The aim of this clinical trial is to assess the effectiveness of a 4-week video-based education program in enhancing urinary continence among women with urinary incontinence referred for pelvic floor rehabilitation The main question it aims to answer is : • Does a structured video-based education program reduce the symptoms of urinary incontinence before any pelvic floor muscle strengthening ? Researchers will compare this program to a paper document (providing similar information) to see if this improves urinary continence in women suffering from urinary incontinence. Participants will : * receive either the video-based education program or a paper information document (providing similar information) prior to the sessions with the physiotherapist * then follow pelvic floor rehabilitation sessions with the physiotherapist according to usual practice * complete the urinary incontinence questionnaire after the 4-week video education program (intervention group) or 4 weeks after receiving the paper document (control group), and after each pelvic floor rehabilitation session with the physiotherapist and at the end of the sessions * will be monitored at 1 and 2 years to evaluate urinary incontinence following the intervention.
The video-based education program will include 4 workshops of 20 minutes each, at a rate of 1 video per week: Video 1: Anatomy and physiology of the pelvic floor; Video 2: Physiology of the urinary tract; Video 3: Physiology of the digestive tract; Video 4: Pathophysiology of urinary incontinence and other pelvic floor disorders (genital prolapse and anal incontinence) and preventive measures in daily activities.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
144
The video-based education program will include 4 workshops of 20 minutes each, at a rate of 1 video per week: Video 1: Anatomy and physiology of the pelvic floor; Video 2: Physiology of the urinary tract; Video 3: Physiology of the digestive tract; Video 4: Pathophysiology of urinary incontinence and other pelvic floor disorders (genital prolapse and anal incontinence) and preventive measures in daily activities.
The control group will receive a paper information document (containing the same information as the intervention group) during the 4-week period
Mme ROSSIGNOL Marie - Kinésithérapeute - 5 place du Lavoir
Buxy, France
NOT_YET_RECRUITINGMme BLANCHARD Véronique - Kinésithérapeute
Chanceaux-sur-Choisille, France
RECRUITINGMme GIRARD Delphine - kinésithérapeute - 14 rue de la Liberté
Embrun, France
NOT_YET_RECRUITINGMme LIAGRE Blandine - Kinésithérapeute - 120 rue de Chanzy
Hellemmes-Lille, France
RECRUITINGMme BESSON Alice - Kinésithérapeute - 22 rue Benjamin Franklin
La Roche-sur-Yon, France
NOT_YET_RECRUITINGMme OLIVIER Mathilde - Groupe médical du Barry - 34 Bis Rue du Quatre Septembre
Montignac, France
NOT_YET_RECRUITINGMme CALONNE Hélène - Kinésithérapeute - 23 rue Franiatte
Montigny-lès-Metz, France
NOT_YET_RECRUITINGMme LE TILLY Marine - Kinésithérapeute - 181 rue Legendre
Paris, France
NOT_YET_RECRUITINGMme GIEN Isabelle - Kinésithérapeute - 2 Rue Adrienne Bolland
Saint-Jean-de-Braye, France
NOT_YET_RECRUITINGMme LACOMBE Florence - Kinésithérapeute - 2 Rue Gabriel Durand
Saint-Médard-en-Jalles, France
RECRUITING...and 2 more locations
Urinary incontinence score comparison between the 2 groups
the urinary incontinence score will measured using the ICIQ-SF (International Consultation on Incontinence Questionnaire-Short Form), ranging from 0 (corresponding to 'no urinary incontinence') to 21 (corresponding to 'very severe urinary incontinence'), collected after the video-based education program in the intervention group (scheduled over 4 weeks) and within the same timeframe in the control group (which received only the information document)
Time frame: At the end of the video-based education program (5 weeks after inclusion)
Urinary incontinence score evolution in the intervention group
Change in urinary incontinence score (International Consultation on Incontinence Questionnaire- Short Form, ICIQ-SF, ranging from 0 = 'no incontinence' to 21 = 'very severe incontinence') between inclusion and the end of the video education program in the intervention group (scheduled over 4 weeks)
Time frame: from inclusion until the end of the video education program (5 weeks after inclusion)
Urinary incontinence score evolution in the control group
Change in urinary incontinence score (International Consultation on Incontinence Questionnaire- Short Form, ICIQ-SF, ranging from 0 = 'no incontinence' to 21 = 'very severe incontinence') between inclusion and 5 weeks following the distribution of the paper information document
Time frame: from inclusion to 5 weeks following the distribution of the paper information document
Number of pelvic floor rehabilitation sessions required in the intervention group
The number of rehabilitation sessions needed to achieve a reduction of 3 points or more in the urinary incontinence score (ICIQ-SF) - a difference considered clinically significant - or a reduction of less than 3 points, provided that the decrease is deemed sufficient or satisfactory by the physiotherapist
