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OBJECTIVES: To examine the relationship of urinary incontinence (UI) and depressive symptoms (DS) in older adults.

DESIGN: A randomized, controlled trial to determine the effects of clinical practice guideline implementation on provider attitudes and behavior, and patients' UI, health status, quality of life, and satisfaction with care. Baseline and endpoint data were collected from patients via computer‐assisted telephone interviewing.

SETTING: Forty‐one nonacademic primary care practices (PCP) in North Carolina.

PARTICIPANTS: A total of 668 community‐dwelling adults (age > 60) who had visited the one of the selected PCPs.

INTERVENTION: PCPs in the intervention group were given instruction in the detection and management of UI, educational materials for providers and patients, office system supports, and academic detailing.

MEASUREMENTS: The dependent measure was assessed using an eight …