Brown Research Team
Our research focuses on improving access to effective solutions for pelvic floor disorders for women not currently receiving help. Using dissemination and implementation research, which focuses on how to streamline the process of translating scientific discoveries into practice, we are interested in finding ways to minimize the time while maximizing the likelihood that our discoveries will actually reach people who can benefit from them.
Want to learn more about dissemination and implementation science? Check out:
D&I Education Resources from UW ICTR
"An introduction to implementation science for the non specialist"
"Dissemination and Implementation Science in Primary Care Research and Practice: Contribution and Opportunities"
What is RE-AIM? Click here.
Want to learn more about bladder health?
We are very grateful to all those who have funded our research:
SHOW and TELL: Using the Survey of the Health of Wisconsin for Tracing Engagement in LUTS Learning
Start Date: 7/1/2017 --- End Date: 6/30/2019
Sponsor: NIH/ NIDDK 1U01DK106786 (Sub-Award from PLUS Consortium)
This work will provide insight to tailor future prevention interventions based on how girls and women participate with and educational intervention that encourages bladder self care through behavioral modifications. This information is important for future studies and helping determine how to target populations and maximize, dissemination, impact and reach of other educational health interventions.
Brown HW, Wise ME, Lecaire TJ, Braun EJ, Drewry AM, Buttigieg E, Macco M, Barnet J, Bersch A, Peppard PE, Malecki K, Nieto FJ, Mahoney JE. Show me the reach: Mixed-methods analysis of preferences for community-based continence promotion. Poster presentation “Prevention and Public Health” at the 11th Annual Conference on the Science of Dissemination and Implementation, Washington, D.C., December 3-5 2018.
Reach and Teach: Translating " Mind Over Matter: Healthy Bowels, Healthy Bladder" for Digital Delivery
Start Date: 11/1/2018 --- End Date: 3/31/2020
Sponsor: ICTR Dissemination and Implementation Research Award
This project will use participatory ergonomics to adapt Mind Over Matter, Healthy Bowels, Healthy Bladder (MOM), an evidence-based in-person health promotion program, to an electronic program, https://www.healthybowelandbladder.org/. Our primary objective is to compare eMOM’s reach when implemented by community agencies versus via mass media; we will also gather preliminary data on effectiveness using a type 3 hybrid study design. Expected outcomes include an electronic continence promotion program with a high likelihood of effectiveness; and information about which implementation strategies maximize the reach and impact of eHealth interventions for older women, to support a highly competitive D&I grant application submission.
Community-Based Continence Promotion: Mind Over Matter; Healthy Bowels, Healthy Bladder (MOM)
Start Date: 3/1/2017 --- End Date: 2/28/2019
Sponsor: WPP PERC New Investigator Award (233 PRJ 25DJ)
Mind Over Matter: Healthy Bowels, Healthy Bladder (MOM) is a community-based workshop for older Wisconsin women that builds skills and self-efficacy to control incontinence symptoms through exercises and lifestyle changes, and provides tools to talk to a doctor if these changes don’t cure symptoms. This project aims to test MOM’s effectiveness using a rigorous randomized, controlled trial (RCT) study design and to develop an implementation toolkit that will allow busy senior centers to more easily consider and incorporate MOM into their programming.
Media Highlights: Rapaport L. Behavior modification program can improve incontinence. Reuters Health News September 12, 2019 (Retrieved 10/29/19 from: https://www.reuters.com/article/us-health-incontinence-behavior-modifica-idUSKCN1VX2C8)
Short oral podium presentation at the 2019 Annual Meeting of the International Continence Society, Gothenburg, Sweden, September 4, 2019. https://www.ics.org/2019/abstract/61
Small-Group, Community-Member Intervention for Urinary and Bowel Incontinence: A Randomized Controlled Trial
Brown HW, Braun EJ, Wise ME, Myers S, Li Z, Sampene E, Jansen SM, Moberg DP, Mahoney JE, Rogers RG. Small-Group, Community-Member Intervention for Urinary and Bowel Incontinence: A Randomized Controlled Trial. Obstet Gynecol. 2019 Sep;134(3):600-610. PMID: 31403596. PMCID: PMC6732187.
Full oral podium presentation at the 2018 Annual Meeting of the International Continence Society, Philadelphia, PA, August 31, 2018.
