Learning outcomes of a group behavioral modification program to prevent urinary incontinence.
This study describes acquisition of knowledge and motor skill in bladder training (BT) and pelvic floor muscle training (PFMT) and adherence following a behavioral modification program (BMP). Essentially continent (0-5 episodes in past year) community-dwelling older women (n = 359) were randomized to treatment (n = 164), a 2-h group education session supplemented by one brief individualized session of approximately 10 min, or control (n = 195), no instruction, and followed for 12 months. Knowledge, motor skill, and adherence to the BMP were documented. Changes in pelvic muscle function and voiding interval were used to validate self-reported adherence. Following group instruction, mean BT and PFMT knowledge was 90 and 86%, respectively; 68% demonstrated correct PFMT technique without additional instruction, 29% required brief instruction, and 3% were unable to learn PFMT technique. Adherence ranged from 63 to 82% for PFMT and 58 to 67% for BT. Group instruction supplemented with brief individual instruction as needed is an effective teaching method for BT and PFMT.
Sampselle
Carolyn M
CM
Obstetrics and Gynecology, School of Nursing, University of Michigan, 400 North Ingalls, Ann Arbor, MI 48109-0482, USA. csampsll@umich.edu
Messer
Kassandra L
KL
Seng
Julia S
JS
Raghunathan
T E
TE
Hines
Sandra H
SH
Diokno
Ananias C
AC
D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy / Q000379:methods*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007721:Knowledge of Results, Psychological; D008875:Middle Aged; D009048:Motor Skills; D017773:Pelvic Floor / Q000502:physiology; D011615:Psychotherapy, Group / Q000379:methods; D011795:Surveys and Questionnaires; D001743:Urinary Bladder / Q000502:physiology; D014549:Urinary Incontinence / Q000503:physiopathology / Q000517:prevention & control* / Q000523:psychology*