Urinary Incontinence
Conditions
Keywords
Urinary incontinence, women's health, track and field
Brief summary
A prevalence of urinary incontinence ranging from 5.7% to 80% has been observed in young nulliparous athletes during their activity. The usual recommendations for managing adult women do not seem to be transferable. Young nulliparous athletes need specific educational and behavioral interventions and an alternative to pelvic floor muscle strengthening. A multimodal and multidimensional intervention for athletes and coaches combining specific pelvic health education and strengthening of lumbopelvic-abdominal stability appears to be an innovative and optimal solution for reducing the symptoms of urinary incontinence in young nulliparous women who participate in athletics.
Interventions
OTHERCombined pelvic health education and lumbar-pelvic-abdominal stability strengthening programme.
The intervention will consist of participants: i) reviewing educational content (8 educational videos online) ii) participating in two in-person sessions at the athletics club and performing lumbar-pelvic-abdominal stability exercises iii) learning and implementing recommendations for empowering themselves in pelvic health management. iv) complete reports in 6 questionnaires during follow-up.
OTHERUsual activities
Collection of data on routine activities
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
A stepped-wedge randomized controlled trial using closed cohort sampling
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
: * Female subject, nulliparous * Member of an athletics club affiliated with the French Athletics Federation (FFA) * At least 15 years old at the start of the study and belonging to the U16/U18/U20/U23 categories (born between January 1, 2005, and September 1, 2011) * Having internet access * Having access to a digital device (computer, tablet, mobile phone) * Affiliated with or covered by a social security scheme * Having freely given their express consent, as well as the express consent of both parents for minor participants
Exclusion criteria
: * Any individual deprived of their liberty or subject to legal protection (guardianship, curatorship, or protective supervision). * A pregnant woman, a woman who has been pregnant, or a woman planning a pregnancy within the last nine months. * Any individual unable to understand the purpose and conditions of the study. * Any individual unable to give their consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary incontinence symptoms | Week 1, 7, 13, 19, 25, 31 | Severity of urinary incontinence symptoms as measured by the ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire - Short Form for Urinary Incontinence). Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The program's effects on the prevalence of urinary incontinence | Week 1, 7, 13, 19, 25, 31 | The program's effects on the prevalence of urinary incontinence will be measured using the ICIQ-UI-SF questionnaire, with a dichotomous interpretation of the score: 0 = continent, ≥1 = incontinent. |
| Effects of the intervention on athletes' knowledge of the pelvic-perineal region | Week 1, 31 | A questionnaire we have developed will measure the effects of the intervention on athletes' knowledge of the pelvic and perineal region. It will consist of 10 questions. This outcome will be assessed by comparing the mean number of correct answers (on a scale of 0 to 10) within and between groups. |
| The program's effects on associated pelvic and perineal symptoms | Week 1, 31 | The ODS-S questionnaires measure associated pelvic and perineal symptoms. This criterion will be assessed by comparing the mean total scores (on a scale of 0 to 20) within and between groups. |
| The program's effects on urinary dysfunction. | Week 1, 31 | Section C of the LURN-SI29 questionnaire, which assesses urinary dysfunction. This criterion will be evaluated by comparing the mean total scores (on a scale of 0 to 20) within and between groups. |
| Number of educational contents viewed | Week 13, 19, 25 | Measured by tracking content views at the end of the session. |
| Practicing lower back, pelvic, and abdominal stability exercises | Week 1, 7, 13, 19, 25, 31 | Measured by collecting the frequency of implementation. |
| The dose-response effect related to adherence | Week 1, 7, 13, 19, 25, 31 | Assessed by measuring the effects on the ICIQ-UI-SF score based on the frequency of exercise implementation. Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence. |
| Program satisfaction | Week 31 | Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation. |
| Trends in Top Athletic Performance | Week 1, 7, 13, 19, 25, 31 | Measured by the best performance (time/distance) in the most common track and field event. Time is measured in seconds and minutes. Distance is measured in meters. |
| Number of educational contents viewed by coaches | Week 13, 19, 25 | Measured by tracking content views at the end of the session |
| Coaches' level of knowledge regarding the pelvic-perineal region | Week 1, 31 | Assessed using a 10-question questionnaire. This criterion will be expressed through an intra-group and inter-group comparison of the average number of correct answers (on a scale of 0 to 10). |
| Practicing lumbar-pelvic-abdominal stability exercises | Week 1, 7, 13, 19, 25, 31 | Measured by collecting the frequency as specified in a questionnaire |
| Coaches' satisfaction with the program | Week 31 | Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation. |
Countries
France
Contacts
CONTACTPascal EDOUARD, PHD
CONTACTCéline PEURIERE, CDP
PRINCIPAL_INVESTIGATORPascal EDOUARD, PHD
CHU de Saint-Etienne
Outcome results
None listed