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Trial registered on ANZCTR
Registration number
ACTRN12611000828921
Ethics application status
Approved
Date submitted
4/08/2011
Date registered
5/08/2011
Date last updated
5/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Watch with Alarm for Timed-voiding in Children (WATCH) Study
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Scientific title
A randomised controlled trial comparing the proportion of patients with daytime incontinence cured at 3 months by the personal alarm watch versus a conventional watch to aid timed voiding
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Secondary ID [1]
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None
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Universal Trial Number (UTN)
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Trial acronym
WATCH Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Daytime urinary incontinence
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Condition category
Condition code
Renal and Urogenital
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Children will receive a personalised alarm watch, with the alarm on the watch set to approximately two hourly intervals by the trial coordinator at times defined by the parents to fit in with the child’s daily routine and then “locked” to prevent tampering. Children will be asked to void approximately every 2 hours while awake using their watches to help them.
1. The watch will be set to alarm approximately every 2-3 hours during the day at times defined by parents to fit in with the child’s activities (eg at recess and lunch times). It will not be alarming overnight.
2. The alarm watch will be work daily for the duration of the study treatment period (3 months)
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
Children will receive an identical watch (with normal time and date set by the trial coordinator). Children will be asked to void approximately every 2 hours while awake using their watches to help them.
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of patients cured at 3 months measured by a bladder diary
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Assessment method [1]
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Timepoint [1]
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Daily recordings of wet/dry days collected every 2 weeks for 3 months
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Secondary outcome [1]
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Time to achieve cure measured by a bladder diary
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Assessment method [1]
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Timepoint [1]
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Daily recordings of wet/dry days collected every 2 weeks for 3 months
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Secondary outcome [2]
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Change in daytime wetting (compared to baseline)
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Assessment method [2]
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Timepoint [2]
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Daily recordings of wet/dry days collected every 2 weeks for 3 months
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Secondary outcome [3]
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Completeness of bladder emptying (compared to baseline)
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Assessment method [3]
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Timepoint [3]
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End of treatment at 3 months using uroflow measurements.
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Secondary outcome [4]
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Proportion relapsed by 6 months (to assess whether treatment success is sustained)
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Assessment method [4]
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Timepoint [4]
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2 monthly recordings.
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Secondary outcome [5]
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Satisfaction questionnaire incorporating the child and families satisfaction with the treatment protocol including their attitude to the watch, length of treatment, relapse and their overall satisfaction of treatment received
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Assessment method [5]
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Timepoint [5]
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End of treatment (at 3 months)
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Secondary outcome [6]
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Quality of life
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Assessment method [6]
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Timepoint [6]
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Measured at baseline and end of treatment (at 3 months). Quality of life will be assessed using a validated questionnaire.
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Eligibility
Key inclusion criteria
Children aged 5 to 13 years who have DUI at least twice per week (in the past 2 weeks) for which a timed voiding program is indicated
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Minimum age
5
Years
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Maximum age
13
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Children with an organic cause for DUI including defects of central nervous system or underlying urological abnormality or where a timed voiding program is contraindicated
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
National Health and Medical Research Council clinical trials centre central randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratify by age, gender and disease severity. Randomisation will be generated by minimisation method.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Analysis by intention to treat
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
15/08/2011
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Actual
10/10/2011
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Date of last participant enrolment
Anticipated
31/12/2015
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Actual
4/12/2016
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Date of last data collection
Anticipated
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Actual
13/09/2017
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Sample size
Target
360
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Accrual to date
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Final
243
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Financial Markets foundation for children
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Address [1]
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Foundation for Children
GPO Box 3655
Sydney NSW 2000
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Children's Hospital at Westmad
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Address
Locked bag 4001
Westmead NSW 2145
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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Sydney NSW 2006
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Children's Hospital at Westmead ethics committee
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Ethics committee address [1]
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Locked bag 4001 Westmead NSW 2145
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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10/06/2011
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Ethics approval number [1]
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11/CHW/12
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Summary
Brief summary
Daytime urinary incontinence is very common in children and impacts on self-esteem, socialisation opportunities and quality of life, with the potential to lead to adult urinary incontinence with associated psychosocial comorbidities. The estimated annual cost for urinary incontinence in Australian children aged 5-15 is at least $116.1 million (extrapolating from 2001 adult data of $387 per person in 10% children aged 5-15). Timed voiding is an effective, non-pharmacological treatment for treating DUI in adults, but is less effective in children, possibly due to poor compliance. The use of a personal alarm watch may enhance the effectiveness of timed voiding in children. A randomised controlled trial is the best research method to definitively answer the question of whether timed voiding aided by an alarm watch is superior to timed voiding alone. If found to be successful, incorporating a personalised alarm watch to aid timed voiding will provide a simple, inexpensive but effective non-pharmacological treatment for managing daytime urinary incontinence in children. If the alarm watch does not improve timed voiding, this knowledge will reduce unnecessary financial costs for families.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Patrina Caldwell
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Address
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Centre for Kidney Research The Children's Hospital at Westmead Locked Bag 4001 Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 3406
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Fax
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+61 2 9845 1491
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Email
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[email protected]
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Contact person for public queries
Name
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Ms Marianne Kerr
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Address
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Centre for Kidney Research
The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 1481
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Fax
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+61 2 9845 1491
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Patrina Caldwell
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Address
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Centre for Kidney Research
The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 1462
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Fax
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+61 2 9845 1491
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
An Alarm Watch for Daytime Urinary Incontinence: A Randomized Controlled Trial.
2022
https://dx.doi.org/10.1542/peds.2021-053863
N.B. These documents automatically identified may not have been verified by the study sponsor.
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