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Learning outcomes of a group behavioral modification program to prevent urinary incontinence.
Carolyn M Sampselle1, Kassandra L Messer, Julia S Seng
1Obstetrics and Gynecology, School of Nursing, University of Michigan, 400 North Ingalls, Ann Arbor, MI 48109-0482, USA. csampsll@umich.edu
International Urogynecology Journal and Pelvic Floor Dysfunction
|October 21, 2005
Summary
This study found that group education combined with brief individual instruction effectively teaches bladder training (BT) and pelvic floor muscle training (PFMT) to older women. High knowledge acquisition and good adherence were observed in the treatment group.
Area of Science:
- Gerontology
- Urology
- Physical Therapy
Background:
- Urinary incontinence is a common issue affecting older women's quality of life.
- Behavioral modification programs, including bladder training (BT) and pelvic floor muscle training (PFMT), are effective conservative treatments.
- Efficient and effective methods for teaching these techniques are crucial for successful patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of a behavioral modification program (BMP) in teaching knowledge and motor skills for BT and PFMT.
- To assess adherence to the BMP among community-dwelling older women.
- To compare a group education format supplemented with brief individualized instruction against a control group.
Main Methods:
- A randomized controlled trial involving 359 essentially continent older women.
- Treatment group received a 2-hour group education session plus brief individualized instruction as needed.
- Control group received no instruction; both groups followed for 12 months. Knowledge, motor skill, and adherence were documented, with pelvic muscle function and voiding interval used for validation.
Main Results:
- Following instruction, mean knowledge was 90% for BT and 86% for PFMT.
- 68% demonstrated correct PFMT technique initially, with 29% requiring brief instruction.
- Adherence rates ranged from 63-82% for PFMT and 58-67% for BT, indicating good retention and application of learned skills.
Conclusions:
- Group education supplemented with brief, individualized instruction is an effective method for teaching BT and PFMT to older women.
- This approach leads to significant knowledge acquisition and motor skill development.
- The findings support the implementation of this teaching strategy in clinical practice to improve adherence and outcomes for women with incontinence concerns.