Time frame: ICIQ-SF score recorded after each pelvic floor rehabilitation session, through end of rehabilitation, an average of 3 months
Number of pelvic floor rehabilitation sessions required in the control group
The number of rehabilitation sessions needed to achieve a reduction of 3 points or more in the urinary incontinence score (ICIQ-SF) - a difference considered clinically significant - or a reduction of less than 3 points, provided that the decrease is deemed sufficient or satisfactory by the physiotherapist
Time frame: ICIQ-SF score recorded after each pelvic floor rehabilitation session, through end of rehabilitation, an average of 3 months
Urinary incontinence score evolution during the pelvic floor rehabilitation sessions in the intervention group
The variation in the urinary incontinence score (ICIQ-SF) from first pelvic floor rehabilitation session to the 10th session and up to the last session
Time frame: ICIQ-SF score recorded after each pelvic floor rehabilitation session, through end of rehabilitation, an average of 3 months
Urinary incontinence score evolution during the pelvic floor rehabilitation sessions in the control group
The variation in the urinary incontinence score (ICIQ-SF) from first pelvic floor rehabilitation session to the 10th session and up to the last session
Time frame: ICIQ-SF score recorded after each pelvic floor rehabilitation sessions, through end of rehabilitation, an average of 3 months
Quality of life score evolution in the intervention group
The difference in the quality of life score associated with urinary symptoms (specific CONTILIFE questionnaire) and general quality of life (EuroQoL-5D questionnaire) at inclusion and after the video-based education program , as well as between inclusion and at the end of the pelvic floor rehabilitation sessions
Time frame: at inclusion and after the video-based education program (5 weeks after inclusion) , as well as between inclusion and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Quality of life score evolution in the control group
The difference in the quality of life score associated with urinary symptoms (specific CONTILIFE questionnaire) and general quality of life (EuroQoL-5D questionnaire) at inclusion and 5 weeks after the distribution of the paper document information, as well as between inclusion and at the end of the pelvic floor rehabilitation sessions
Time frame: at inclusion and 5 weeks after the distribution of the paper document information, as well as between inclusion and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Pelvic floor and sexual symptoms scores evolution in the intervention group
The difference in the score for pelvic floor and sexual symptoms that may be associated with urinary incontinence (FPFQ - Female Pelvic Floor Questionnaire) between inclusion and the end of the video-based education program, as well as between inclusion and the end of the pelvic floor rehabilitation sessions
Time frame: between inclusion and the end of the video-based education program (5 weeks after inclusion), as well as between inclusion and the end of the pelvic floor rehabilitation sessions, an average of 3 months
Pelvic floor and sexual symptoms scores evolution in the control group
The difference in the score for pelvic floor and sexual symptoms that may be associated with urinary incontinence (FPFQ - Female Pelvic Floor Questionnaire) between inclusion and 4 weeks after the distribution of the paper information document, as well as between inclusion and the end of the pelvic floor rehabilitation sessions
Time frame: at inclusion and 5 weeks after the distribution of the paper information document, as well as between inclusion and the end of the pelvic floor rehabilitation sessions, an average of 3 months
Patient-perceived improvement score evolution in the intervention group
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire after the video-based education program and at the end of the pelvic floor rehabilitation sessions
Time frame: after the video-based education program (5 weeks after inclusion)and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Patient-perceived improvement score evolution in the control group
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire 5 weeks after the distribution of the paper information document and at the end of the pelvic floor rehabilitation sessions
Time frame: 5 weeks after inclusion and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Patient-perceived improvement score evolution according to the urinary incontinence type in the intervention group
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire after the video-based education program and at the end of the pelvic floor rehabilitation sessions, according to the urinary incontinence type (Stress urinary incontinence, Urge urinary incontinence and mixed incontinence)
