KOKU Bladder ("Keep On Keep Up your Bladder health") aims to develop and test an evidence based digital health intervention to improve bladder health and urinary incontinence among adults aged 50 and over.

The eHealth solution is co-created with end-users, researchers, health professionals, and stakeholders through a participatory and appreciative action and reflection methodology. After a comprehensive literature review and consultation with 7 experts, 6 focus groups will be undertaken in Catalonia (Spain), Kaunas (Lithuania), and Manchester (UK) to collect the preferences of participants (analyzed using thematic analysis). The use of behaviour change techniques, gamification, virtual community of practice and an inclusive design (audio/written/visual instructions) represent innovative aspects. The solution will be tested through a randomized controlled trial with at least 120 individuals in the three countries. A mixed methods approach (quantitative/qualitative analysis) will be used to assess the feasibility and acceptability of the program. KOKU Bladder will be highly scalable and will have wide reach and impact.

The KOKU Bladder team consists of Javier Jerez-Roig (PI), Óscar Águila-Gimeno, Andrea Fuente-Vidal from the M3O research group of the University of Vic-Central University of Catalonia, Emma Stanmore and Norina Gasteiger (University of Manchester) as well as Marius Brazaitis, Rima Solianik, Erika Karkauskiene and Laura Jarutienė (Lithuanian Sports University).

The project received funding from the Research Council of Lithuania (code NR. S-MIP-24-112), the Catalan Board of Physiotherapists (code 004_2024) and AGAUR (Agència de Gestió d'Ajuts Universitaris i de Recerca) through an Industry PhD (2024 DI 00058).