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Home-Based Self-Management Multimodal Pelvic Health Programs for Urinary Incontinence in Women: A Scoping Review.

Rowa Al Momany1, Sumaiyah Mat2, Anan Al-Shdifat1

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Summary

Home-based multimodal pelvic health programs (MMPHPs) show promise for managing urinary incontinence (UI) in women. Further research is needed to standardize these interventions for better outcomes.

Keywords:
Clinical trialsHome-basedMultimodal programPelvic rehabilitationScoping reviewUrinary incontinenceWomen

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Area of Science:

  • Pelvic Health Rehabilitation
  • Women's Health
  • Conservative Interventions

Background:

  • Urinary incontinence (UI) is a common condition in women often managed with pelvic health rehabilitation.
  • Home-based multimodal pelvic health programs (MMPHPs) are emerging as a conservative approach.
  • Existing evidence on the efficacy of home-based MMPHPs for UI requires further exploration.

Purpose of the Study:

  • To conduct a scoping review of trial evidence on home-based MMPHPs for women with UI.
  • To identify the core components of these programs, including pelvic floor muscle training (PFMT), bladder training (BT), and lifestyle adjustments.
  • To map the current research landscape and identify gaps in evidence.

Main Methods:

  • This scoping review adhered to JBI methodology and PRISMA-ScR guidelines.
  • A comprehensive literature search was performed across major databases and gray literature up to May 2025.
  • Studies were screened by four independent reviewers, focusing on experimental evaluations of home-based multimodal interventions for UI.

Main Results:

  • Forty studies involving women with UI were included, utilizing diverse home-based delivery methods (booklets, digital resources, apps) over 4-12 weeks.
  • Most programs integrated PFMT with education, behavioral/lifestyle changes, and BT.
  • Reported outcomes included UI severity, quality of life, and adherence, though heterogeneity limited direct comparisons.

Conclusions:

  • Home-based MMPHPs demonstrate potential as an effective management strategy for women's UI.
  • Significant variation exists in program design, delivery, and outcome measurement.
  • Standardized protocols are recommended for future clinical trials to enhance comparability and evidence quality.