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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
579
Mobility and pelvic floor exercises
Education on simple ways to manage incontinence
University of Alberta
Edmonton, Alberta, Canada
Frequency of involuntary leakage of urine
The frequency of involuntary leakage over 3 days will be measured at each time point
Time frame: Baseline and 24 weeks
Frequency of micturition
The frequency of micturition over 3 days will be measured at each time point
Time frame: Baseline and 24 weeks
Severity of urinary symptoms
Urinary symptoms measured by the 2 item Sandvick index of severity
Time frame: Baseline, 12 weeks and 24 weeks
Depression as measured on a Bangla version of the 10 item Center for Epidemiological Studies Depression Scale (CES-D 10)
Depression as measured on a Bangla version of the CES-D 10
Time frame: Baseline, 12 weeks and 24 weeks
Quality of life as measured by a Bangla version of the Euroqol 5 dimension scale (EQ-5D)
Quality of life as measured by a Bangla version of the EQ-5D
Time frame: Baseline and 24 weeks
Distress caused by urinary symptoms
Distress measured by the 6 item Urinary Distress Index
Time frame: Baseline and 24 weeks
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