Bladder Control, Urinary Incontinence
Conditions
Keywords
Urinary Incontinence, Self efficacy, Pelvic floor muscle training, Bladder training
Brief summary
This study examined whether self-efficacy promoted adherence to Pelvic Floor Muscle Training (PFMT) and Bladder Training (BT) in women aged 55 and older.
Detailed description
The study was designed to determine the capacity of self-efficacy to predict maintenance of the practices of PFMT and BT. Women in the treatment arm of the RCT attended a Bladder Health Class (PFMT & BT) to prevent UI. The class content emphasized self-efficacy. At 3-months post intervention the self-efficacy of participants was measured; these results were collected to analyze for predictive capacity of training adherence. For four years participants in both the treatment and control (no class) arms were followed with both questionnaires and 3-day bladder diaries (2/year) and clinic evaluations of (1/year). In addition, qualitative analyses of the narratives of Bladder Health Class participants identified individual attitudes and strategies that either facilitated or deterred adherence.
Interventions
BEHAVIORALBladder Health Class consisting of 6 weekly group sessions
1 time
BEHAVIORALPractice PFMT and BT
As needed for 4 years
BEHAVIORALClinic examination for pelvic muscle function
1/year for 4 years
BEHAVIORALRecord keeping in 3-day voiding diary
Every 6 months for 4 years
Sponsors
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE
Eligibility
Sex/Gender
FEMALE
Age
55 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Women aged 55 years or older who report 5 or fewer episodes of UI / year, no prior treatment for UI, no neurological disease, no difficulties performing activities of daily living
Exclusion criteria
* Less than 55 years old, UI episodes greater that 5 per year, score of less than 24 on Mini Mental Status Examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adherence to PMFT and BT (self efficacy) were measured through questionnaires and 3-day voiding diaries. | Every 6 months for 4 years |
Secondary
| Measure | Time frame |
|---|---|
| Adherence to PMFT and BT (self efficacy) were measured through questionnaires and days of urinary incontinence per 3-day voiding diary | Every 6 months for 4 years |
| Digital measurement during clinical examination of pelvic muscle function (pressure and displacement). | 1/year for four years |
| Paper towel bladder test | 1/year for four years |
| Survey questions (open ended and forced choice) about strategies women use to incorporate PFMT and BT into their lives | 1 time |
Countries
United States
Outcome results
None listed