Award: Best in Category Prize, Prevention and Public Health, International Continence Society 2018. https://www.ics.org/2018/abstract/469
Pelvic Floor Disorders Registry - Research (PFDR-R): National Patient Registry for Treatment of Pelvic Floor Disorders
Start Date: 7/1/2015 --- End Date: 6/30/2017
Sponsor: The American Urogynecologic Society (AUGS): https://www.augs.org/clinical-practice/pfd-research-registry/
The Pelvic Floor Disorders Registry (PFDR) is the American Urogynnecolegic Society's (AUGS) national registry for patients undergoing treatment for pelvic floor disorders. The registry aims to provide evidence for the best medical practices for the advancement of public health with respect to treatments available for pelvic floor disorders (PFDs) to ultimately improve the quality of care for women with these conditions.
Transforming Community-Based Urinary Continence Promotion: The Bowel Movement
Start Date: 9/1/2014 --- End Date: 8/31/2019
Sponsor: NIH/NIDDK K12 DK100022
This project involves adaptation and pilot-testing of a continence promotion program delivered in the community setting for older US women coupled with training in community outcomes research and dissemination and implementation science for the Scholar. The primary goals for the K12 program are to train MD, DVM, and PhD scholars at the University of Wisconsin-Madison with the skills necessary to establish successful careers as independent researchers studying benign urology.
Brown HW, Rogers RG, Wise ME. Barriers to seeking care for accidental bowel leakage: a qualitative study. Int Urogynecol J. 2016 Nov 14. PubMed PMID: 27844123. PMCID: PMC5374006
Media Highlights: Selected for feature in UroToday (April 2017). “Barriers to seeking care for accidental bowel leakage: A qualitative study: Beyond the Abstract.” Retrieved 12/1/17 from https://www.urotoday.com/recent-abstracts/pelvic-health-reconstruction/fecal-incontinence/95409-barriers-to-seeking-care-for-accidental-bowel-leakage-a-qualitative-study-beyond-the-abstract.html
Brown HW, Guan W, Schmuhl NB, Smith PD, Whitehead WE, Rogers, RG. If we don’t ask, they won’t tell: Screening for urinary and fecal incontinence by primary care providers. J Am Board Fam Med 2018; 31:774–782. PMID: 30201674. PMCID: PMC6170156
Selected for feature in UroToday (October 2018). “If we don’t ask, they won’t tell: Beyond the Abstract.”
Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nature Reviews Disease Primers, Article number: 17043 (2017) doi:10.1038/nrdp.2017.43. PMID: 28681849. PMCID: PMC5878864
Outstanding Paper Award: Outstanding Paper Award 2017, University of Fukui, Japan
Brown HW, Wise ME, Westenberg D, Schmuhl NB, Brezoczky KL, Rogers RG, Constantine ML. Validation of an instrument to assess barriers to care-seeking for accidental bowel leakage in women: the BCABL questionnaire. Int Urogynecol J. 2017 Sep;28(9):1319-1328. doi: 10.1007/s00192-016-3261-8. Epub 2017 Feb 24.PMID: 28236039 PMCID: PMC5568984
Featured Comment: Rizk DE. Towards a more scientific approach to measuring barriers to seeking health care in women with fecal incontinence: the BCABL questionnaire. Int Urogynecol J. 2017 Apr;28(4):505-506. doi: 10.1007/s00192-017-3287-6. Epub 2017 Feb 10.
Solution for Leakage through an Innovative Pessary (SLIP)
Start Date: 7/1/2015 --- End Date: 6/30/2017
Sponsor: Intramural Departmental Research Award
This project involves phase 1 testing of an intravaginal device to improve stress urinary incontinence designed by undergraduate bioengineering students through a partnership with consultant physicians Sarto and Brown.
Dr. Brown as Co-investigator.
Dr. Werner is an Assistant Professor of Industrial and Systems Engineering in the College of Engineering at the University of Wisconsin-Madison. Her expertise in designing health information technology in collaboration with the Brown Rearch Team, guided the design of electronic version of Mind Over Matter: Healthy Bowels, Healthy Bladder, https://www.healthybowelandbladder.org/.
Learn more about Dr. Werner's research here: https://wernerlab.engr.wisc.edu/