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Evaluation of Incontinence Program Implemented Virtually Versus In-Person.

Madeline K Moureau1, Zoe A Rozema2, Heidi W Brown3

  • 1From the University of Michigan Medical School, Ann Arbor, MI.

Urogynecology (Philadelphia, Pa.)
|May 21, 2025
PubMed
Summary
This summary is machine-generated.

Virtual implementation of the Mind Over Matter program for incontinence showed similar effectiveness to in-person sessions. However, the virtual format did not reach all demographic groups, highlighting a need for broader accessibility in continence care programs.

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Area of Science:

  • Gerontology
  • Behavioral Health
  • Public Health

Background:

  • The Mind Over Matter (MOM) program is a proven behavioral intervention for improving continence in women aged 50 and older.
  • The COVID-19 pandemic necessitated a shift from in-person to virtual program delivery, raising questions about its effectiveness and reach.

Purpose of the Study:

  • To compare the characteristics of participants reached by virtual versus in-person MOM program implementation.
  • To evaluate and compare symptom improvement and program satisfaction between virtual and in-person participants.

Main Methods:

  • A retrospective analysis of pretest and posttest evaluation surveys was conducted.
  • Data from 708 participants (in-person and virtual) between April 2019 and December 2021 were analyzed.

Main Results:

  • Virtual participants were younger and more likely to live alone, possess higher education, and have assistance at home compared to in-person participants.
  • Both virtual and in-person implementations led to improvements in urinary incontinence, with virtual participants showing significant improvement in fecal incontinence.
  • Overall program satisfaction was high, though virtual participants reported slightly lower complete satisfaction rates.

Conclusions:

  • Virtual implementation of the MOM program is effective in improving continence symptoms and achieving high program satisfaction, comparable to in-person delivery.
  • Neither implementation format effectively reached participants without some college education or those not identifying as non-Hispanic White, indicating disparities in access.