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Expert Consensus on Developing the Components of a Home-Based Rehabilitation Program for Managing Urinary
Rowa Al Momany1, Sumaiyah Mat2, Saad Al-Nassan3,4
1Physiotherapy Program and Centre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
International Urogynecology Journal
|June 22, 2026
Summary
Experts reached consensus on a home-based pelvic health program for older Jordanian women with urinary incontinence (UI). This culturally tailored program offers a practical foundation for symptom management and improved quality of life.
Area of Science:
- Gerontology
- Pelvic Health
- Public Health
Background:
- Urinary incontinence (UI) is highly prevalent among older Jordanian women, yet often unaddressed due to social stigma.
- Home-based conservative programs present a viable and acceptable solution for managing UI symptoms in this demographic.
Purpose of the Study:
- To achieve expert consensus on the essential components of a culturally appropriate, home-based multimodal pelvic health program.
- To develop a program tailored for Jordanian women aged 55 years and older experiencing UI.
Main Methods:
- A modified two-round e-Delphi study involving Jordanian women's health physiotherapists.
- Experts rated 34 evidence-based items on pelvic floor muscle training, bladder training, lifestyle adjustments, and more, using a six-point Likert scale.
- Consensus was defined as ≥75% agreement, with revisions and re-ratings in Round 2.
Main Results:
- Thirty-three expert-validated components were established for the final program.
- Whole-body and core strengthening achieved full consensus as a new subcomponent.
- Weight management was retained for clinical importance despite not meeting the consensus threshold; printed educational materials were excluded.
Conclusions:
- Expert consensus was achieved on a culturally tailored, home-based pelvic health program for older Jordanian women with UI.
- The validated components provide a practical framework for developing effective UI management programs.
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