Empowerment Program to Reduce Treatment of Asymptomatic Bacteriuria in Veterans With Spinal Cord Injury

Starting soon · Not applicable

Conditions studied: Spinal Cord Injury, Spinal Cord Disease

In brief

Antimicrobial resistance is a major public health concern that worsens healthcare outcomes. Antibiotic resistant organisms occur more often in Veterans with spinal cord injury or disease (SCI/D) given their frequent exposure to antibiotics, recurrent hospitalizations, and common use of urinary catheter devices. Veterans with SCI/D are also at risk for overtreatment with antibiotics when they do not need them, particularly for over-diagnosed urinary tract infections. The investigators plan to create a patient empowerment program with input of Veterans with SCI/D \[and their providers\] to help guide their decisions and next steps when they have a change in bladder symptoms. The program will give Veterans with SCI/D the tools to speak up to their provider and advocate for themselves to avoid receiving unnecessary antibiotics. This program is highly innovative, as it puts Veterans with SCI/D in charge of thoughtful antibiotic use, or antibiotic stewardship.

Key facts

Study ID

NCT07430904

Run by

VA Office of Research and Development

People needed

30

Starts

2026-08-03

Expected to finish

2032-06-30

Last updated by the study team

2026-07-22

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Veterans with SCI/D and neurogenic bladders who have been treated for at least one UTI in the past year
• Have access to a telephone
• Have not been involved in the development phase of the program

You may not qualify if…

• Non-Veterans
• Veterans without SCI/D or neurogenic bladder
• Patients with dementia who would not be able to provide consent or respond to interview prompts
• Patients who do not receive primary care at the MEDVAMC
• Veterans who participated in the development of the empowerment program

Where it is running

• Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.