Promoting Self Care to Prevent Urinary Incontinence (UI): A Four-Year Follow-up

University of Michigan360 enrolled

Overview

This study examined whether self-efficacy promoted adherence to Pelvic Floor Muscle Training (PFMT) and Bladder Training (BT) in women aged 55 and older.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

360

Conditions

Urinary Incontinence Bladder Control

Interventions

Bladder Health Class consisting of 6 weekly group sessionsBEHAVIORAL

1 time

Practice PFMT and BTBEHAVIORAL

As needed for 4 years

Clinic examination for pelvic muscle functionBEHAVIORAL

1/year for 4 years

Eligibility

Sex: FEMALEMin age: 55 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Locations (1)

University of Michigan

Ann Arbor, Michigan, United States

Outcomes

Primary Outcomes

Adherence to PMFT and BT (self efficacy) were measured through questionnaires and 3-day voiding diaries.

Time frame: Every 6 months for 4 years

Secondary Outcomes

Adherence to PMFT and BT (self efficacy) were measured through questionnaires and days of urinary incontinence per 3-day voiding diary

Time frame: Every 6 months for 4 years

Digital measurement during clinical examination of pelvic muscle function (pressure and displacement).

Time frame: 1/year for four years

Paper towel bladder test

Time frame: 1/year for four years

Survey questions (open ended and forced choice) about strategies women use to incorporate PFMT and BT into their lives

Time frame: 1 time

Data from ClinicalTrials.gov

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