Urinary Incontinence
Conditions
Brief summary
An intervention consisting of group and home based exercise will be used over 6 months to assess whether this is helpful in managing urinary incontinence in elderly village women in Bangladesh. This intervention, supplemented by education about managing incontinence, will be used in half the villages in the trial. In the other half women will receive only the education component.
Detailed description
This is a cluster randomized trial in which all women aged 60-75 years reporting symptoms of urinary incontinence are randomly assigned, by village of residence, to either exercise plus education of to education alone.
Interventions
BEHAVIORALMobility and pelvic floor exercise
Mobility and pelvic floor exercises
BEHAVIORALEducation
Education on simple ways to manage incontinence
Sponsors
Gonoshasthaya Kendra Bangladesh
University of Alberta
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
60 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Women aged 60-75 years reporting incontinence on a screening questionnaire (yes to questions 2,3or 4 on the 6 item Urinary Distress Index)
Exclusion criteria
* They report a uterine prolapse which is (or becomes) known to be of 3rd degree or higher. * They are assessed by the village paramedic to be incapable of standing from sitting without help from someone else. * They are assessed by the village paramedic to be unable to walk without help at a normal pace for someone of her age. * They are assessed by the village paramedic as not having the intellectual capacity to understand questions and follow instructions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of involuntary leakage of urine | Baseline and 24 weeks | The frequency of involuntary leakage over 3 days will be measured at each time point |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of micturition | Baseline and 24 weeks | The frequency of micturition over 3 days will be measured at each time point |
| Severity of urinary symptoms | Baseline, 12 weeks and 24 weeks | Urinary symptoms measured by the 2 item Sandvick index of severity |
| Depression as measured on a Bangla version of the 10 item Center for Epidemiological Studies Depression Scale (CES-D 10) | Baseline, 12 weeks and 24 weeks | Depression as measured on a Bangla version of the CES-D 10 |
| Quality of life as measured by a Bangla version of the Euroqol 5 dimension scale (EQ-5D) | Baseline and 24 weeks | Quality of life as measured by a Bangla version of the EQ-5D |
| Distress caused by urinary symptoms | Baseline and 24 weeks | Distress measured by the 6 item Urinary Distress Index |
Countries
Canada
Outcome results
None listed