEVIATION 2.2
1.9 episodes per day
STANDARD_DEVIATION 1.9
1.7 episodes per day
STANDARD_DEVIATION 1.4
Urogenital distress inventory-6 score (UDI)39.1 units on a scale
STANDARD_DEVIATION 19.1
38.8 units on a scale
STANDARD_DEVIATION 19.2
38.5 units on a scale
STANDARD_DEVIATION 19.4
Wake after sleep onset24.4 minutes
STANDARD_DEVIATION 29.2
24.8 minutes
STANDARD_DEVIATION 27.4
25.2 minutes
STANDARD_DEVIATION 25.6

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1210 / 119
other
Total, other adverse events
37 / 12143 / 119
serious
Total, serious adverse events
1 / 1211 / 119

Outcome results

Primary

Change From Baseline in Total Urinary Incontinence Episodes

Change was calculated as the followup value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points.

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Total Urinary Incontinence Episodes-1.99 episodes per day
Physical Conditioning ProgramChange From Baseline in Total Urinary Incontinence Episodes-1.7 episodes per day
Comparison: Null Hypothesis: Yoga is not associated with improvement in change from baseline in Total Urinary Incontinence Episodesp-value: 0.05695% CI: [-0.01, 0.6]Mixed Models Analysis
Secondary

Change From Baseline in 2-Minute Step Test

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in 2-Minute Step Test8.05 steps
Physical Conditioning ProgramChange From Baseline in 2-Minute Step Test9.03 steps
p-value: 0.68995% CI: [-3.87, 5.84]Mixed Models Analysis
Secondary

Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D)

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-60, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D)-0.82 units on a scale
Physical Conditioning ProgramChange From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D)-0.52 units on a scale
p-value: 0.76495% CI: [-1.69, 2.3]Mixed Models Analysis
Secondary

Change From Baseline in Chair Stands (in 30 Seconds)

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Chair Stands (in 30 Seconds)1 chair stands
Physical Conditioning ProgramChange From Baseline in Chair Stands (in 30 Seconds)1.98 chair stands
p-value: 0.04395% CI: [0.03, 1.93]Mixed Models Analysis
Secondary

Change From Baseline in Hospital Anxiety & Depression (HADS)--Anxiety Score

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-21, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Hospital Anxiety & Depression (HADS)--Anxiety Score-0.21 units on a scale
Physical Conditioning ProgramChange From Baseline in Hospital Anxiety & Depression (HADS)--Anxiety Score-0.33 units on a scale
p-value: 0.75395% CI: [-0.83, 0.6]Mixed Models Analysis
Secondary

Change From Baseline in Incontinence Impact Questionnaire (IIQ)

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-400, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Incontinence Impact Questionnaire (IIQ)-31.3 units on a scale
Physical Conditioning ProgramChange From Baseline in Incontinence Impact Questionnaire (IIQ)-30.4 units on a scale
p-value: 0.91195% CI: [-13.6, 15.23]Mixed Models Analysis
Secondary

Change From Baseline in One-legged Balance Test (Winsorized)

Change was calculated as the followup value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates better quality of life.

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in One-legged Balance Test (Winsorized)1.34 seconds
Physical Conditioning ProgramChange From Baseline in One-legged Balance Test (Winsorized)1.53 seconds
p-value: 0.74395% CI: [-0.95, 1.34]Mixed Models Analysis
Secondary

Change From Baseline in Patient Perception of Bladder Condition (PPBC)

Change was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range 1-6, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Patient Perception of Bladder Condition (PPBC)-0.59 units on a scale
Physical Conditioning ProgramChange From Baseline in Patient Perception of Bladder Condition (PPBC)-0.52 units on a scale
p-value: 0.56495% CI: [-0.16, 0.3]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Arousal, Orgasm

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Arousal, Orgasm0.83 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Arousal, Orgasm-1.55 units on a scale
p-value: 0.15495% CI: [-5.68, 0.91]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Desire

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Desire0.08 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Assessment of Desire-1.3 units on a scale
p-value: 0.49595% CI: [-5.36, 2.61]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specifc Impacts on Activity

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specifc Impacts on Activity3.7 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specifc Impacts on Activity1.95 units on a scale
p-value: 0.28795% CI: [-5, 1.5]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specific Impact on Sexual Quality

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specific Impact on Sexual Quality2.84 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Condition-specific Impact on Sexual Quality0.62 units on a scale
p-value: 0.37595% CI: [-7.17, 2.72]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Global Quality

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Global Quality2.75 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active, Global Quality-0.07 units on a scale
p-value: 0.30395% CI: [-8.22, 2.59]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Assessment of Partner Related Impacts (Winsorized)

Change was calculated as the followup value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Assessment of Partner Related Impacts (Winsorized)-2.52 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Assessment of Partner Related Impacts (Winsorized)0.45 units on a scale
p-value: 0.19695% CI: [-1.56, 7.51]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Summary Score

Change was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domain is relevant only the sexually active participants

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Summary Score1.47 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Active Interest, Summary Score-0.16 units on a scale
p-value: 0.14795% CI: [-3.85, 0.58]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Impact on Sexual Quality

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domains relevant only to participants that are not sexually active. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Impact on Sexual Quality-5.04 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Impact on Sexual Quality-3.83 units on a scale
p-value: 0.74795% CI: [-6.25, 8.67]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Specific Reason for Not Being Active

