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Adherence to a behavioral program to prevent incontinence.

Sandra H Hines1, Julia S Seng, Kassandra L Messer

  • 1University of Michigan, School of Nursing, Ann Arbor, USA.

Western Journal of Nursing Research
|January 18, 2007
PubMed
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Incorporating pelvic floor muscle training (PFMT) into a daily routine significantly improves adherence to behavioral interventions for preventing urinary incontinence. Bladder training also supports high adherence.

Area of Science:

  • Gerontology
  • Urology
  • Behavioral Medicine

Background:

  • Urinary incontinence affects many post-menopausal women.
  • Behavioral interventions like pelvic floor muscle training (PFMT) and bladder training (BT) are effective but adherence can be challenging.
  • Understanding adherence predictors is crucial for optimizing intervention effectiveness.

Purpose of the Study:

  • To identify factors predicting adherence to a combined PFMT and BT intervention in community-dwelling, post-menopausal women.
  • To explore how women integrate PFMT into their daily lives and its impact on adherence.

Main Methods:

  • An exploratory study involving 164 post-menopausal women.
  • Participants received training in PFMT and BT, followed for 1 year.
  • Content analysis of qualitative data on PFMT incorporation and logistic regression for adherence predictors.

Related Experiment Videos

Main Results:

  • Women adopted either a routine or ad hoc approach to incorporating PFMT.
  • A routine PFMT approach at 3 months predicted high adherence at 3 months (OR = 12.4) and 12 months (OR = 2.7).
  • Practicing bladder training was associated with high adherence.

Conclusions:

  • A routine approach to pelvic floor muscle training is a strong predictor of adherence to behavioral interventions for urinary incontinence.
  • Bladder training also plays a role in maintaining high adherence.
  • These findings can inform strategies to improve intervention compliance and outcomes in women.