Time frame: after the video-based education program (5 weeks after inclusion) and at the end of the pelvic floor rehabilitation sessions, an average of 3 months)
Patient-perceived improvement score evolution according to the type of urinary incontinence
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire 5 weeks after the distribution of the paper information document and at the end of the pelvic floor rehabilitation sessions, according to the urinary incontinence type (Stress urinary incontinence, Urge urinary incontinence and mixed incontinence)
Time frame: 5 weeks after inclusion and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Patient-perceived improvement score evolution according to the dimensions of the Urinary Leakage Circumstances questionnaire in the intervention group
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire after the video-based education program and at the end of the pelvic floor rehabilitation sessions, according to the dimensions of the Urinary Leakage Circumstances questionnaire (ULCQ)
Time frame: after the video-based education program (5 weeks after inclusion) and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
Patient-perceived improvement score evolution according to the dimensions of the Urinary Leakage Circumstances questionnaire in the control group
Patient-perceived improvement score evaluated by the PGII (Patient Global Impression of Improvement) questionnaire 5 weeks after the disctribution of the paper information document and at the end of the pelvic floor rehabilitation sessions, according to the dimensions of the Urinary Leakage Circumstances questionnaire (ULCQ)
Time frame: 5 weeks after inclusion and at the end of the pelvic floor rehabilitation sessions, an average of 3 months
ICIQ-SF score evolution 12 and 24 month after the end of the pelvic floor rehabilitation sessions in the intervention group
Difference between the ICIQ-SF score at the end of the pelvic floor rehablitation sessions and the ICIQ-SF score at 12 months and at 24 months in the intervention group
Time frame: at the end of the pelvic floor rehablitation sessions and after 12 and 24 months
ICIQ-SF score evolution at 12 and 24 months after the end of the pelvic floor rehabilitation sessions
Difference between the ICIQ-SF score at the end of the pelvic floor rehablitation sessions and the ICIQ-SF score at 12 months and at 24 months in the control group
Time frame: at the end of the pelvic floor rehablitation sessions and after 12 and 24 months
Urinary incontinence management 12 and 24 months after the end of the pelvic floor rehabilitation sessions in the intervention group
New management of urinary incontinence, defined by new pelvic floor rehabilitation sessions, urinary incontinence or prolapse surgery, initiation of anticholinergic treatment, or any other therapy for urinary urinary at 12 and 24 months
Time frame: at 12 and 24 months
Urinary incontinence management 12 and 24 months after the end of the pelvic floor rehabilitation sessions in the control group
New management of urinary incontinence, defined by new pelvic floor rehabilitation sessions, urinary incontinence or prolapse surgery, initiation of anticholinergic treatment, or any other therapy for urinary urinary at 12 and 24 months
Time frame: at 12 and 24 months
Impact of the videos on Knowledge and Satisfaction Ratings
Difference in correct answers on questionnaires before and after each video, and satisfaction rating (0 to 10) after each video of the program
Time frame: after each video of the program, once a week for 4 weeks
Usage of the videos provided in the intervention group
number of views for each video, time of day, total time spent on viewings (automatically collected via the connection platform)
Time frame: at the end of the video-based education program, 5 weeks after inclusion
Physical activity evolution after pelvic floor rehabilitation in the entire population and afetr 12 and 24 months
Compare the evolution of physical activity practice (intensity) from inclusion to the end of the pelvic floor rehabilitation sessions and after 12 and 24 months
Time frame: from inclusion to the end of the pelvic floor rehabilitation sessions (an average of 3 months), and after 12 and 24 months after the end of rehabilitation
Urinary incontinence score between the 2 groups according the UI type
ICIQ-SF score at the end of the video-based education program vs the paper information document according to the UI type
Time frame: at the end of the video-based education program versus the paper information document, 5 weeks after inclusion
Urinary incontinence score according to the dimensions of the Urinary Leakage Questionnaire
to compare the ICIQ-SF score in each of the dimensions of the urinary leakage circumstances questionnaire after the video-based education program versus the paper information document
Time frame: after the video-based education program, 5 weeks after inclusion
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