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2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011
Chantale Dumoulin1,2, Jean Hay-Smith3,4, Helena Frawley5,6
1School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Canada.
Neurourology and Urodynamics
|May 23, 2015
Summary
Pelvic floor muscle training (PFMT) adherence is crucial for treatment success. Patient-related factors are key barriers, necessitating theory-based interventions and improved adherence measurement for better outcomes.
Area of Science:
- Urogynecology and Pelvic Health
- Behavioral Science in Healthcare
- Clinical Trial Methodology
Background:
- Expert consensus highlights limited high-quality research on pelvic floor muscle training (PFMT) adherence.
- Adherence is recognized as central to both short- and long-term effectiveness of PFMT.
Framework:
- Twelve behavioral frameworks offer theoretical foundations for developing PFMT adherence interventions.
- Self-efficacy and intention to adhere are identified as significant predictors of PFMT adherence.
Implementation:
- Patient-related factors emerge as the primary barriers to PFMT adherence.
- Six potential adherence modifiers require further investigation for targeted interventions.
Implications:
- Future research should focus on applying health behavior theory to PFMT program design.
- Developing and implementing interventions that address known adherence determinants is essential.
- Patient-centered approaches are needed to evaluate adherence barriers and facilitators, alongside refining adherence measurement tools.