Change was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domains relevant only to participants that are not sexually active. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Specific Reason for Not Being Active-1 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Condition Specific Reason for Not Being Active-3.76 units on a scale
p-value: 0.45995% CI: [-10.2, 4.65]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Global Quality

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domains relevant only to participants that are not sexually active. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Global Quality1.3 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Global Quality-0.67 units on a scale
p-value: 0.55695% CI: [-10.2, 4.65]Mixed Models Analysis
Secondary

Change From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Partner Related Reasons for Not Being Active

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range of 0-100, higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Domains relevant only to participants that are not sexually active. Additional missingness is due to not having a partner (SA), or to survey or item non-response.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Partner Related Reasons for Not Being Active1.73 units on a scale
Physical Conditioning ProgramChange From Baseline in Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR)--Sexually Inactive, Partner Related Reasons for Not Being Active-1.52 units on a scale
p-value: 0.51695% CI: [-13.2, 6.7]Mixed Models Analysis
Secondary

Change From Baseline in Perceived Stress Scale (PSS) Score

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-40, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Perceived Stress Scale (PSS) Score-0.44 units on a scale
Physical Conditioning ProgramChange From Baseline in Perceived Stress Scale (PSS) Score-0.72 units on a scale
p-value: 0.68595% CI: [-1.63, 1.07]Mixed Models Analysis
Secondary

Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Total Score

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points. Range of 0-21, higher score indicates lower quality of life.

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Pittsburgh Sleep Quality Index (PSQI) Total Score-0.37 units on a scale
Physical Conditioning ProgramChange From Baseline in Pittsburgh Sleep Quality Index (PSQI) Total Score-0.66 units on a scale
p-value: 0.31995% CI: [-0.86, 0.28]Mixed Models Analysis
Secondary

Change From Baseline in PROMIS Physical Function Short Form 8B, T-Score

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points (Mean 50, Std Dev 10) no widely accepted thresholds have been published. Higher score indicates better quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in PROMIS Physical Function Short Form 8B, T-Score-0.2 T-score
Physical Conditioning ProgramChange From Baseline in PROMIS Physical Function Short Form 8B, T-Score0.04 T-score
p-value: 0.69195% CI: [-0.95, 1.43]Mixed Models Analysis
Secondary

Change From Baseline in State/Trait Anxiety Inventory (STAI)--Trait

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 20-80, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in State/Trait Anxiety Inventory (STAI)--Trait-1.22 units on a scale
Physical Conditioning ProgramChange From Baseline in State/Trait Anxiety Inventory (STAI)--Trait-1.34 units on a scale
p-value: 0.88395% CI: [-1.78, 1.53]Mixed Models Analysis
Secondary

Change From Baseline in Stress-Type Urinary Incontinence Episodes

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Stress-Type Urinary Incontinence Episodes-0.8 episodes per day
Physical Conditioning ProgramChange From Baseline in Stress-Type Urinary Incontinence Episodes-0.77 episodes per day
p-value: 0.75795% CI: [-0.15, 0.2]Mixed Models Analysis
Secondary

Change From Baseline in Total Sleep Time

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates better quality of life.

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Total Sleep Time0 hours
Physical Conditioning ProgramChange From Baseline in Total Sleep Time0.09 hours
p-value: 0.44895% CI: [-0.15, 0.34]Mixed Models Analysis
Secondary

Change From Baseline in Urgency-Type Urinary Incontinence Episodes

Change was calculated as the follow-up value minus the baseline value. Values are model-generated Least Square Means for combined 6 and 12 week time points

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Urgency-Type Urinary Incontinence Episodes-1.12 episodes per day
Physical Conditioning ProgramChange From Baseline in Urgency-Type Urinary Incontinence Episodes-0.9 episodes per day
p-value: 0.04895% CI: [0, 0.45]Mixed Models Analysis
Secondary

Change From Baseline in Urogenital Distress Inventory-6 Score (UDI)

Change was calculated as the followup value minus the baseline value. Values are model generated Least Square Means for combined 6 and 12 week time points Range 0-100, Higher score indicates lower quality of life

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Urogenital Distress Inventory-6 Score (UDI)-14.9 units on a scale
Physical Conditioning ProgramChange From Baseline in Urogenital Distress Inventory-6 Score (UDI)-11.7 units on a scale
p-value: 0.04195% CI: [0.13, 6.13]Mixed Models Analysis
Secondary

Change From Baseline in Wake After Sleep Onset (Winsorized)

Change was calculated as the follow-up value minus the baseline value. Change values were Winsorized at the 1st and 99th percentile. Values are model generated Least Square Means for combined 6 and 12 week time points. Higher score indicates lower quality of life.

Time frame: Repeated change from baseline to 6 and 12 weeks

Population: Number of participants with outcomes data

ArmMeasureValue (LEAST_SQUARES_MEAN)
Yoga Practice ProgramChange From Baseline in Wake After Sleep Onset (Winsorized)-3.55 minutes
Physical Conditioning ProgramChange From Baseline in Wake After Sleep Onset (Winsorized)-6.96 minutes
p-value: 0.27695% CI: [-9.54, 2.74]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026